Increasing levels of exercise difficulty are monitored while the electrocardiogram, heart rate, and blood pressure are recorded.
An electrocardiogram (ECG, EKG) that records the electrical activity in the heart may be used to check for heart rhythm abnormalities, such as long QT syndrome, in children who have had a pallid breath holding spell.
Infants frequently have an abnormal electrocardiogram (ECG) that indicates that the right or both ventricles are enlarged, while in older children the ECG may be normal or show that the left ventricle is enlarged.
The doctor will usually order blood tests, an electrocardiogram, urinalysis, and bone densitometry (bone density test) in order to exclude other diseases and to assess the patient's nutritional status.
In terms of the cardiac examination, a standard electrocardiogram (EKG) is not sufficient for diagnosis; only the echocardiogram can detect possible enlargement of the aorta.