Respiratory Training Late After Fontan Intervention: Impact on Cardiorespiratory Performance

Autor: Mirko Passera, Alessandra Cadoni, Giosuè Catapano, Fabio Brucini, Lamia Ait Ali, Paolo Piaggi, Pierluigi Festa, Claudio Passino, Alessandro Pingitore, Marco Marotta
Rok vydání: 2017
Předmět:
Heart Defects
Congenital

Male
medicine.medical_specialty
Respiratory Therapy
Adolescent
Pilot Projects
030204 cardiovascular system & hematology
Fontan Procedure
Pediatrics
03 medical and health sciences
Young Adult
0302 clinical medicine
Oxygen Consumption
Quality of life
Internal medicine
Fontan circulation
medicine
Congenital heart disease
Controlled respiratory training
Ergospirometry
Pediatrics
Perinatology and Child Health

Cardiology and Cardiovascular Medicine
Humans
cardiovascular diseases
Respiratory system
Exercise
Aerobic capacity
Congenital heart disease
Fontan circulation
Controlled respiratory training
Ergospirometry

Exercise Tolerance
business.industry
Cardiorespiratory fitness
Vascular surgery
Perinatology and Child Health
Cardiac surgery
medicine.anatomical_structure
Treatment Outcome
030228 respiratory system
Cardiorespiratory Fitness
Ventricle
Spirometry
Breathing
Cardiology
Exercise Test
Quality of Life
Female
business
Zdroj: Pediatric cardiology. 39(4)
ISSN: 1432-1971
Popis: Fontan palliation allows patients with “single ventricle” circulation to reach adulthood with an acceptable quality of life, although exercise tolerance is significantly reduced. To assess whether controlled respiratory training (CRT) increases cardiorespiratory performance. 16 Adolescent Fontan patients (age 17. 5 ± 3.8 years) were enrolled. Patients were divided into CRT group (n = 10) and control group (C group, n = 6). Maximal cardiopulmonary test (CPT) was repeated at the end of CRT in the CRT group and after an average time of 3 months in the C group. In the CRT group a CPT endurance was also performed before and after CRT. In the CRT group there was a significant improvement in cardiovascular and respiratory response to exercise after CRT. Actually, after accounting for baseline values, the CRT group had decreased breathing respiratory reserve (− 15, 95% CI −22.3 to − 8.0, p = 0.001) and increased RR peak (+ 4.8, 95% CI 0.7–8.9, p = 0.03), VE peak (+ 13.7, 95% CI 5.6–21.7, p = 0.004), VO2 of predicted (+ 8.5, 95% CI 0.1–17.0, p = 0.05), VO2 peak (+ 4.3, 95% CI 0.3 to 8.2, p = 0.04), and VO2 workslope (+ 1.7, 95% CI 0.3–3.1, p = 0.02) as compared to the control group. Moreover, exercise endurance time increased from 8.45 to 17.7 min (p = 0.01). CRT improves cardiorespiratory performance in post-Fontan patients leading to a better aerobic capacity.
Databáze: OpenAIRE