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 |
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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 |
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