Cardiopulmonary Stress Testing in Children Who Have Had Congenital Heart Disease Surgery. Physical Exercise Recommendations During School Hours
| Autor: | Ricard Serra-Grima, Xavier Borrás, Maite Subirana, Jaume Casaldáliga, Miquel Rissech, Queralt Ferrer, Teresa Puig, Begoña Manso, Maite Doñate, Ferran Gran, Joaquim Bartrons, Josep Girona, Dimpna C. Albert |
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| Rok vydání: | 2011 |
| Předmět: |
Heart Defects
Congenital Male medicine.medical_specialty Heart disease Stress testing Oxygen pulse Hemodynamics Blood Pressure Physical exercise Electrocardiography Oxygen Consumption Heart Rate Surveys and Questionnaires Heart rate medicine Humans Prospective Studies Cardiac Surgical Procedures Child Exercise Heart disease surgery Congenital heart disease Cyanosis Analysis of Variance medicine.diagnostic_test business.industry General Medicine Carbon Dioxide medicine.disease Cardiopulmonary exercise testing Surgery Blood pressure Exercise Test Physical therapy Female business |
| Zdroj: | REVISTA ESPANOLA DE CARDIOLOGIA r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau instname |
| ISSN: | 1885-5857 0300-8932 |
| DOI: | 10.1016/j.rec.2011.05.011 |
| Popis: | Introduction and objectives To analyze and discover if stress testing with exhaled gases in children who have had congenital heart surgery is useful so we could make physical exercise recommendations according to heart disease, type of surgery performed, present hemodynamic state and level of exercise practiced. Methods Prospective study of 108 children, who performed stress testing with exhaled gases, electrocardiogram monitoring and blood pressure. A questionnaire was used to obtain variables concerning heart disease, surgery, present functional condition and level of exercise practiced. Exercise recommendations were given after stress testing, and after a year 35 patients answered a questionnaire. Results There were significant differences between lesion severity and heart rate at rest and during effort, systolic pressure at rest and during effort, oxygen uptake, oxygen pulse, carbon dioxide production and test duration. A relationship was observed between level of weekly exercise and greater oxygen uptake and test duration, but this was not observed with the underlying heart disease. We observed that best performance occurred with fast repairing for 59 children with cyanotic heart disease. Increased exercise level was recommended for 48 children. Conclusions The cardiopulmonary function study allows us to examine the physical performance of children who have had congenital heart surgery and provides us with important data so that we can recommend better physical exercise planning. |
| Databáze: | OpenAIRE |
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