Aerobic training in adults after atrial switch procedure for transposition of the great arteries improves exercise capacity without impairing systemic right ventricular function

Westhoff-Bleck, Mechthild; Schieffer, Bernhard; Tegtbur, Uwe; Meyer, Gerd Peter; Hoy, Ludwig; Schaefer, Arnd; Tallone, Ezequiel; Tutarel, Oktay; Mertins, Ramona; Wilmink, Lena M; Anker, Stefan D.; Bauersachs, Johann; Roentgen, Philipp

doi:10.1016/j.ijcard.2013.10.009

Cited by 36 publications

(37 citation statements)

References 30 publications

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“…Westhoff-Bleck et al found an improvement in exercise capacity and NYHA classification in patients with a systemic right ventricle after a 24-week training program. They found no change in right ventricular function, which could be due to small patient numbers, and short follow-up [12]. In 146 patients with congenital heart disease, Tikkanen et al, found improved V'O 2peak in patients involved in regular exercise, as compared to those with a more sedentary lifestyle [13].…”

Section: Discussionmentioning

confidence: 98%

Long-term benefits of exercise training in patients with a systemic right ventricle

Bom¹,

Winter²,

Knaake³

et al. 2015

International Journal of Cardiology

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Section: Discussionmentioning

confidence: 98%

Long-term benefits of exercise training in patients with a systemic right ventricle

Bom¹,

Winter²,

Knaake³

et al. 2015

International Journal of Cardiology

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“…While several studies have explored late neurodevelopmental outcomes2, 3, 4, 5 and exercise training on older patients with CHD after surgery,10, 11, 12, 13, 14, 15 little has been published on the acute impact on functional status following CHD surgery, and the associated RT use in the immediate postoperative period.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Postoperative Rehabilitation Therapy Following Congenital Heart Surgery

Tikkanen

Nathan

Sleeper

et al. 2018

JAHA

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BackgroundPatients with congenital heart disease are at risk of motor, cognitive, speech, and feeding difficulties after cardiac surgery. Rehabilitation therapy could improve functional outcomes in this population if applied in the acute postcardiac surgical in‐hospital stay. However, information on the types of acute postcardiac surgery therapy needs in children is scarce. Our goal was to describe rehabilitation therapy following congenital heart surgery and pre/intraoperative factors associated with need for therapy.Methods and ResultsThis is a retrospective cohort study of patients <18 years undergoing heart surgery at our center from January 1, 2013 to January 31, 2015. Demographic, and pre‐, intra‐, and postoperative clinical and rehabilitation therapy (physical, occupational, speech, feeding therapy, and neurodevelopment intervention) data were collected. Need for rehabilitation therapy in the acute postoperative period, particularly following palliative repair, was the outcome variable in a multivariable logistic regression model to identify independent pre‐ and intraoperative factors associated with therapy. A total of 586 out of 1415 (41%) subjects received rehabilitation therapy postsurgery. Certain subgroups had increased rehabilitation therapy use such as neonates (80%). On multivariable analysis, palliative repair, prematurity, genetic syndrome, presurgical hospital stay of more than 1 day, and prolonged cardiopulmonary bypass time were independently associated with rehabilitation therapy.ConclusionsNearly half of patients who underwent post–congenital heart surgery received rehabilitation therapy. Frequency of use and types of therapy vary according to patient characteristics; however, certain pre‐ and intraoperative factors are associated with need for rehabilitation therapy, and may aid decision‐making for appropriate resource allocation.

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“…59 Dvadesetičetiri tjedna strukturiranoga aerobnog vježbanja u odraslih pacijenata s TGA-om znatno poboljšava varijable kardiopulmonalnoga testiranja opterećenjem i smanjuje simptome ZS-a bez negativnog učinka na sistemsku desnu klijetku. 60 Nedavno je pokazana i uspješnost primjene strukturiranog programa tjelesnih vježbi uz psihološki trening za poboljšanje ukupne razine aktivnosti u adolescenata s PSG-om.…”

Section: Arterial Abnormalities In Congenital Heart Diseaseunclassified

Almanac 2014: Congenital Heart Disease.

Kahr¹,

Diller²

2015

Cardiol Croat.

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Aerobic training in adults after atrial switch procedure for transposition of the great arteries improves exercise capacity without impairing systemic right ventricular function

Cited by 36 publications

References 30 publications

Long-term benefits of exercise training in patients with a systemic right ventricle

Long-term benefits of exercise training in patients with a systemic right ventricle

Predictors of Postoperative Rehabilitation Therapy Following Congenital Heart Surgery

Almanac 2014: Congenital Heart Disease.

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