Exercise Capacity and Participation of Children With a Ventricular Septal Defect

Binkhorst, Mathijs; Belt, Tom H van de; Hoog, Marieke de; Dijk, Arie P.J. van; Schokking, Michiel; Hopman, Maria T. E.

doi:10.1016/j.amjcard.2008.05.063

Cited by 34 publications

(23 citation statements)

References 24 publications

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“…To obtain information on self-perceived fitness and health, physical activity in daily life, including sports, participation at school, and leisure, a questionnaire [4, 11] from the Department of Integrative Physiology, St. Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands, was used. The results were compared with those from healthy control subjects [11].…”

Section: Methodsmentioning

confidence: 99%

Exercise Capacity in Children With Isolated Congenital Complete Atrioventricular Block: Does Pacing Make a Difference?

et al. 2012

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The management of patients with isolated congenital complete atrioventricular block (CCAVB) has changed during the last decades. The current policy is to pace the majority of patients based on a variety of criteria, among which is limited exercise capacity. Data regarding exercise capacity in this population stems from previous publications reporting small case series of unpaced patients. Therefore, we have investigated the exercise capacity of a group of contemporary children with CCAVB. Sixteen children (mean age 11.5 ± 4; seven boys, nine girls) with CCAVB were tested. In 13 patients, a median number of three pacemakers were implanted, whereas in three patients no pacemaker was given. All patients had an echocardiogram and completed a cardiopulmonary cycle exercise test. Exercise parameters were determined and compared with reference values obtained from healthy Dutch peers. The peak oxygen uptake/body mass was reduced to 34.4 ± 9.5 ml kg−1 min−1 (79 ± 24% of predicted) and the ventilatory threshold was reduced to 52 ± 17% of peak oxygen uptake (78 ± 21% of predicted), whereas the peak work load/body mass was 2.8 ± 0.6 W/kg (91 ± 24% of predicted), which was similar to controls. Importantly, 25% of the paced patients showed upper rate restriction by the pacemaker. In conclusion, children with CCAVB show a reduced peak oxygen uptake and ventilatory threshold, whereas they show normal peak work rates. This indicates that they generate more energy during exercise from anaerobic energy sources. Paced children with CCAVB do not perform better than unpaced children.

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Section: Methodsmentioning

confidence: 99%

Exercise Capacity in Children With Isolated Congenital Complete Atrioventricular Block: Does Pacing Make a Difference?

et al. 2012

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“…The most common lesion with left to right shunting is an atrial septal defect (ASD), and there are significant differences in exercise capacity between patients before and after ASD closure. This contrasts to the unchanged exercise performance in VSD patients, although only small unoperated VSDs are included in the study of Binkhorst et al [50]. They studied a small group of children who had undergone surgical closure of their VSD ( N = 13) or had a small unoperated VSD ( N = 14).…”

Section: Exercise Capacity In Specific Lesionsmentioning

confidence: 99%

“…Exercise capacity was not significantly different from controls. Although VSD patients had a lower participation in sports, and HR peak was somewhat lower in the operated patients, these differences did not result in differences of peak work rate or VO 2peak as compared to healthy control subjects [50]. …”

Section: Exercise Capacity In Specific Lesionsmentioning

confidence: 99%

Exercise Testing and Prescription in Patients with Congenital Heart Disease

Harkel

Takken

2010

International Journal of Pediatrics

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The present paper provides a review of the literature regarding exercise testing, exercise capacity, and the role of exercise training in patients with congenital heart disease (CHD). Different measures of exercise capacity are discussed, including both simple and more advanced exercise parameters. Different groups of patients, including shunt lesions, pulmonary valvar stenosis, patients after completion of Fontan circulation, and patients with pulmonary arterial hypertension are discussed separately in more detail. It has been underscored that an active lifestyle, taking exercise limitations and potential risks of exercise into account is of utmost importance. Increased exercise capacity in these patients is furthermore correlated with an improvement of objective and subjective quality of life.

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“…They are usually non‐life threatening, especially small muscular VSDs that usually close spontaneously over months to years . Typically, it is suggested that patients with small unrepaired VSDs remain asymptomatic from the exercise viewpoint, as children …”

Section: Clinical and Physiological Outcomesmentioning

confidence: 99%

Exercise in children with common congenital heart lesions: Balancing benefits with risks

Halliday

Selvadurai

Sherwood

et al. 2013

J Paediatrics Child Health

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Exercise Capacity and Participation of Children With a Ventricular Septal Defect

Cited by 34 publications

References 24 publications

Exercise Capacity in Children With Isolated Congenital Complete Atrioventricular Block: Does Pacing Make a Difference?

Exercise Capacity in Children With Isolated Congenital Complete Atrioventricular Block: Does Pacing Make a Difference?

Exercise Testing and Prescription in Patients with Congenital Heart Disease

Exercise in children with common congenital heart lesions: Balancing benefits with risks

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