Exercise Training in a Young Adult Late After a Fontan Procedure to Repair Single Ventricle Physiology

McCall, Robert Donnell; Humphrey, Reed

doi:10.1097/00008483-200107000-00007

Cited by 13 publications

(20 citation statements)

References 10 publications

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“…McCall & Humphrey 30 Exercise capacity (treadmill exercise test) Improvement in exercise capacity Minamisawa et al 31 Exercise capacity (bicycle ergometer) 7% improvement in VO 2peak Opocher et al 34 Exercise capacity (treadmill exercise test) 19% improvement in VO 2peak Rhodes et al 28 Exercise capacity (bicycle ergometer) 22% improvement in VO 2peak Rhodes et al 28 Pulmonary function 7% improvement in FEV1 Moalla et al 27,29 Exercise capacity (bicycle ergometer) 8.1% improvement in VO 2peak Moalla et al 27 Six-minute walk 13% improvement in walking distance Moalla et al 29 Oxygenation respiratory muscles (NIRS) 28% improvement in respiratory muscle oxygenation Moalla et al 29 Pulmonary function Nonsignificant improvements in FEV1 (7.5%), FVC (6.2%), TLC (4.2) and MVV (5.7%) Brassard et al 23 Exercise capacity (bicycle ergometer test) No significant improvement in VO 2peak Brassard et al 23 Muscle strength No significant improvement in MVC Brassard et al 23 Blood pressure Significant improvement in ergoreflex culation. All six published studies showed that exercise training could improve exercise capacity in patients with a Fontan circulation.…”

Section: Study Outcome Measure Resultsmentioning

confidence: 99%

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Exercise prescription for patients with a Fontan circulation: current evidence and future directions

Takken¹,

Hulzebos²,

Blank³

et al. 2007

NHJL

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It is well documented that children with a Fontan circulation have a reduced exercise capacity. One of the modalities to improve exercise capacity might be exercise training. We performed a systematic literature review on the effects of exercise training in patients with a Fontan circulation. Six published studies were included that reported on the effects of exercise training in 40 patients. All studies had a small sample size and/or did not include a control group.Based on the six published studies we can conclude that children who have undergone a Fontan operation and who are in a stable haemodynamic condition can safely participate in an exercise training programme and that exercise training results in an improved exercise capacity. However, more research is needed to establish the optimal exercise mode, dose-response relation, and the effects of exercise training on cardiac function, peripheral muscle function, physical activity, and health-related quality of life. (Neth Heart J 2007;15:142-7.).

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Section: Study Outcome Measure Resultsmentioning

confidence: 99%

“…30 The patient attended cardiopulmonary training sessions two to three times a week for 22 weeks at a moderate intensity. Training sessions consisted of a combination of cardiovascular exercise, both treadmill and stationary cycle, and light resistance training with weights (table 1).…”

Section: Experimental Findingsmentioning

confidence: 99%

Exercise prescription for patients with a Fontan circulation: current evidence and future directions

Takken¹,

Hulzebos²,

Blank³

et al. 2007

NHJL

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“…Balfour et al [31] reported a 6% enhancement in V O 2 max in a 19 year old patient who was engaged in a 3-month cardiac rehabilitation program. McCall and Humphrey [32] reported an amelioration in oximetry values, exercise intensity and time, and a reduced fatigue perception in a young Fontan patient following a 22-week aerobic and muscular exercise training program before cardiac transplant. Minamisawa et al [33] reported a 7% increase in maximal workload and V O 2 peak and a 5% increase in exercise time, following an 11-to 15-week aerobic exercise training program performed by 11 patients.…”

Section: Discussionmentioning

confidence: 99%

Impact of exercise training on muscle function and ergoreflex in Fontan patients: A pilot study

Brassard¹,

Poirier²,

Martin³

et al. 2006

International Journal of Cardiology

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“…Several small studies have investigated the effects of physical training in children and adolescents with Fontan circulation [14,28,35,58]. These studies indicate that exercise training in this population is safe.…”

Section: Hypoactivitymentioning

confidence: 99%

Exercise limitation in patients with Fontan circulation: a review

Takken

Tacken

Blank

et al. 2007

Journal of Cardiovascular Medicine

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The aim of the current literature study was to perform a literature review of the factors contributing to exercise limitation and physiological response to exercise in patients with Fontan circulation. In patients with Fontan circulation, peak oxygen uptake ranged from about 14.4 to 32.3 ml/min/kg, and showed a slowed acceleration in the kinetics of oxygen uptake at the onset of exercise. Peak heart rate during exercise was decreased to an average of 153 +/- 10 bpm and arterial oxygen saturation was also decreased at peak exercise, with an average of 89.5 +/- 1.94%. Cardiac output was subnormal, owing to reduced stroke volume, heart rate response and affected pulmonary venous return. Ventilatory anaerobic threshold was below normal values. Moreover, the ventilatory equivalent for carbon dioxide was found to be higher. Patients with Fontan circulation possess a unique physiological response to exercise. Although there is a wide range in exercise capacity among patients, all patients have reduced tolerance to exercise. Cardiac, pulmonary, and muscular factors might play a role in reduced exercise capacity and this distinct response to exercise.

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Exercise Training in a Young Adult Late After a Fontan Procedure to Repair Single Ventricle Physiology

Cited by 13 publications

References 10 publications

Exercise prescription for patients with a Fontan circulation: current evidence and future directions

Exercise prescription for patients with a Fontan circulation: current evidence and future directions

Impact of exercise training on muscle function and ergoreflex in Fontan patients: A pilot study

Exercise limitation in patients with Fontan circulation: a review

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