Exercise Testing and Training in Adults With Congenital Heart Disease: A Surgical Perspective

被引：10
作者：
Tran, Derek L.
Maiorana, Andrew
Davis, Glen M.
Celermajer, David S.
d'Udekem, Yves
Cordina, Rachael [1 ]
机构：
[1] Royal Prince Alfred Hosp, Dept Cardiol, 50 Missenden Rd, Camperdown, NSW 2050, Australia
来源：
ANNALS OF THORACIC SURGERY | 2021年 / 112卷 / 04期
关键词：
SYSTEMIC RIGHT VENTRICLE; PHYSICAL-ACTIVITY; SCIENTIFIC STATEMENT; CLINICAL-OUTCOMES; PROGNOSTIC VALUE; FAILURE PATIENTS; CAPACITY; TETRALOGY; TRANSPOSITION; ASSOCIATION;
D O I：
10.1016/j.athoracsur.2020.08.118
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
In the current era, the majority of children born with congenital heart disease (CHD) will survive well into adulthood because of major advances in surgical techniques, as well as in critical and medical care. However, reoperation and palliative surgical interventions are increasingly common in the adults with CHD. Tools to risk stratify patients effectively and therapies to improve outcomes are required to optimize the management of adult patients with CHD during the preoperative and postoperative periods and beyond. Exercise testing is an invaluable tool to guide risk stratification. In addition, exercise training in patients with CHD may decrease postoperative complications by enhancing physiological reserve and also has an important role in physical rehabilitation. This review aims to provide individualized recommendations on exercise prescription in patients with CHD in the preoperative and postoperative settings. The response to exercise testing and prognostic implications is also discussed. (C) 2021 by The Society of Thoracic Surgeons
引用
收藏
页码：1045 / 1054
页数：10
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