Aerobic capacity in adults with various congenital heart diseases

Citation
Pm. Fredriksen et al., Aerobic capacity in adults with various congenital heart diseases, AM J CARD, 87(3), 2001, pp. 310-314
Citations number
21
Categorie Soggetti
Cardiovascular & Respiratory Systems","Cardiovascular & Hematology Research
Journal title
AMERICAN JOURNAL OF CARDIOLOGY
ISSN journal
00029149 → ACNP
Volume
87
Issue
3
Year of publication
2001
Pages
310 - 314
Database
ISI
SICI code
0002-9149(20010201)87:3<310:ACIAWV>2.0.ZU;2-X
Abstract
As an increasing number of patients with congenital heart disease reach adu lthood, more information is needed regarding outcomes. The first signs of i mpaired heart function may appear during exercise testing. The aim of the p resent study was to establish mean values for maximal oxygen uptake in adul ts with various congenital heart diseases. Patients from 6 major diagnostic groups were identified, including patients with atrial septal defect (ASD, n = 93), transposition of the greet arteries corrected with the Mustard pr ocedure (n = 84), congenitally corrected transposition of the great arterie s (CCTGA, n = 41), Tetralogy of Fallot (n = 168), Ebstein's anomaly (n = 37 ), and Modified Fontan procedure (n = 52). Diminished maximal oxygen uptake was found in all diagnostic groups across age compared with healthy subjec ts. A significant decrease in maximal oxygen uptake with aging was found in those with ASD (p <0.0001), CCTGA (p = 0.01), and Tetralogy of Fallot (p < 0.0001). There was no significant decline, however, in Ebstein's anomaly (p = 0.270), Fontan procedure (p = 0.182), and in the Mustard patients (p = 0 .188). All patients achieved significantly lower heart rates than predicted (mean for all groups, p <0.0001). Forced vital capacity values (3.51 L, me an SD +/- 1.02) were lower than predicted values (4.10 L, mean SD +/- 0.90, p <0.0001) for all patients groups except those with ASD. Mean values, how ever, were within the accepted 20% range of variance. This study showed dim inished aerobic capacity in all diagnostic groups when compared with a heal thy population. The maximal oxygen uptake values across age groups can be u sed as reference values in patients with similar diagnoses and as the basis for further research. (C) 2001 by Excerpta Medica, Inc.