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01-04-2007 | review article

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

Auteurs: T. Takken, H. J. Hulzebos, A. C. Blank, M. H. P. Tacken, P. J. M. Helders, J. L. M. Strengers

Gepubliceerd in: Netherlands Heart Journal | Uitgave 4/2007

Abstract

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.)

vorige artikel Clinical characteristics, cardiac events and coronary angiographic findings in the prospective PREVEND cohort: an observational study

volgende artikel Stent thrombosis associated with first-generation drug-eluting stents: issues with antiplatelet therapy

Hoffman JI, Kaplan S. The incidence of congenital heart disease. J Am Coll Cardiol 2002;39:1890-900.

Fontan F, Baudet E. Surgical repair of tricuspid atresia. Thorax 1971;26:240-8.

Gewillig M. Ventricular dysfunction of the functionally univentricular heart: management and outcomes. Cardiol Young 2005; 15(Suppl 3):31-4.

Takken T, Tacken MHP, Blank AC, Hulzebos EH, Strengers JLM, Helders PJM. Exercise limitations in patients with a Fontan circulation: a review. J Cardiovasc Med (In Press).

Fick A. Ueber die Messung des Blutquantums in den Herzventrikeln. Sitx. der Physik-Med. Ges. Wurzburg 1870;2:16.

Rhodes J, Garofano RP, Bowman FO Jr, Grant GP, Bierman FZ, Gersony WM. Effect of right ventricular anatomy on the cardiopulmonary response to exercise. Implications for the Fontan procedure. Circulation 1990;81:1811-7.

Stromvall Larsson E, Eriksson BO. Haemodynamic adaptation during exercise in fontan patients at a long-term follow-up. Scand Cardiovasc J 2003;37:107-12.

Cortes RG, Satomi G, Yoshigi M, Momma K. Maximal hemodynamic response after the Fontan procedure: Doppler evaluation during the treadmill test. Pediatr Cardiol 1994;15:170-7.

Driscoll DJ, Danielson GK, Puga FJ, Schaff HV, Heise CT, Staats BA. Exercise tolerance and cardiorespiratory response to exercise after the Fontan operation for tricuspid atresia or functional single ventricle. J Am Coll Cardiol 1986;7:1087-94.

Senzaki H, Masutani S, Ishido H, Taketazu M, Kobayashi T, Sasaki N, et al. Cardiac rest and reserve function in patients with Fontan circulation. J Am Coll Cardiol 2006;47:2528-35.

Ohuchi H. Cardiopulmonary response to exercise in patients with the Fontan circulation. Cardiol Young 2005;15(Suppl 3):39-44.

Takken T, Tacken MHP, Blank AC, Hulzebos HJ, P.J.M. H, Strengers JLM. Comparative Exercise Physiology in Pediatric Patients with Congenital Heart Disease: Fontan versus Tetralogy of Fallot. (Submitted)

Stromvall-Larsson ES, Eriksson BO, Sixt R. Decreased lung function and exercise capacity in Fontan patients. A long-term follow-up. Scand Cardiovasc J 2003;37:58-63.

Matthews IL, Fredriksen PM, Bjornstad PG, Thaulow E, Gronn M. Reduced pulmonary function in children with the Fontan circulation affects their exercise capacity. Cardiol Young 2006;16:261-7.

Schulze-Neick I, Hartenstein P, Li J, Stiller B, Nagdyman N, Hubler M, et al. Intravenous sildenafil is a potent pulmonary vasodilator in children with congenital heart disease. Circulation 2003; 108(Suppl 1):II167-73.

Grant GP, Mansell AL, Garofano RP, Hayes CJ, Bowman FO, Jr, Gersony WM. Cardiorespiratory response to exercise after the Fontan procedure for tricuspid atresia. Pediatr Res 1988;24:1-5.

Brassard P, Bedard E, Jobin J, Rodes-Cabau J, Poirier P. Exercise capacity and impact of exercise training in patients after a Fontan procedure: a review. Can J Cardiol 2006;22:489-95.

Inai K, Saita Y, Takeda S, Nakazawa M, Kimura H. Skeletal muscle hemodynamics and endothelial function in patients after Fontan operation. Am J Cardiol 2004;93:792-7.

Mertens L, Reybrouck T, Eyskens B, Daenen W, Gewillig M. Slow kinetics of oxygen uptake in patients with a Fontan-type circulation. Pediatr Exerc Sci 2003;15:146-155.

Witzel C, Sreeram N, Coburger S, Schickendantz S, Brockmeier K, Schoenau E. Outcome of muscle and bone development in congenital heart disease. Eur J Pediatr 2006;165:168-74.

Lewis SF, Taylor WF, Graham RM, Pettinger WA, Schutte JE, Blomqvist CG. Cardiovascular responses to exercise as functions of absolute and relative work load. J Appl Physiol 1983;54:1314-23.

Picchio FM, Giardini A, Bonvicini M, Gargiulo G. Can a child who has been operated on for congenital heart disease participate in sport and in which kind of sport? J Cardiovasc Med (Hagerstown) 2006;7:234-8.

Brassard P, Poirier P, Martin J, Noel M, Nadreau E, Houde C, et al. Impact of exercise training on muscle function and ergoreflex in Fontan patients: a pilot study. Int J Cardiol 2006;107:85-94.

Myers J, Prakash M, Froelicher V, Do D, Partington S, Atwood JE. Exercise capacity and mortality among men referred for exercise testing. N Engl J Med 2002;346:793-801.

Nixon PA, Orenstein DM, Kelsey SF, Doershuk CF. The prognostic value of exercise testing in patients with cystic fibrosis. N Engl J Med 1992;327:1785-8.

Gulati M, Black HR, Shaw LJ, Arnsdorf MF, Merz CN, Lauer MS, et al. The prognostic value of a nomogram for exercise capacity in women. N Engl J Med 2005;353:468-75.

Moalla W, Gauthier R, Maingourd Y, Ahmaidi S. Six-minute walking test to assess exercise tolerance and cardiorespiratory responses during training program in children with congenital heart disease. Int J Sports Med 2005;26:756-62.

Rhodes J, Curran TJ, Camil L, Rabideau N, Fulton DR, Gauthier NS, et al. Impact of cardiac rehabilitation on the exercise function of children with serious congenital heart disease. Pediatrics 2005;116:1339-45.

Moalla W, Maingourd Y, Gauthier RM, Cahalin LP, Tabka Z, Ahmaidi S. Effect of exercise training on respiratory muscle oxygenation in children with congenital heart disease. Eur J Cardiovasc Prev Rehabil 2006;13:604-11.

McCall R, Humphrey R. Exercise training in a young adult late after a fontan procedure to repair single ventricle physiology. J Cardiopulm Rehabil 2001;21:227-30.

Minamisawa S, Nakazawa M, Momma K, Imai Y, Satomi G. Effect of aerobic training on exercise performance in patients after the Fontan operation. Am J Cardiol 2001;88:695-8.

Baquet G, van Praagh E, Berthoin S. Endurance training and aerobic fitness in young people. Sports Med 2003;33:1127-43.

Stromme SB, Ingjer F, Meen HD. Assessment of maximal aerobic power in specifically trained athletes. J Appl Physiol 1977;42:833-7.

Opocher F, Varnier M, Sanders SP, Tosoni A, Zaccaria M, Stellin G, et al. Effects of aerobic exercise training in children after the Fontan operation. Am J Cardiol 2005;95:150-2.

Paridon SM, Alpert BS, Boas SR, Cabrera ME, Caldarera LL, Daniels SR, et al. Clinical stress testing in the pediatric age group: a statement from the American Heart Association Council on Cardiovascular Disease in the Young, Committee on Atherosclerosis, Hypertension, and Obesity in Youth. Circulation 2006;113:1905-20.

Rhodes J, Curran TJ, Camil L, Rabideau N, Fulton DR, Gauthier NS, et al. Sustained effects of cardiac rehabilitation in children with serious congenital heart disease. Pediatrics 2006;118:e586-93

Titel: Exercise prescription for patients with a Fontan circulation: current evidence and future directions
Auteurs: T. Takken
H. J. Hulzebos
A. C. Blank
M. H. P. Tacken
P. J. M. Helders
J. L. M. Strengers
Publicatiedatum: 01-04-2007
Uitgeverij: Bohn Stafleu van Loghum
Gepubliceerd in: Netherlands Heart Journal / Uitgave 4/2007
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI: https://doi.org/10.1007/BF03085970

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