Document Detail


Exercise performance after surgery for pulmonary atresia and intact ventricular septum.
MedLine Citation:
PMID:  19365661     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of this study was to assess exercise performance in subjects born in Sweden between 1980 and 1995 and undergoing surgery for pulmonary atresia and intact ventricular septum and to identify determinants of exercise performance. Twenty-seven subjects, 16 with biventricular repair and 11 with univentricular palliation, and 28 age- and sex-matched controls completed cardiopulmonary exercise and lung function testing. Peak oxygen uptake was determined using a symptom-limited ramp bicycle exercise protocol. Regression analysis was performed to identify predictors of peak oxygen uptake (V'O(2)), The index group had lower peak V'O(2) (1.4 [median 0.8; range 2.5] l/min) than controls (1.9 [0.7; 3.1]; p < 0.05). Subjects without ventriculocoronary arterial communications (VCAC), corrected to biventricular circulation, had higher peak V'O(2), than the remaining index subjects. Decreased total lung capacity, low minute ventilation, and high physiologic dead space measured at peak exercise were all independent determinants of low peak V'O(2) Exercise capacity is generally decreased in subjects with pulmonary atresia and intact ventricular septum, although there are marked interindividual differences. Good exercise capacity was found in subjects without VCAC who had undergone biventricular repair. Decreased lung function was an unfavourable predictor of exercise capacity.
Authors:
Britt-Marie Ekman-Joelsson; Per M Gustafsson; Jan Sunnegårdh
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-04-14
Journal Detail:
Title:  Pediatric cardiology     Volume:  30     ISSN:  1432-1971     ISO Abbreviation:  Pediatr Cardiol     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-27     Completed Date:  2009-11-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  752-62     Citation Subset:  IM    
Affiliation:
The Queen Silvia Children's Hospital, Göteborg University, Göteborg 416 85, Sweden. britt-mari.ekman-joelsson@vgregion.se
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Cardiac Surgical Procedures / methods*
Child
Exercise / physiology*
Exercise Tolerance / physiology*
Female
Follow-Up Studies
Heart Septal Defects, Ventricular / physiopathology,  surgery*
Humans
Male
Oxygen Consumption
Postoperative Period
Prognosis
Pulmonary Atresia / physiopathology,  surgery*
Respiratory Function Tests
Retrospective Studies
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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