| Exercise training in congenital heart disease: should we follow the heart failure paradigm? | |
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MedLine Citation:
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PMID: 19604588 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Exercise intolerance is common in adults with congenital heart disease (ACHD) and affects their prognosis and quality of life, thus becoming an important target for therapies. While exercise training has been widely studied in chronic heart failure, its safety and efficacy in ACHD remain unknown. The main obstacle in studies involving physical training and when prescribing exercise, is long-term compliance. Lifestyle changes through behaviour modification are difficult and require adequate physician and patient education on the benefits and types of exercise. Individualised counselling regarding physical training, exercise and sports should begin in early adolescence or even earlier, and exercise restriction is rarely indicated. Self-monitoring of physical activity through logs and the use of simple devices such as accelerometers may also enhance awareness and motivation. Physicians and nurses with adequate communication skills should assist ACHD patients in achieving a positive attitude towards physical activity and lifestyle modification. |
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Authors:
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Georgios Giannakoulas; Konstantinos Dimopoulos |
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Publication Detail:
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Type: Comment; Editorial; Research Support, Non-U.S. Gov't Date: 2009-07-14 |
Journal Detail:
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Title: International journal of cardiology Volume: 138 ISSN: 1874-1754 ISO Abbreviation: Int. J. Cardiol. Publication Date: 2010 Jan |
Date Detail:
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Created Date: 2010-02-01 Completed Date: 2010-04-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8200291 Medline TA: Int J Cardiol Country: Netherlands |
Other Details:
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Languages: eng Pagination: 109-11 Citation Subset: IM |
Copyright Information:
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Copyright (c) 2009 Elsevier Ireland Ltd. All rights reserved. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Exercise Therapy* Heart Defects, Congenital / physiopathology*, therapy* Heart Failure / therapy* Humans Prognosis Quality of Life* |
| Comments/Corrections | |
Comment On:
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Int J Cardiol. 2010 Jan 21;138(2):196-205
[PMID:
19217676
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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