Declining aerobic capacity of patients with arterial and atrial switch procedures.

Pediatric Cardiology
Per Morten FredriksenErik Thaulow

Abstract

Patients with transposition of the great arteries corrected by an atrial switch procedure are believed to have a worse physical outcome than patients with an arterial switch procedure correction. This study aimed to compare exercise data for patients with the two surgical methods. This study retrospectively analyzed exercise treadmill test results for 7- to 17-year-old patients who underwent either an atrial switch procedure (n=45) or an arterial switch procedure (n=44). The results were compared with reference material. Both groups showed significantly less aerobic capacity than healthy subjects. The atrial switch patients achieved 69% of reference status, and the arterial switch patients achieved 82%. A gradual decline in exercise capacity with increasing age was shown for patients with atrial switch circulation (p<0.0001). No significant difference was found for the arterial switch group (p=0.319). Significantly less aerobic capacity was found in atrial and arterial switch patients than in healthy subjects. A decline in aerobic capacity with increasing age was found in the atrial switch patients. However, the small number of teenagers in the arterial switch group limits the ability to be conclusive. The results indicate that...Continue Reading

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Citations

Jan 25, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Jan MüllerAlfred Hager
Mar 20, 2014·European Heart Journal·Judith A A E CuypersJolien W Roos-Hesselink
Apr 13, 2011·Current Cardiology Reports·Susan Lucy RocheErwin Notker Oechslin
Nov 28, 2013·Heart Failure Clinics·Jonathan Buber, Jonathan Rhodes
Apr 2, 2015·International Journal of Cardiology·Petra OpićJolien W Roos-Hesselink
Sep 1, 2015·The Journal of Thoracic and Cardiovascular Surgery·Vivan J M BaggenJohannes M P J Breur
Aug 2, 2014·Journal of the American College of Cardiology·Juan VillafañeUNKNOWN American College of Cardiology’s Adult Congenital and Pediatric Cardiology Council
Jun 7, 2011·American Heart Journal·Alessandro GiardiniGraham Derrick
Sep 1, 2013·Cardiovascular Engineering and Technology·Sowmya Balasubramanian, Theresa A Tacy
Sep 12, 2019·Journal of Cardiac Surgery·Vladimiro L VidaGiovanni Stellin
Feb 3, 2021·Pediatric Cardiology·Covadonga Terol Espinosa de Los MonterosArend D J Ten Harkel

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