Home- and hospital-based exercise training programme after Fontan surgery

Cardiology in the Young
Nigel SutherlandYves d'Udekem

Abstract

Exercise training has been shown to increase exercise capacity in survivors of Fontan surgery. The geographic distribution of the Fontan population has been a barrier to hospital-based exercise training programmes. The objective of this study was to establish whether a home exercise training programme could achieve similar improvements to a hospital programme. Adolescents with a Fontan circulation aged 12-19 years were prospectively recruited in a hospital or home exercise training programme. Patients underwent cardiopulmonary exercise testing and completed the Paediatric Quality of Life Inventory at initial assessment and after completion of an 8-week programme. Both groups performed two 1-hour training sessions per week. Patients in the home training programme had their first session in the hospital, and then progressed independently with one phone consult per week and one home visit by a physiotherapist. In total, 17 patients, with a mean age of 15±3 years, completed the training programme (six hospital). Characteristics and baseline performance of patients were similar in both groups. Oxygen consumption at anaerobic threshold increased from 19.3±3.8 to 21.6±6.0 ml/kg/minute (p=0.02) and peak oxygen pulse increased from 8.8±...Continue Reading

References

Jan 1, 1983·Pediatric Cardiology·H D RuttenbergA G Fisher
May 1, 1982·The American Journal of Cardiology·S P SandersA R Castaneda
May 19, 2000·Cardiology in the Young·P M FredriksenE Thaulow
Sep 21, 2001·The American Journal of Cardiology·S MinamisawaG Satomi
Jun 7, 2005·Muscle & Nerve·Kiesa Getz KellyMisha-Miroslav Backonja
Jul 28, 2005·International Journal of Cardiology·Patrice BrassardJean Jobin
Jul 29, 2006·European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology·Wassim MoallaSaid Ahmaidi
Sep 12, 2007·Psychosomatic Medicine·James A BlumenthalAndrew Sherwood
Nov 17, 2012·International Journal of Cardiology·Rachael L CordinaDavid S Celermajer
Jan 31, 2013·European Journal of Heart Failure·Mark J SchuuringBerto J Bouma
Nov 28, 2013·Heart Failure Clinics·Marc Gewillig, David J Goldberg
Apr 26, 2015·Heart, Lung & Circulation·Nigel SutherlandYves d'Udekem
Mar 5, 2016·International Journal of Cardiology·Thomas G WilsonUNKNOWN Australia and New Zealand Fontan Registry
Jun 4, 2016·International Journal of Cardiology·Chris SchillingYves d'Udekem
Dec 6, 2017·Congenital Heart Disease·Camilla SandbergBengt Johansson

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Citations

Nov 18, 2018·Current Opinion in Cardiology·Rachael Cordina, Yves d'Udekem
Mar 17, 2020·Journal of the American Heart Association·Kate H MarshallNadine A Kasparian
Jul 29, 2020·European Journal of Preventive Cardiology·Linda E ScheffersWim A Helbing
Oct 29, 2020·The Cochrane Database of Systematic Reviews·Craig A WilliamsLinda Long
Dec 9, 2020·Journal of the American Heart Association·Adam W PowellAlexander R Opotowsky
Sep 4, 2021·Cardiology in the Young·Marica E Baleilevuka-HartJennifer H Huang

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