[Assessment of exercise capacity in congenital heart disease]

Arch Cardiol Mex. 2016 Jan-Mar;86(1):51-63. doi: 10.1016/j.acmx.2015.08.005. Epub 2015 Oct 21.
[Article in Spanish]

Abstract

For many years, the treatment of congenital heart diseases has been a field in which, based on the seriousness of these conditions, treatment options were viewed with the greatest deference. This has conditioned, in many cases, the interventions to be undertaken in each. In this sense, exercise was thought to have a negative impact and thus the practise of almost any physical activity was limited. Although there has recently been a change in the paradigm with respect to exercise, this idea continues to hold sway. For many cardiopathies, the information obtained through a stress test is essential in order to implement and supervise an exercise program. The aim of this study is to analyze the parameters within the stress test which allow for an adequate stratification of the risk to subjects with congenital heart diseases who undertake exercise, as well as their values in accordance with the type of pathology, the gravity of such, and the age of the patients. Furthermore, these parameters will be analyzed for both their survival markers and the protocols that can best be adjusted for patients with these characteristic.

Keywords: Cardiopatías congénitas; Congenital; Ejercicio; España; Exercise; Exercise test; Heart defects; Prueba de esfuerzo; Spain.

Publication types

  • Review

MeSH terms

  • Exercise Test
  • Exercise Tolerance*
  • Heart Defects, Congenital / mortality
  • Heart Defects, Congenital / physiopathology*
  • Humans
  • Risk Assessment
  • Severity of Illness Index