先心病与运动

Sport, exercise exercise not encouraged or allowed in childhood; possible overprotection or apathy in some schools What do we know? Problems in Adult CHD - lessons to be learned? Poor exercise tolerance cured condition Other factors: Overweight; unfit; deconditioning long-term consequences on health? Types of Exercise Dynamic or isotonic exercise Changes in muscle length HLHS; PHT Reduced exercise tolerance due to nature of heart condition adapt activities Pacing during exercise; long warm up Long QT; better to avoid intense level activity Warfarin avoid contact or rough sports - risks of bodily collision - special care head/abdomen Key points Many young people need little or no restriction ( acquired heart disease Proactive exercise: Does it make a difference? Young people, parents 45:1326-33. Hirth A, Reybrouck T, Bjarnason-Wehrens B, Lawrenz W, Hoffman A. Recommendations for participation in competitive and leisure sports in patients with congenital heart disease: a consensus document. European Journal of Cardiovascular Prevention 13:293-299. Kendall L, Parsons JM, Sloper P and Lewin RJP. A simple screening method for determining knowledge of the appropriate levels of activity and risk behaviour in young people with congenital cardiac conditions. Cardiology in the Young 2007;17(2):151-157. Maron BJ, Chaitman BR, Ackerman MJ, et al. Recommendations for physical activity and recreational sports for young patients with genetic cardiovascular diseases. Circulation 2004;109:2807-16. Pelliccia A, Fagard R, Bjornstad HH, Anastassakis A, Arbustini E, Assanelli D, Biffi A, et al. Recommendations for competitive sports participation in athletes with cardiovascular disease: A consensus document from the study group of sports cardiology of the working group of cardiac rehabilitation and exercise physiology and the working group of myocardial and pericardial diseases of the european society of cardiology. European Heart Journal 2005;26:1422-1445. Reybrouck TAC, Mertens LB. Physical performance and physical activity in grown-up congenital heart disease. European Journal of Cardiovascular Prevention 12(5):498-502. Rhodes J et al. Impact of cardiac rehabilitation on the exercise function of children with serious congenital heart disease. Pediatrics 2005;116:1339-45. Swan L and Hillis WS. Exerci