Cardiac rehabilitation improves heart rate recovery following peak exercise in children with repaired congenital heart disease.
Cardiac rehabilitation improves heart rate recovery following peak exercise in children with repaired congenital heart disease.
复制标题
心脏康复可以改善患有先天性心脏病修复的儿童在高峰运动后的心率恢复。
DOI：
10.1007/s00246-006-0114-0
复制
发表时间：
2007
影响因子：
1.6
通讯作者：
Rhodes,J
中科院分区：
文献类型：
--
作者：
Singh,TP;Curran,TJ;Rhodes,J
我们评估了14名儿童（12.1 ± 1.8岁）在12周心脏康复计划之前和之后峰值运动后的心率（HR）恢复情况，这些儿童患有修复的复杂先天性心脏病（CHD; 11例接受Fontan手术）和运动能力受损。在基线、康复计划完成后和基线测试后1.0 ± 0.2年，使用自行车测力计进行运动测试。将这些数据与15例CHD（13例Fontan手术）对照组（年龄12.7 ± 2.4岁）的HR恢复进行比较，两次运动试验间隔1.1± 0.3年。两组中两次系列试验之间的HR峰值无变化。康复组的峰值VO 2改善（基线时为26.3 ± 9.6 ml/kg/min，康复后为30.9 ± 9.6 ml/kg/min，p= 0.01），但对照组在系列测试中保持不变。完成康复计划后，1分钟HR恢复（每分钟心跳次数）显著改善（基线时为27 ± 15 vs康复后为40 ± 23，p= 0.01）。1年后，康复组1分钟HR恢复的部分改善持续存在（1分钟HR恢复，35 ± 19;与基线相比p= 0.1）。对照组1分钟HR恢复率随时间无变化（37 ± 16 vs 40 ± 13，p=不显著）。总之，冠心病儿童在参加心脏康复计划后，高峰运动后的心率恢复得到改善。
We assessed heart rate (HR) recovery following peak exercise before and after a 12-week cardiac rehabilitation program in 14 children, 12.1 ± 1.8 years of age, with repaired complex congenital heart disease (CHD; 11 with Fontan surgery) and impaired exercise performance. Exercise testing using bicycle ergometry was performed at baseline, after completion of the rehab program and 1.0 ± 0.2 years after the baseline test. These data were compared to HR recovery in 15 controls (age, 12.7 ± 2.4 years) with CHD (13 with Fontan surgery) with two serial exercise tests at an interval of 1.1± 0.3 years. There was no change in peak HR between the two serial tests in either group. Peak VO2improved in the rehab group (26.3 ± 9.6 ml/kg/min at baseline vs 30.9 ± 9.6 ml/kg/min after rehab,p= 0.01) but remained unchanged in controls on serial testing. One-minute HR recovery (in beats per minute) improved significantly following completion of the rehab program (27 ± 15 at baseline vs 40 ± 23 after rehab,p= 0.01). Partial improvement in 1-minute HR recovery in the rehab group persisted 1 year later (1-minute HR recovery, 35 ± 19;p= 0.1 compared to baseline). There was no change in 1-minute HR recovery over time in the control group (37 ± 16 vs 40 ± 13,p= not significant). In conclusion, HR recovery following peak exercise improves in children with CHD after participation in a cardiac rehab program.