Adherence and Exercise Capacity Improvements of Patients With Adult Congenital Heart Disease Participating in Cardiac Rehabilitation.
Adherence and Exercise Capacity Improvements of Patients With Adult Congenital Heart Disease Participating in Cardiac Rehabilitation.
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DOI：
10.1161/jaha.121.023896
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发表时间：
2022-08-16
影响因子：
5.4
通讯作者：
Halpern, Dan G.
中科院分区：
文献类型：
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作者：
Sheng, S. Peter;Feinberg, Jodi L.;Bostrom, John A.;Tang, Ying;Sweeney, Greg;Pierre, Alicia;Katz, Edward S.;Whiteson, Jonathan H.;Haas, Francois;Dodson, John A.;Halpern, Dan G.
由于治疗的进步，患有先天性心脏病的成年人数量增加，心脏康复（CR）越来越多地用于心脏手术后或运动耐量降低的人群。我们的目的是描述成人先天性心脏病（ACHD）患者在CR中的依从性和运动能力的改善。这项回顾性研究纳入了2013年至2020年在纽约大学朗格尼鲁斯克康复中心接受CR治疗的ACHD患者。我们收集了有关患者特征、参加会议次数和功能测试结果的数据。评估CR前和CR后代谢当量任务、运动时间和最大摄氧量。共有89例ACHD患者（平均年龄39.0岁; 54.0%为女性）参加了CR。转诊指征为42.7%的患者运动耐量降低，其余患者为心脏手术后（经导管或外科手术）。参加的平均会议次数为24.2，42名参与者（47.2%）完成了所有36次CR会议。在完成该计划以及CR前和CR后功能测试的参与者中，代谢当量任务增加了1.3（95% CI，0.7-1.9;基线平均值，8.1），运动时间增加66.4秒（95% CI，21.4-111.4秒;基线平均值，536.1秒），最大摄氧量增加2.5 mL/kg/min（95% CI，0.7-4.2 mL/kg/min;基线平均值，20.2 mL/kg/min）。平均而言，完成CR的ACHD患者的运动能力有所改善。努力提高依从性将使更多的ACHD患者受益。
As the number of adults with congenital heart disease increases because of therapeutic advances, cardiac rehabilitation (CR) is increasingly being used in this population after cardiac procedures or for reduced exercise tolerance. We aim to describe the adherence and exercise capacity improvements of patients with adult congenital heart disease (ACHD) in CR. This retrospective study included patients with ACHD in CR at New York University Langone Rusk Rehabilitation from 2013 to 2020. We collected data on patient characteristics, number of sessions attended, and functional testing results. Pre‐CR and post‐CR metabolic equivalent task, exercise time, and maximal oxygen uptake were assessed. In total, 89 patients with ACHD (mean age, 39.0 years; 54.0% women) participated in CR. Referral indications were reduced exercise tolerance for 42.7% and post–cardiac procedure (transcatheter or surgical) for the remainder. Mean number of sessions attended was 24.2, and 42 participants (47.2%) completed all 36 CR sessions. Among participants who completed the program as well as pre‐CR and post‐CR functional testing, metabolic equivalent task increased by 1.3 (95% CI, 0.7–1.9; baseline mean, 8.1), exercise time increased by 66.4 seconds (95% CI, 21.4–111.4 seconds; baseline mean, 536.1 seconds), and maximal oxygen uptake increased by 2.5 mL/kg per minute (95% CI, 0.7–4.2 mL/kg per minute; baseline mean, 20.2 mL/kg per minute). On average, patients with ACHD who completed CR experienced improvements in exercise capacity. Efforts to increase adherence would allow more patients with ACHD to benefit.