Opić Petra, Utens Elisabeth M W J, Cuypers Judith A A E, Witsenburg Maarten, van den Bosch Annemien, van Domburg Ron, Bogers Ad J J C, Boersma Eric, Pelliccia Antonio, Roos-Hesselink Jolien W
Department of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands; Department of Child and Adolescent Psychiatry/Psychology, Erasmus Medical Center-Sophia Children's Hospital, Rotterdam, The Netherlands.
Department of Child and Adolescent Psychiatry/Psychology, Erasmus Medical Center-Sophia Children's Hospital, Rotterdam, The Netherlands.
Int J Cardiol. 2015;187:175-82. doi: 10.1016/j.ijcard.2015.03.107. Epub 2015 Mar 11.
It is unclear whether sports participation in adults with repaired congenital heart disease is safe and has benefits.
Congenital heart disease (ConHD) patients who underwent corrective surgery for Atrial Septal Defect, Ventricular Septal Defect, Pulmonary Stenosis, Tetralogy of Fallot or Transposition of the Great Arteries in our center between 1968 and 1980 were included, and participated in our longitudinal follow-up study with serial evaluations in 2001 and 2011. At both time points patients filled in questionnaires on sports participation, subjective physical functioning and quality of life. Exercise testing, echocardiogram and 24-hour continuous ambulatory ECG-monitoring were performed in both 2001 and 2011. All clinical events (re-intervention, arrhythmia, heart failure) were prospectively recorded.
No relationship was found between practicing sports and the occurrence of sudden death, PVCs or SVTs. Patients with moderate/complex forms of ConHD practiced fewer hours of sports compared with the general Dutch normative population. Patients with both simple and moderate/complex ConHD who practiced sports showed a higher exercise capacity. More favorable subjective physical functioning was found for moderate/complex patients who practiced sports.
Adults with repaired ConHD are less often involved in sports than the Dutch general population. The patients that were engaged in sports show a higher exercise capacity than those who did not. Sports participation in patients with ConHD was not associated with an increased incidence of adverse cardiac events.
对于患有先天性心脏病且已接受修复手术的成年人而言，参与体育运动是否安全且有益尚不清楚。
纳入1968年至1980年间在本中心接受房间隔缺损、室间隔缺损、肺动脉狭窄、法洛四联症或大动脉转位矫正手术的先天性心脏病（ConHD）患者，并参与我们在2001年和2011年进行的系列评估的纵向随访研究。在两个时间点，患者均填写了关于体育活动参与情况、主观身体功能和生活质量的问卷。在2001年和2011年都进行了运动测试、超声心动图和24小时动态心电图监测。所有临床事件（再次干预、心律失常、心力衰竭）均进行前瞻性记录。
未发现进行体育活动与猝死、室性早搏或室上性心动过速的发生之间存在关联。与荷兰一般正常人群相比，患有中度/复杂形式ConHD的患者进行体育活动的时间较少。进行体育活动的简单和中度/复杂ConHD患者均表现出较高的运动能力。对于进行体育活动的中度/复杂患者，发现其主观身体功能更有利。
患有已修复ConHD的成年人参与体育运动的频率低于荷兰普通人群。参与体育活动的患者比未参与的患者表现出更高的运动能力。ConHD患者参与体育活动与不良心脏事件发生率增加无关。
