کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5976388 1576219 2013 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Persistent superior exercise performance and quality of life long-term after arterial switch operation compared to that after atrial redirection
ترجمه فارسی عنوان
عملکرد ورزشی پایدار و کیفیت زندگی طولانی مدت پس از عمل سوئیچ شریانی نسبت به آن پس از تغییر مسیر دهلیز
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی

BackgroundIn the end of the last century arterial switch operation (ASO) replaced atrial redirection according to Senning or Mustard as the surgical technique for infants with transposition of the great arteries (TGA). Better survival with the new technique has been shown. However, exercise performance and quality of life have not yet been compared directly.Methods and resultsAll consecutive patients aged sixteen years or older that had undergone ASO for TGA at our institution and had performed a cardiopulmonary exercise test as part of their routine follow-up were included into the study. Those twenty-eight patients (20 male, median age 18.8 years) were matched for age and gender with twenty-eight patients (20 male, median age 18.9 years) who underwent atrial redirection in the same surgical period at our institution.Peak oxygen uptake was higher in patients after ASO (median 38.1 [quartiles 30.3; 44.5] ml/kg/min vs. 29.8 [23.5; 33.9] ml/kg/min; p < .0001) representing 92.0% predicted and 66.1% predicted (p < .0001), respectively. In addition, patients after ASO presented a better ventilatory efficiency (V˙E/V˙CO2 slope, p = .029), ventilatory threshold (p = .006), peak O2 pulse (p = .0001), and oxygen saturation (p = .016), as well as a superior blood pressure (p = .046) response to exercise.Self-estimated quality of life was rather good in both groups but with better results in the physical functioning and general health domains in patients after ASO.ConclusionsAdolescents and young adults with TGA still have an improved exercise performance and quality of life in the long-term follow-up after ASO than those patients after atrial redirection.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Cardiology - Volume 166, Issue 2, 20 June 2013, Pages 381-384
نویسندگان
, , , ,