Zusammenfassung
Belastungsuntersuchungen nehmen in der Diagnostik von Klappenvitien trotz erweiterter bildmorphologischer Verfahren weiterhin eine bedeutende Rolle ein, da gerade bei Patienten mit erworbenen oder kongenitalen operierten und nicht operierten Vitien im Erwachsenenalter die individuelle Lebensqualität entscheidend durch die körperliche Leistungsfähigkeit beeinflusst wird (Trappe u. Löllgen 2000).
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Literatur
Ali NF, Mahadevan VS, Muir A, Maguire C, Young D, Campalani G, Campbell NP, Danton MH. The influence of prosthesis size and design on exercise dynamics after aortic valve replacement. J Heart Valve Dis 15 (6): 755–62, 2006
Alborino D, Hoffmann JL, Fournet PC, Bloch A. Value of exercise testing to evaluate the indication for surgery in asymptomatic patients with valvular aortic stenosis. J Heart Valve Dis 11 (2): 204–9, 2002
Amato MC, Moffa PJ, Werner KE, Ramires JA. Treatment decision in asymptomatic aortic valve stenosis: role of exercise testing. Heart 86 (4): 381–6, 2001
Bangalore S, Yao SS, Chaudhry FA. Role of left atrial size in risk stratification and prognosis of patients undergoing stress echocardiography. J Am Coll Cardiol 50 (13): 1254–62, 2007
Bonow RO, Carabello BA, Chatterjee K, de Leon AC Jr, Faxon DP, Freed MD, Gaasch WH, Lytle BW, Nischimura RA, O’Gara PT, O’Rourke RA, Otto CM, Shah PM, Shanewise JS, Smith SC Jr, Jacobs AK, Adams CD, Anderson LJ, Antman EM, Fuster V, Halperin JL, Hiratzka LF, Hunt SA, Lytle BW, Nishimura R, Page RL, Riegel B. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing Committee to Revise the 1998 guidelines for the management of patients with valvular heart disease) developed in collaboration with the Society of Cardiovascular Anesthesiologists endorsed by the Society for Cardiovascular Angiography and Interventions and the Society of Thoracic Surgeons. J Am Coll Cardiol 48 (3): e1–148, 2006
Bonow RO, Carabello BA, Chatterjee K, de Leon AC Jr, Faxon DP, Freed MD, Gaasch WH, Lytle BW, Nishimura RA, O’Gara PT, O’Rourke RA, Otto CM, Shah PM, Shanewise JS; 2006 Writing Committee Members; American College of Cardiology/American Heart Association Task Force 2008 Focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Circulation 118 (15): ee523–661, 2008
Braunwald E. Valvular heart disease. In: Braunwald E (ed) Heart disease 5th edn. Saunders, Philadelphia, pp 1007–1075, 1997
Binkhorst M, van de Belt T, de Hoog M, van Dijk A, Schokking M, Hopman M. Exercise capacity and participation of children with a ventricular septal defect. Am J Cardiol 102 (8): 1079–84, 2008
Bruce CJ, Nishimura RA. Clinical assessment and management of mitral stenosis. Cardiol Clin 16: 375–403, 1998
Burke RP, Horvath K, Landzberg M et al. Long-term follow-up after surgical repair of ostium primum atrial septal defects in adults. J Am Coll Cardiol 27:696–699, 1996
Carlhäll CJ, Nguyen TC, Itoh A, Ennis DB, Bothe W, Liang D, Ingels NB, Miller DC. Alterations in transmural myocardial strain: an early marker of left ventricular dysfunction in mitral regurgitation? Circulation 118 (14 Suppl): S256–62, 2008
Carvalho JS, Shinebourne EA, Busst C et al. Exercise capacity after complete repair of tetralogy of Fallot: deleterious effects of residual pulmonary regurgitation. Br Heart J 67:470–473, 1992
Cetinkaya M, Semizel E, Bostan O, Cil E. Risk of vasovagal syncope and cardiac arrhythmias in children with mitral valve prolapse. Acta Cardiol 63 (3):395–8, 2008
Cheitlin MD. Stress echocardiography in mitral stenosis: when is it useful? J Am Coll Cardiol 43 (3):402–4, 2004
Choi EY, Shim J, Kim SA, Shim CY, Yoon SJ, Kang SM, Choi D, Ha JW, Rim SJ, Jang Y, Chung N. Value of echo-Doppler derived pulmonary vascular resistance, net-atrioventricular compliance and tricuspid annular velocity in determining exercise capacity in patients with mitral stenosis. Circ J 71 (11):1721–7, 2007
Dal-Bianco JP, Khandheria Bk, Mookadam, F, Gentile F, Sengupta PP. Management of asymptomatic severe aortic stenosis. J Am Coll Cardiol 52 (16):1279–92, 2008
de Divitiis M, Pilla C, Kattenhorn M, Donald A, Zadinello M, Wallace S, Redington A, Deanfield J. Ambulatory blood pressure, left ventricular mass, and conduit artery function late after successful repair of coarctation of the aorta. J Am Coll Cardiol 41 (12):2259–65, 2003
de Divitiis M, Rubba P, Calabrò R. Arterial hypertension and cardiovascular prognosis after sucessful repair of aortic coarctation: a clinical model for the study of vascular function. Nutr Metab Cardiovasc Dis 15 (5):382–94, 2005
Dujardin KS, Enriquez-Sarano M, Schaff HV, Bailey KR, Seward JB, Tajik AJ. Mortality and morbidity of aortic regurgitation in clinical practice. A long-term follow-up study. Circulation 99 (14):1851–7, 1999
Enriquez-Sarano M, Avierinos JF, Messika-Zeitoun D, Detaint D, Capps M, Nkomo V, Scott C, Schaff HV, Tajik AJ. Quantitative determinants of the outcome of asymptomatic mitral regurgitation. N Engl Med 352 (9):875–83, 2005
Fritsch J, Winter UJ, Kaemmerer H, Hilger HH. Kardiopulmonale Leistungfähigkeit bei Patienten mit angeborenen Herzfehlern im Kindes-, Adoleszenten-und Erwachsenenalter. Z Kardiol 83:131–139, 1994
Gaasch WH, Meyer TE. Left ventricular response to mitral regurgitation: implications for management. Circulation 25; 118 (22): 2298–303, 2008
Gatzoulis MA, Elliott JT, Guru V, Siu SC, Warsi MA, Webb GD, Williams WG, Liu P, McLaughlin PR. Right and left ventricular systolic function late after repair of tetralogy of Fallot. Am J Cardiol 86 (12):1352–7, 2000
Hager A, Kanz S, Kaemmerer H, Schreiber C, Hess J. Coarctation Long-term Assessment (COALA): significance of arterial hypertension in a cohort of 404 patients up to 27 years after surgical repair of isolated coarctation of the aorta, even in the absence of restenosis and prosthetic material. J Thorac Cardiovasc Surg 134 (3):738–45, 2007
Hamm CW, Albrecht A, Bonzel T, Kelm M, Lange H, Schächinger V, Terres W, Voelker W. Diagnostic heart catheterization. Clin Res Cardiol 97 (8):475–512, 2008
Harris KM, Pastorius CA, Duval S, Harwood E, Henry TD, Carabello BA, Hirsch AT. Practice variation among cardiovascular physicians in management of patients with mitral regurgitation. Am J Cardiol 103 (2):255–61, 2009
Hövels-Gürich HH, Konrad K, Skorzenski D, Nacken C, Minkenberg R, Messmer BJ, Seghaye MC. Long-term neurodevelopmental outcome and exercise capacity after corrective surgery for tetralogy of Fallot or ventricular septal defect in infancy. Ann Thorac Surg 81 (3):958–66, 2006
Hoppe UC, Erdmann E. Aortenisthmusstenose-Langzeitprognose auch nach effektiver Korrektur eingeschränkt. Herz/Kreislauf 30:115–122, 1998
Horstkotte D, Niehues R, Schulte HD, Strauer BE. Belastbarkeit nach Herzklappenersatz. Z Kardiol 83: 111–120, 1994
Iserin L, Chua TP, Chambers J et al. Dyspnoea and exercise intolerance during cardiopulmonary exercise testing in patients with univentricular heart. The effects of chronic hypoxaemia and Fontan procedure. Eur Heart J 18: 1350–1356, 1997
Izgi C, Ozdemir N, Cevik C, Ozveren O, Bakal RB, Kaymaz C, Ozkan M. Mitral valve resistance as a determinant of resting and stress pulmonary artery pressure in patients with mitral stenosis: a dobutamine stress study. J Am Soc Echocardiogr 20 (10):1160–6, 2007
Joffe H, Georgakopoulos D, Celermajer DS et al. Late ventricular arrhythmia is rare after early repair of tetralogy of Fallot. J Am Coll Cardiol 23:1146–1150, 1994
Yasuda H, Taniguchi K, Takahashi T, Sawa Y, Matuda H. Thallium-201 single-photon emission computed tomography: quantitative assessment of left ventricular perfusion and structural change in patients with chronic aortic regurgitation. Clin Cardiol 28 (12): 546–8, 2005
Kaplan S, Perloff JK. Exercise and athletics before and after cardiac surgery or interventional catheterization. In: Perloff, Jk, Child JS (eds) Congenital heart disease in adults 2nd edn. Saunders, Philadelphia: pp 189–198, 1998
Kappetein PA, Guit GL, Bogers AJ et al. Noninvasive long-term follow-up after coarctation repair. Ann Thorac Surg 55: 1153–1159, 1993
Kelbaek H, Aldershvile J, Skagen K, Hildebrandt P, Nielsen SL. Mitral regurgitation determined by radionuclide cardiography: dependence on posture and exercise. Br Heart J 72 (2): 156–60, 1994
Kim HK, Kim YJ, Hwang SJ, Park JS, Chang HJ, Sohn DW, Oh BH, Park YB. Hemodynamic and prognostic implications of net atrioventricular compliance in patients with mitral stenosis. J Am Soc Echocardiogr 21 (5): 482–6, 2008.
Kraus F, Dacian S, Rudolph W. Belastungsuntersuchungen bei valvulärer Herzerkrankung und Herzklappenersatz. Herz 7: 144–155, 1982
Lancellotti P, Gérard PL, Piérard LA. Long-term outcome of patients with heart failure and dynamic functional mitral regurgitation. Eur Heart J 26 (15): 1528–32, 2005a
Lancellotti P, Lebois F, Simon M, Tombeux C, Chauvel C, Pierard LA. Prognostic importance of quantitative exercise Doppler echocardiography in asymptomatic valvular aortic stenosis. Circulation 112 (9 Suppl): 1377–82, 2005b
Larsen TH, Taxt AM, Aslaksen A, Segadal L, Norgård G, Røksund OD, Greve G. Magnetic resonance imaging of patients with increased blood pressure and altered blood pressure response to exercise after coarctation repair. Scand Cardiovasc J 37 (2): 98–103, 2003
Laskey WK, Plappert TA, Sutton MG. Left ventricular mechanical load and contractile function patients with chronic mitral regurgitation. J Heart Valve Dis 16 (3): 247–54, 2007
Leavitt JI, Coats MH, Falk RH. Effects of exercise on transmitral gradient and pulmonary artery pressure in patients with mitral stenosis or a prosthetic mitral valve: a Doppler echocardiographic study. J Am Coll Cardiol 17: 1520–1526, 1991
Lee R, Hanekom L, Marwick TH, Leano R, Wahi S. Prediction of subclinical left ventricular dysfunction with strain rate imaging in patients with asymptomatic severe mitral regurgitation. Am J Cardiol 94 (10): 1333–7, 2004
Lee R, Haluska B, Leung DY, Case C, Mundy J, Marwick TH. Functional and prognostic implications of left ventricular contractile reserve in patients with asymptomatic severe mitral regurgitation. Heart 91 (11): 1407–12, 2005
Leung DY, Griffin BP, Stewart WJ, Cosgrove DM 3rd, Thomas JD, Marwick TH. Left ventricular function after valve repair for chronic mitral regurgitation: predictive value of preoperative assessment of contractile reserve by exercise echocardiography. J Am Coll Cardiol 28 (5): 1198–205, 1996
Lumina FJ, LaManna MM, Atfeh M, Maranhao V. Exercise firstpass radionuclide assessment of left and right ventricular function and valvular regurgitation in symptomatic mitral valve prolapse. Angiology 40: 443–449, 1989
Markham LW, Knecht SK, Daniels SR, Mays WA, Khoury PR, Knilans TK. Development of exercise-induced arm-leg blood pressure gradient and abnormal arterial compliance in patients with repaired coartation of the aorta. Am J Cardiol 94 (9): 1200–2, 2004
Meijboom F, Hess J, Szatmari A et al. Long-term follow-up (9 to 20 years) after surgical closure of atrial septal defect at a young age. Am J Cardiol 72: 1431–1434, 1993
Messika-Zeitoun D, Johnson BD, Nkomo V, Avierinos JF, Allison TG, Scott C, Tajik AJ, Enriquez-Sarano M. Cardiopulmonary exercise testing determination of functional capacity in mitral regurgitation: physiologic and outcome implications. J Am Coll Cardiol 47 (12): 2521–7, 2006
Minardi G, Manzara C, Pulignano G, Luzi G, Maselli D, Casali G, Musumeci F. Rest and Dobutamine stress echocardiography in the evaluation of mid-term results of mitral valve repair in Barlow’s disease. Cardiovasc Ultrasound 26; 5: 17, 2007
Nellessen U, Inselmann G, Ludwig J, Jahns R, Capell AJ, Eigel P. Rest and exercise hemodynamics before and after valve replacement_–a combined Doppler/catheter study. Clin Cardiol 23 (1): 32–8, 2000
Otto CM, Burwash IG, Legget ME et al. Prospective study of asymptomatic valular aortic stenosis. Clinical, echocardiographic, and exercise predictors of outcome. Circulation 95: 2262–2270, 1997
Oury JH, Doty DB, Oswalt JD et al. Cardiopulmonary response to maximal exercise in young athletes following the Ross procedure. Ann Thorac Surg 66: S153–4, 1998
Piérard LA, Lancellotti P. Stress testing in valve disease. Heart 93 (6): 766–72, 2007
Pokorski RJ. Long-term survival after repair of tetralogy of Fallot. J Insur Med 32 (2): 89–92, 2000
Quinones MA. Management of mitral regurgitation. Optimal timing for surgery. Cardiol Clin 16: 421–435, 1998
Reybrouck T, Bisschop A, Dumoulin M, Hauwaert LG van der. Cardiorespiratory exercise capacity after surgical closure of atrial septal defect is influenced by the age at surgery. Am Heart J 122: 1073–1078, 1991
Reybrouck T, Rogers R, Weymans M, Dumoulin M, Vanhove M, Daenen W, Van der Hauwaert L, Gewillig M. Serial cardiorespiratory exercise testing in patients with congenital heart disease. Eur J Pediatr 154 (10): 801–6, 1995
Rosen SE, Borer JS, Hochreiter C, Supino P, Roman MJ, Devereux RB, Kligfield P, Bucek J. Natural history of the asymptomatic/minimally symptomatic patient with severe mitral regurgitation secondary to mitral valve prolapse and normal right and left ventricular performance. Am J Cardiol 74 (4): 374–80, 1994
Rosenhek R, Rader F, Klaar U, Gabriel H, Krejc M, Kalbeck D, Schemper M, Mauerer G, Baumgartner H. Outcome of watchful waiting in asymptomatic severe mitral regurgitation. Circulation 113 (18): 2238–44, 2006
Rosenzweig EB, Kerstein D, Barst RJ. Long-term prostacyclin for pulmonary hypertension with associated congenital heart defects. Circulation 99: 1858–1865, 1999
Samman A, Schwerzmann M, Balint OH, Tanous D, Redington A, Granton J, Siu SC, Silversides CK. Exercise capacity and biventricular function in adult patients with repaired tetralogy of Fallot. Am Heart J 156 (1): 100–5, 2008
Schmalt AA, Bauer U, Baumgartner H, Cesnjevar R, de Haan F, Franke C, Gabriel H, Gohlke-Bärwolf C, Hagl S, Hess J, Hofbeck M, Kaemmerer H, Kallfelz HC, Lange PE, Nock H, Oechslin E, Schirmer KR, Tebbe U, Trindade PT, Weyand M, Breithardt G; Deutsch-Osterreichisch-Schweizerischen Kardiologischen Fachgesselschaften. [Medical guideline for the treatment of adults with congenital heart abnormalities of the German-Austrian-Swiss Cardiology Specialty Society] Clin Res Cardiol 97 (3): 194–214, 2008
Stewart RE, Gross MD, Starling MR. Mechanisms for an abnormal radionuclide left ventricular ejection fraction response to exercise in patients with chronic, severe aortic regurgitation. Am Heart J 123 (2): 453–61, 1992
Tikiz H, Balbay Y, Kural T, Göksel S. Assessment fo left ventricular systolic function in patients with idiopathic mitral valve prolapse using dobutamine stress echocardiography. Clin Cardiol 23 (10): 781–5, 2000
Trappe HJ, Löllgen H. Leitlinien zur Ergometrie. Z Kardiol; 89: 821–37, 2000
Trojnarska O, Gwizdala A, Katarzynski S, Katarzynska A, Oko-Sarnowska Z, Grajek S, Kramer L. The BNP concentrations and exercise capacity assessment with cardiopulmonary stress test in cyanotic adult patients with congenital heart diseases. Int J Cardill 2009 [E-pub ahead of print]
Vahanian A, Baumgartner H, Bax J, Butchart E, Dion R, Filippatos G, Flachskampf F, Hall R, Iung B, Kasprzak J, Nataf P, Tornos P, Torracca L, Wenink A; Task Force on the Management of Valvular Hearth Disease of the European Society of Cardiology; ESC Committee for Practice Guidelines, Eur Heart J. 28 (2): 230–68, 2007
Vinereanu D, Ionescu AA, Fraser AG. Assessment of left ventricular long axis contraction can detect early myocardial dysfunction in asymptomatic patients with severe aortic regurgitation. Heart 85 (1): 30–6, 2001
Yeo KK, Low RI. Aortic stenosis: assessment of the patient at risk. J Interv Cardiol 20 (6): 509–16, 2007
Waien SA, Liu PP, Ross BL et al. Serial follow-up of adults with repaired tetralogy of Fallot. J Am Coll Cardiol 20: 295–300, 1992
Wang A, Jaggers J, Ungerleider RM, Lim CS, Ryan T. Exercise echocardiographic comparison of pulmonary autograft and aortic homograft replacements for aortic valve disease in adults. J Heart Valve Dis 12 (2): 202–8, 2003
Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA, del Nido P, Fasules JW, Graham TP Jr, Hijazi ZM, Hunt SA, King ME, Landzberg MJ, Miner PD, Radford MJ, Walsh EP, Webb GD, Smith SC Jr, Jacobs AK, Adams CD, Anderson JL, Antman EM, Buller CE, Creager MA, Ettinger SM, Halperin JL, Hunt SA, Krumholz HM, Kushner FG, Lytle BW, Nishimura RA, Page RL, Riegel B, Tarkington LG, Yancy CW; American College of Cardiology; American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease); American Society of Echocardiography; Heart Rhythm Society; International Society for Adult Congenital Heart Disease; Society for Cardiovascular Angiography and Interventions; Society of Thoracis Surgeons. ACC/AHA 2008 guidelines for the management of adults with congeital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol 52 (23): e1–121, 2008
Weber M, Neumann T, Rau M, Brandt R, Dill T, Maikowski C, Mitrovic V, Hamm C. Cardiopulmonary exercise capacity increases after interventional ASD-closure. Z Kardiol 93 (3): 209–15, 2004
Wong CK, Yeung DW, Lau CP et al. Improvement of exercise capacity after nifedipine in patients with Eisenmenger syndrome complicating ventricular septal defect. Clin Cardiol 14: 957–961, 1991
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Michels, G., Hoppe, U.C. (2010). Ergometrie und Vitien im Erwachsenenalter. In: Löllgen, H., Erdmann, E., Gitt, A.K. (eds) Ergometrie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-92730-3_22
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