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Angeborene Herzerkrankungen

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Der Bewegungsdrang bei Kindern ist in der Regel sehr ausgeprägt. Es ist deshalb von Bedeutung, dass körperliche Aktivität als auslösender Faktor von fatalen Ereignissen bei angeborenen Herzerkrankungen keine große Rolle zu spielen scheint [3, 6, 14, 15, 16, 17, 39]. Solche Ereignisse sind am häufigsten mit der hypertrophen Kardiomyopathie, angeborenen Anomalien der Koronararterien, seltener jedoch mit Herzklappenerkrankungen oder komplexen Fehlbildungen assoziiert. Darüber hinaus hat sich durch die verbesserte nichtinvasive und invasive Diagnostik und ebenso durch die verbesserten therapeutischen, in der Regel operativen Möglichkeiten der Verlauf dieser Krankheitsbilder und deren Bewältigung deutlich verändert. Heute werden angeborene Herzerkrankungen bereits im Neugeborenen- und Kleinkinderalter diagnostiziert und in der Regel auch korrigiert [36, 37]. Dies bedeutet auch, dass die Entscheidung über die körperliche Belastbarkeit zunächst im Wesentlichen von den Kinderkardiologen beurteilt werden muss. Aufgrund der guten Operationsergebnisse erreichen immer mehr Patienten das Erwachsenenalter [31, 37] und stellen deshalb auch den Erwachsenenkardiologen vor die Frage der körperlichen Belastbarkeit und Leistungsfähigkeit [11, 12, 18, 23, 30, 31, 42].

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Copyright information

© Steinkopff Verlag Darmstadt 2007

Authors and Affiliations

  1. 1.Abteilung Rehabilitative und Präventive SportmedizinMedizinische UniversitätsklinikFreiburg
  2. 2.Institut für Sport- und PräventivmedizinUniversität des SaarlandesSaarbrücken
  3. 3.Abteilung für Herz- und GefäßchirurgieHerz-Kreislauf-Zentrum Universitätsklinikum FreiburgFreiburg

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