Estratto
È stato dimostrato che la capacità o l’attività fisica è gravemente ridotta nei pazienti con una cardiopatia congenita sia in storia naturale sia sottoposta a trattamento. Il consumo di ossigeno massimo è di circa la metà del valore normale per età e sesso e diminuisce ulteriormente con l’età. Si ritiene che i fattori responsabili di limitata capacità fisica siano una ridotta capacità vitale, un’incompetenza cronotropa, una ridotta funzione ventricolare cosÌ come un’alterata risposta all’esercizio fisico da parte del sistema simpatico e parasimpatico.
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Letture consigliate
Attività fisiche
Fredriksen PM, Veldtman G, Hechter S et al (2001) Aerobic capacity in adults with various congenital heart diseases. American Journal of Cardiology, 87, 310–314
Graham TP, Bricker JT, James FW et al (1994) Task Force 1: Congenital Heart Disease l. Journal of the American College of Cardiology, 24, 845–899
Swan L & Hillis WS (2000) Exercise prescription in adults with congenital heart disease: a long way to go. Heart, 83, 685–687
Therrien J, Fredriksen PM, Walder M et al (2003) A pilot study of exercise training in adult patients with repaired tetralogy of Fallot. Canadian Journal of Cardiology, 19, 685–689
Lavoro e assicurazione
Cumming GR (2001) Insurance issues in adults with congenital heart disease. In Diagnosis and Management of Adult Congenital Heart Disease (eds M A Gatzoulis, G D Webb & P Daubeney). Elsevier, Philadelphia
Nieminen HP, Jokinen EV & Sairanen HI (2001) Late results of pediatric cardiac surgery in Finland — a population based study with 96% follow-up. Circulation, 104, 570–575
Nollert G, Fischlein T, Bouterwek S et al (1997) Long-term survival in patients with repair of tetralogy of Fallot: 36-year follow-up of 490 survivors of the first year after surgical repair. Journal of the American College of Cardiology, 30, 1374–1383
Vonder-Muhll I, Cumming G & Gatzoulis MA (2003) Risky business: insuring adults with congenital heart disease. European Heart Journal, 25, 1595–1600
Viaggi e guida
Anon (1996) Assessment of the cardiac patient for fitness to drive: 1996 update. Canadian Journal of Cardiology, 12, 1164–1170
Antiplatelet Trialist’s Collaboration (1994) Collaborative overview of randomized trials of antiplatelet therapy III. Reduction in venous thrombosis and pulmonary embolism by antiplatelet prophylaxis against surgical and medical patients. British Medical Journal, 308, 235–246
Blitzer ML, Saliba BC, Ghantous AE, Marieb MA & Schoenfeld MH (2003) Causes of impaired consciousness while driving a motorized vehicle. American Journal of Cardiology, 91, 1373–1374
Durmowicz AG (2001) Pulmonary edema in 6 children with Down syndrome during travel to moderate altitude. Pediatrics, 108, 443–447
Epstein AE, Miles WM, Benditt DG et al (1996) Personal and public safety issues related to arrhythmias that may affect consciousness: implications for regulation and physician recommendations. Circulation, 94, 1147–1166
Harnick E, Hutter PA, Hoorntje TM et al (1996) Air travel and adults with cyanotic congenital heart disease. Circulation, 93, 273–276
Herner B, Smedby B & Ysander L (1966) Sudden illness as a cause of motor vehicle accidents. British Journal of Internal Medicine, 23, 37–41
Jung W, Anderson M, Camm AJ et al (1997) Recommendations for driving of patients with implantable cardioverter defibrillators. European Heart Journal, 18, 1210–1219
Pulmonary Embolism Prevention (PEP) Trial Collaborative Group (2000) Prevention of pulmonary embolism and deep vein thrombosis with low dose aspirin: the Pulmonary Embolism Prevention (PEP) trial. Lancet, 355, 1295–1302
Scurr JH, Machin SJ, Bailey-King S, Mackie IJ, McDonald S & Smith PD (2001) Frequency and prevention of symptomless deep-vein thrombosis in long-haul flights: a randomized trial. Lancet, 357, 1485–1489
Task Force Report (1998) Driving and heart disease. European Heart Journal, 19, 1165–1177
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(2007). Problematiche correlate allo stile di vita. In: Cardiopatie congenite dell’adulto. Springer, Milano. https://doi.org/10.1007/978-88-470-0526-6_6
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DOI: https://doi.org/10.1007/978-88-470-0526-6_6
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