Key result
Regular exercise training safely improves functional capacity and quality of life in congenital heart disease.
This review underscores the importance of exercise testing for risk stratification and strongly advocates for exercise prescription to improve physical fitness and quality of life in patients with congenital heart disease.
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Supports exercise training in congenital heart disease; hypothesis-generating pending randomized confirmation.
The present paper provides a review of the literature regarding exercise testing, exercise capacity, and the role of exercise training in patients with congenital heart disease (CHD). Different measures of exercise capacity are discussed, including both simple and more advanced exercise parameters. Different groups of patients, including shunt lesions, pulmonary valvar stenosis, patients after completion of Fontan circulation, and patients with pulmonary arterial hypertension are discussed separately in more detail. It has been underscored that an active lifestyle, taking exercise limitations and potential risks of exercise into account is of utmost importance. Increased exercise capacity in these patients is furthermore correlated with an improvement of objective and subjective quality of life.
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Harkel et al. (2010) conducted a review in Congenital Heart Disease. Exercise testing and training was evaluated. Exercise testing is valuable for assessing functional capacity in congenital heart disease, and regular exercise training safely improves exercise capacity and quality of life.
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