Kardiyak İnvazif İşlem Sonrası Spora Katılım
Özet
Pediatrik kardiyoloji alanındaki gelişmelere bağlı olarak çocuklarda kalp hastalığı daha fazla tanı almakta, hayatta kalma oranları ve yaşam beklentisi dünya çapında önemli ölçüde artmaktadır. Bu hastalar yapısal defektler, ventriküler fonksiyon bozukluğu, pulmoner hipertansiyon ve ritim bozuklukları nedeniyle artmış kardiyovasküler risk altındadır. Ancak bu hastalık grubundaki çocuklar fiziksel ve psikososyal gelişimlerini sürdürebilmek için fiziksel aktivitelere katılmaya ihtiyaç duyarlar. Fiziksel aktivite hemodinamik dengeyi etkileyebileceğinden, ebeveynler ve doktorlar için hastalara hangi fiziksel aktivitenin güvenli bir şekilde nasıl ve ne ölçüde tavsiye edilebileceği konusunda zorluklar yaşanmaktadır. Yapısal kalp hastalığı olan bazı çocuklarda hemodinamik durum zamanla değişebileceğinden belli periyotlarla değerlendirilmelidir.
Referanslar
Shah SS, Mohanty S, Karande T, Maheshwari S, Kulkarni S, Saxena A. Guidelines for physical activity in children with heart disease. Ann Pediatr Cardiol. 2022 Sep-Dec;15(5-6):467-488. doi: 10.4103/apc.apc_73_22. Epub 2023 Mar 1. PMID: 37152503; PMCID: PMC10158469.
Moons P, Bovijn L, Budts W, Belmans A, Gewillig M. Temporal trends in survival to adulthood among patients born with congenital heart disease from 1970 to 1992 in Belgium. Circulation 2010;122:2264-72.
JacobsAK, AndersonJL, HalperinJL, ACC/AHA Task Force Members, Anderson JL, Halperin JL, et al. The evolution and future of ACC/AHA clinical practice guidelines: A 30-year journey: A report of the American College of Cardiology/American Heart Association Task Force on practice guidelines. Circulation 2014;130:1208-17.
Hirth A, Reybrouck T, Bjarnason-Wehrens B, Lawrenz W, Hoffmann A. Recommendations for participation in competitive and leisure sports in patients with congenital heart disease: A consensus document. Eur J Cardiovasc Prev Rehabil 2006;13:293-9.
Kobayashi Y, Nakanishi N, Kosakai Y. Pre- and postoperative exercise capacity associated with hemodynamics in adult patients with atrial septal defect: A retrospective study. Eur J Cardiothorac Surg 1997;11:1062-6.
Takken T, Giardini A, Reybrouck T, Gewillig M, Hövels-Gürich HH, Longmuir PE, McCrindle BW, Paridon SM, Hager A. Recommendations for physical activity, recreation sport, and exercise training in paediatric patients with congenital heart disease: a report from the Exercise, Basic & Translational Research Section of the European Association of Cardiovascular Prevention and Rehabilitation, the European Congenital Heart and Lung Exercise Group, and the Association for European Paediatric Cardiology. Eur J Prev Cardiol. 2012 Oct;19(5):1034-65. doi: 10.1177/1741826711420000. PMID: 23126001.
Hirth A, Reybrouck T, Bjarnason-Wehrens B, Lawrenz W, Hoffmann A. Recommendations for participation in competitive and leisure sports in patients with congenital heart disease: A consensus document. Eur J Cardiovasc Prev Rehabil 2006;13:293-9.
MahleWT, McBrideMG, ParidonSM. Exercise performance after the arterial switch operation for D-transposition of the great arteries. Am J Cardiol 2001;87:753-8.
Van Hare GF, Ackerman MJ, Evangelista JK, Kovacs RJ, Myerburg RJ, Shafer KM, et al. Eligibility and disqualification recommendations for competitive athletes with cardiovascular abnormalities: Task Force 4: Congenital heart disease: A scientific statement from the American Heart Association and American College of Cardiology. J Am Coll Cardiol 2015;66:2372-84
Kumpf M, Sieverding L, Gass M, Kaulitz R, Ziemer G, Hofbeck M. Anomalous origin of left coronary artery in young athletes with syncope. BMJ 2006;332:1139-41.
Kanoh M, Inai K, Shinohara T, Tomimatsu H, Nakanishi T. Outcomes from anomalous origin of the left coronary artery from the pulmonary artery repair: Long-term complications in relation to residual myocardial abnormalities. J Cardiol 2017;70:498-503.
Referanslar
Shah SS, Mohanty S, Karande T, Maheshwari S, Kulkarni S, Saxena A. Guidelines for physical activity in children with heart disease. Ann Pediatr Cardiol. 2022 Sep-Dec;15(5-6):467-488. doi: 10.4103/apc.apc_73_22. Epub 2023 Mar 1. PMID: 37152503; PMCID: PMC10158469.
Moons P, Bovijn L, Budts W, Belmans A, Gewillig M. Temporal trends in survival to adulthood among patients born with congenital heart disease from 1970 to 1992 in Belgium. Circulation 2010;122:2264-72.
JacobsAK, AndersonJL, HalperinJL, ACC/AHA Task Force Members, Anderson JL, Halperin JL, et al. The evolution and future of ACC/AHA clinical practice guidelines: A 30-year journey: A report of the American College of Cardiology/American Heart Association Task Force on practice guidelines. Circulation 2014;130:1208-17.
Hirth A, Reybrouck T, Bjarnason-Wehrens B, Lawrenz W, Hoffmann A. Recommendations for participation in competitive and leisure sports in patients with congenital heart disease: A consensus document. Eur J Cardiovasc Prev Rehabil 2006;13:293-9.
Kobayashi Y, Nakanishi N, Kosakai Y. Pre- and postoperative exercise capacity associated with hemodynamics in adult patients with atrial septal defect: A retrospective study. Eur J Cardiothorac Surg 1997;11:1062-6.
Takken T, Giardini A, Reybrouck T, Gewillig M, Hövels-Gürich HH, Longmuir PE, McCrindle BW, Paridon SM, Hager A. Recommendations for physical activity, recreation sport, and exercise training in paediatric patients with congenital heart disease: a report from the Exercise, Basic & Translational Research Section of the European Association of Cardiovascular Prevention and Rehabilitation, the European Congenital Heart and Lung Exercise Group, and the Association for European Paediatric Cardiology. Eur J Prev Cardiol. 2012 Oct;19(5):1034-65. doi: 10.1177/1741826711420000. PMID: 23126001.
Hirth A, Reybrouck T, Bjarnason-Wehrens B, Lawrenz W, Hoffmann A. Recommendations for participation in competitive and leisure sports in patients with congenital heart disease: A consensus document. Eur J Cardiovasc Prev Rehabil 2006;13:293-9.
MahleWT, McBrideMG, ParidonSM. Exercise performance after the arterial switch operation for D-transposition of the great arteries. Am J Cardiol 2001;87:753-8.
Van Hare GF, Ackerman MJ, Evangelista JK, Kovacs RJ, Myerburg RJ, Shafer KM, et al. Eligibility and disqualification recommendations for competitive athletes with cardiovascular abnormalities: Task Force 4: Congenital heart disease: A scientific statement from the American Heart Association and American College of Cardiology. J Am Coll Cardiol 2015;66:2372-84
Kumpf M, Sieverding L, Gass M, Kaulitz R, Ziemer G, Hofbeck M. Anomalous origin of left coronary artery in young athletes with syncope. BMJ 2006;332:1139-41.
Kanoh M, Inai K, Shinohara T, Tomimatsu H, Nakanishi T. Outcomes from anomalous origin of the left coronary artery from the pulmonary artery repair: Long-term complications in relation to residual myocardial abnormalities. J Cardiol 2017;70:498-503.
