Pediatrik Kalp Yetmezliğinde Spora Katılım

Yazarlar

Denizhan Bağrul

Özet

Egzersiz ve spora katılım altta yatan kalp yetmezliği olan bireylerde ciddi kardiyovasküler yük oluşturmaktadır. Asemptomatik veya semptomatik olan kalp yetmezliği, konjenital kalp hastalığı veya edinsel hastalıklardan kaynaklanabilir. Erişkin çalışmalarından edinilen verilere göre, yaşam tarzı değişikliğinin ve egzersizin kalp yetmezliği olan çocuklarda da fayda sağlayabileceği düşünülmektedir. Kalp yetmezliği olan bireylerde egzersiz ve spor esnasında ortaya çıkan fizyolojik değişiklikleri anlamak, bu bireylerin yönetimine katkı sağlayacaktır.

Referanslar

Antonio Pelliccia, Sanjay Sharma, Sabiha Gati, Maria Bäck, Mats Börjesson, Stefano Caselli, Jean-Philippe Collet, Domenico Corrado, Jonathan A Drezner, Martin Halle, Dominique Hansen, Hein Heidbuchel, Jonathan Myers, Josef Niebauer, Michael Papadakis, Massimo Francesco Piepoli, Eva Prescott, Jolien W Roos-Hesselink, A Graham Stuart, Rod S Taylor, Paul D Thompson, Monica Tiberi, Luc Vanhees, Matthias Wilhelm, ESC Scientific Document Group, 2020 ESC Guidelines on sports cardiology and exercise in patients with cardiovascular disease: The Task Force on sports cardiology and exercise in patients with cardiovascular disease of the European Society of Cardiology (ESC), European Heart Journal, Volume 42, Issue 1, 1 January 2021, Pages 17–96, https://doi.org/10.1093/eurheartj/ehaa605

Masarone D, Valente F, Rubino M, Vastarella R, Gravino R, Rea A, Russo MG, Pacileo G, Limongelli G. Pediatric Heart Failure: A Practical Guide to Diagnosis and Management. Pediatr Neonatol. 2017 Aug;58(4):303-312. doi: 10.1016/j.pedneo.2017.01.001. Epub 2017 Feb 1. PMID: 28279666

Shaddy, R.E., George, A.T., Jaecklin, T. et al. Systematic Literature Review on the Incidence and Prevalence of Heart Failure in Children and Adolescents. Pediatr Cardiol 39, 415–436 (2018). https://doi.org/10.1007/s00246-017-1787-2

Masarone D, Valente F, Rubino M, Vastarella R, Gravino R, Rea A, Russo MG, Pacileo G, Limongelli G. Pediatric Heart Failure: A Practical Guide to Diagnosis and Management. Pediatr Neonatol. 2017 Aug;58(4):303-312. doi: 10.1016/j.pedneo.2017.01.001. Epub 2017 Feb 1. PMID: 2827966

Triposkiadis F, Karayannis G, Giamouzis G, Skoularigis J, Louridas G, Butler J. The sympathetic nervous system in heart failure physiology, pathophysiology, and clinical implications. J Am Coll Cardiol 2009;54:1747e62

Unger T, Li J. The role of the renin-angiotensin-aldosterone system in heart failure. J Renin Angiotensin Aldosterone Syst 2004;5:S7e10

Ross RD, Bollinger RO, Pinsky WW. Grading the severity of congestive heart failure in infants. Pediatr Cardiol 1992;13:72-5

Downing, J. & Balady, G. J. The role of exercise training in heart failure. J. Am. Coll. Cardiol. 58, 561–569 (2011).

Skalik R., Furst B. Heart failure in athletes: pathophysiology and diagnostic management.e-Journal of Cardiology Practice, 2017 Jan 19; 14 (35)

GM, Lacro RV, Chung T, Gauvreau K, Jenkins KJ. Heart size on chest x-ray as a predictor of cardiac enlargement by echocardiography in children. Pediatr Cardiol 2001;22: 218e22

Somarriba G, Extein J, Miller TL. Exercise Rehabilitation in Pediatric Cardiomyopathy. Prog Pediatr Cardiol. 2008 Apr;25(1):91-102. doi: 10.1016/j.ppedcard.2007.11.008. PMID: 18496603; PMCID: PMC2390891

Skalik R. Screening of athletes: An electrocardiogram is not enough. Herz. 2015 May;40(3):386-94

Landstrom AP, Kim JJ, Gelb BD, Helm BM, Kannankeril PJ, Semsarian C, Sturm AC, Tristani-Firouzi M, Ware SM; on behalf of the American Heart Association Council on Genomic and Precision Medicine; Council on Lifelong Congenital Heart Disease and Heart Health in the Young; Council on Arteriosclerosis, Thrombosis and Vascular Biology; and Council on Lifestyle and Cardiometabolic Health. Genetic testing for heritable cardiovascular diseases in pediatric patients: a scientific statement from the American Heart Association. Circ Genom Precis Med. 2021;14:e000086. doi: 10.1161/HCG.0000000000000086

Shimizu I, Minamino T. Physiological and pathological cardiac hypertrophy. J Mol Cell Cardiol. 2016 Aug;97:245-62

Main LC, Dawson B, Heel K, Grove JR, Landers GJ, Goodman C. Relationship between inflammatory cytokines and self-report measures of training overload. Res Sports Med. 2010 Apr;18(2):127-39.

Somarriba G, Extein J, Miller TL. Exercise Rehabilitation in Pediatric Cardiomyopathy. Prog Pediatr Cardiol. 2008 Apr;25(1):91-102. doi: 10.1016/j.ppedcard.2007.11.008. PMID: 18496603; PMCID: PMC2390891

Schmied C, Borjesson M. Sudden cardiac death in athletes. J Intern Med. 2014 Feb;275(2):93-103.

Corrado D, Pelliccia A, Björnstad HH, Vanhees L, Biffi A, Borjesson M, Panhuyzen-Goedkoop N, Deligiannis A, Solberg E, Dugmore D, Mellwig KP, Assanelli D, Delise P, van-Buuren F, Anastasakis A, Heidbuchel H, Hoffmann E, Fagard R, Priori SG, Basso C, Arbustini E, Blomstrom-Lundqvist C, McKenna WJ, Thiene G; Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology. Cardiovascular pre-participation screening of young competitive athletes for prevention of sudden death: proposal for a common European protocol. Consensus Statement of the Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology. Eur Heart J. 2005 Mar;26(5):516-24.

Chen C, Sung KT, Shih SC, Liu CC, Kuo JY, Hou CJ, Hung CL, Yeh HI. Age, Gender and Load-Related Influences on Left Ventricular Geometric Remodeling, Systolic Mid-Wall Function, and NT-ProBNP in Asymptomatic Asian Population. PLoS One. 2016 Jun 9;11(6):e0156467

Rees K, Taylor RS, Singh S, Coats AJS, Ebrahim S. Exercise based rehabilitation for heart failure. Cochrane Database Syst Rev 2004;CD003331.

O’Connor CM, Whellan DJ, Lee KL, Keteyian SJ, Cooper LS, Ellis SJ, Leifer ES, Kraus WE, Kitzman DW, Blumenthal JA, Rendall DS, Miller NH, Fleg JL, Schulman KA, McKelvie RS, Zannad F, Pi~na IL, for the HF-ACTION Investigators. Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized controlled trial. JAMA 2009;301:14391450

Piepoli MF, Davos C, Francis DP, Coats AJS. Exercise training meta-analysis of trials in patients with chronic heart failure (ExTraMATCH). BMJ 2004;328:189.

Ellingsen O, Halle M, Conraads V, Stoylen A, Dalen H, Delagardelle C, Larsen A-I, Hole T, Mezzani A, Van Craenenbroeck EM, Videm V, Beckers P, Christle JW, Winzer E, Mangner N, Woitek F, Hollriegel R, Pressler A, Monk-Hansen T, Snoer M, Feiereisen P, Valborgland T, Kjekshus J, Hambrecht R, Gielen S, Karlsen T, Prescott E, Linke A. High-intensity interval training in patients with heart failure with reduced ejection fraction. Circulation 2017;135:839849.

American College of Sports Medicine. ACSM's guidelines for exercise testing and prescription. 7th ed. Baltimore, MD: Lippincott Williams & Wilkins; 2006.

Long L, Mordi IR, Bridges C, Sagar VA, Davies EJ, Coats AJ, Dalal H, Rees K, Singh SJ, Taylor RS. Exercise-based cardiac rehabilitation for adults with heart failure. Cochrane Database Syst Rev 2019;1:CD003331

Conraads VM, Beckers PJ. Exercise training in heart failure: practical guidance. Heart 2010;96:20252031.

Faigenbaum AD, Bellucci M, Bernieri A, Bakker B, Hoorens K. Acute effects of different warm-up protocols on fitness performance in children. J Strength and Conditioning Research 2005;19:376–81

McBride MG, Binder TJ, Paridon SM. Safety and feasibility of inpatient exercise training in pediatric heart failure: a preliminary report. J Cardiopulm Rehabil Prev. 2007 Jul-Aug;27(4):219-22. doi: 10.1097/01.HCR.0000281766.59781.e8. PMID: 17667017.

Lampert R. Sport participation in patients with implantable cardioverter-defibrillators. Curr Treat Options Cardiovasc Med 2019;21;66.

Anderson L, Nguyen TT, Dall CH, Burgess L, Bridges C, Taylor RS. Exercisebased cardiac rehabilitation in heart transplant recipients. Cochrane Database Syst Rev 2017;4:CD012264.

Rosenbaum AN, Kremers WK, Schirger JA, Thomas RJ, Squires RW, Allison TG, Daly RC, Kushwaha SS, Edwards BS. Association between early cardiac rehabilitation and long-term survival in cardiac transplant recipients. Mayo Clin Proc 2016;91:149-156

Nytrøen K, Gullestad L. Exercise after heart transplantation: an overview. World J Transplant 2013;3:7890

Referanslar

Antonio Pelliccia, Sanjay Sharma, Sabiha Gati, Maria Bäck, Mats Börjesson, Stefano Caselli, Jean-Philippe Collet, Domenico Corrado, Jonathan A Drezner, Martin Halle, Dominique Hansen, Hein Heidbuchel, Jonathan Myers, Josef Niebauer, Michael Papadakis, Massimo Francesco Piepoli, Eva Prescott, Jolien W Roos-Hesselink, A Graham Stuart, Rod S Taylor, Paul D Thompson, Monica Tiberi, Luc Vanhees, Matthias Wilhelm, ESC Scientific Document Group, 2020 ESC Guidelines on sports cardiology and exercise in patients with cardiovascular disease: The Task Force on sports cardiology and exercise in patients with cardiovascular disease of the European Society of Cardiology (ESC), European Heart Journal, Volume 42, Issue 1, 1 January 2021, Pages 17–96, https://doi.org/10.1093/eurheartj/ehaa605

Masarone D, Valente F, Rubino M, Vastarella R, Gravino R, Rea A, Russo MG, Pacileo G, Limongelli G. Pediatric Heart Failure: A Practical Guide to Diagnosis and Management. Pediatr Neonatol. 2017 Aug;58(4):303-312. doi: 10.1016/j.pedneo.2017.01.001. Epub 2017 Feb 1. PMID: 28279666

Shaddy, R.E., George, A.T., Jaecklin, T. et al. Systematic Literature Review on the Incidence and Prevalence of Heart Failure in Children and Adolescents. Pediatr Cardiol 39, 415–436 (2018). https://doi.org/10.1007/s00246-017-1787-2

Masarone D, Valente F, Rubino M, Vastarella R, Gravino R, Rea A, Russo MG, Pacileo G, Limongelli G. Pediatric Heart Failure: A Practical Guide to Diagnosis and Management. Pediatr Neonatol. 2017 Aug;58(4):303-312. doi: 10.1016/j.pedneo.2017.01.001. Epub 2017 Feb 1. PMID: 2827966

Triposkiadis F, Karayannis G, Giamouzis G, Skoularigis J, Louridas G, Butler J. The sympathetic nervous system in heart failure physiology, pathophysiology, and clinical implications. J Am Coll Cardiol 2009;54:1747e62

Unger T, Li J. The role of the renin-angiotensin-aldosterone system in heart failure. J Renin Angiotensin Aldosterone Syst 2004;5:S7e10

Ross RD, Bollinger RO, Pinsky WW. Grading the severity of congestive heart failure in infants. Pediatr Cardiol 1992;13:72-5

Downing, J. & Balady, G. J. The role of exercise training in heart failure. J. Am. Coll. Cardiol. 58, 561–569 (2011).

Skalik R., Furst B. Heart failure in athletes: pathophysiology and diagnostic management.e-Journal of Cardiology Practice, 2017 Jan 19; 14 (35)

GM, Lacro RV, Chung T, Gauvreau K, Jenkins KJ. Heart size on chest x-ray as a predictor of cardiac enlargement by echocardiography in children. Pediatr Cardiol 2001;22: 218e22

Somarriba G, Extein J, Miller TL. Exercise Rehabilitation in Pediatric Cardiomyopathy. Prog Pediatr Cardiol. 2008 Apr;25(1):91-102. doi: 10.1016/j.ppedcard.2007.11.008. PMID: 18496603; PMCID: PMC2390891

Skalik R. Screening of athletes: An electrocardiogram is not enough. Herz. 2015 May;40(3):386-94

Landstrom AP, Kim JJ, Gelb BD, Helm BM, Kannankeril PJ, Semsarian C, Sturm AC, Tristani-Firouzi M, Ware SM; on behalf of the American Heart Association Council on Genomic and Precision Medicine; Council on Lifelong Congenital Heart Disease and Heart Health in the Young; Council on Arteriosclerosis, Thrombosis and Vascular Biology; and Council on Lifestyle and Cardiometabolic Health. Genetic testing for heritable cardiovascular diseases in pediatric patients: a scientific statement from the American Heart Association. Circ Genom Precis Med. 2021;14:e000086. doi: 10.1161/HCG.0000000000000086

Shimizu I, Minamino T. Physiological and pathological cardiac hypertrophy. J Mol Cell Cardiol. 2016 Aug;97:245-62

Main LC, Dawson B, Heel K, Grove JR, Landers GJ, Goodman C. Relationship between inflammatory cytokines and self-report measures of training overload. Res Sports Med. 2010 Apr;18(2):127-39.

Somarriba G, Extein J, Miller TL. Exercise Rehabilitation in Pediatric Cardiomyopathy. Prog Pediatr Cardiol. 2008 Apr;25(1):91-102. doi: 10.1016/j.ppedcard.2007.11.008. PMID: 18496603; PMCID: PMC2390891

Schmied C, Borjesson M. Sudden cardiac death in athletes. J Intern Med. 2014 Feb;275(2):93-103.

Corrado D, Pelliccia A, Björnstad HH, Vanhees L, Biffi A, Borjesson M, Panhuyzen-Goedkoop N, Deligiannis A, Solberg E, Dugmore D, Mellwig KP, Assanelli D, Delise P, van-Buuren F, Anastasakis A, Heidbuchel H, Hoffmann E, Fagard R, Priori SG, Basso C, Arbustini E, Blomstrom-Lundqvist C, McKenna WJ, Thiene G; Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology. Cardiovascular pre-participation screening of young competitive athletes for prevention of sudden death: proposal for a common European protocol. Consensus Statement of the Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology. Eur Heart J. 2005 Mar;26(5):516-24.

Chen C, Sung KT, Shih SC, Liu CC, Kuo JY, Hou CJ, Hung CL, Yeh HI. Age, Gender and Load-Related Influences on Left Ventricular Geometric Remodeling, Systolic Mid-Wall Function, and NT-ProBNP in Asymptomatic Asian Population. PLoS One. 2016 Jun 9;11(6):e0156467

Rees K, Taylor RS, Singh S, Coats AJS, Ebrahim S. Exercise based rehabilitation for heart failure. Cochrane Database Syst Rev 2004;CD003331.

O’Connor CM, Whellan DJ, Lee KL, Keteyian SJ, Cooper LS, Ellis SJ, Leifer ES, Kraus WE, Kitzman DW, Blumenthal JA, Rendall DS, Miller NH, Fleg JL, Schulman KA, McKelvie RS, Zannad F, Pi~na IL, for the HF-ACTION Investigators. Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized controlled trial. JAMA 2009;301:14391450

Piepoli MF, Davos C, Francis DP, Coats AJS. Exercise training meta-analysis of trials in patients with chronic heart failure (ExTraMATCH). BMJ 2004;328:189.

Ellingsen O, Halle M, Conraads V, Stoylen A, Dalen H, Delagardelle C, Larsen A-I, Hole T, Mezzani A, Van Craenenbroeck EM, Videm V, Beckers P, Christle JW, Winzer E, Mangner N, Woitek F, Hollriegel R, Pressler A, Monk-Hansen T, Snoer M, Feiereisen P, Valborgland T, Kjekshus J, Hambrecht R, Gielen S, Karlsen T, Prescott E, Linke A. High-intensity interval training in patients with heart failure with reduced ejection fraction. Circulation 2017;135:839849.

American College of Sports Medicine. ACSM's guidelines for exercise testing and prescription. 7th ed. Baltimore, MD: Lippincott Williams & Wilkins; 2006.

Long L, Mordi IR, Bridges C, Sagar VA, Davies EJ, Coats AJ, Dalal H, Rees K, Singh SJ, Taylor RS. Exercise-based cardiac rehabilitation for adults with heart failure. Cochrane Database Syst Rev 2019;1:CD003331

Conraads VM, Beckers PJ. Exercise training in heart failure: practical guidance. Heart 2010;96:20252031.

Faigenbaum AD, Bellucci M, Bernieri A, Bakker B, Hoorens K. Acute effects of different warm-up protocols on fitness performance in children. J Strength and Conditioning Research 2005;19:376–81

McBride MG, Binder TJ, Paridon SM. Safety and feasibility of inpatient exercise training in pediatric heart failure: a preliminary report. J Cardiopulm Rehabil Prev. 2007 Jul-Aug;27(4):219-22. doi: 10.1097/01.HCR.0000281766.59781.e8. PMID: 17667017.

Lampert R. Sport participation in patients with implantable cardioverter-defibrillators. Curr Treat Options Cardiovasc Med 2019;21;66.

Anderson L, Nguyen TT, Dall CH, Burgess L, Bridges C, Taylor RS. Exercisebased cardiac rehabilitation in heart transplant recipients. Cochrane Database Syst Rev 2017;4:CD012264.

Rosenbaum AN, Kremers WK, Schirger JA, Thomas RJ, Squires RW, Allison TG, Daly RC, Kushwaha SS, Edwards BS. Association between early cardiac rehabilitation and long-term survival in cardiac transplant recipients. Mayo Clin Proc 2016;91:149-156

Nytrøen K, Gullestad L. Exercise after heart transplantation: an overview. World J Transplant 2013;3:7890

Sayfalar

225-238

Gelecek

21 Ocak 2025

Lisans

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