Rehabilitation program in adult congenital heart disease patients with pulmonary hypertension.
BACKGROUND
It is commonly believed that physical activity may have a negative impact on pulmonary hypertension patients. The object of this study is to determine the tolerability of a directed exercise program in congenital heart disease patients with pulmonary hypertension.


METHODS
Eight congenital heart disease patients with pulmonary hypertension were studied and followed up during a 1-year period. Four of them were enrolled in a 3-month rehabilitation program.


RESULTS
No significant changes in analytical data, hand and leg strength, or quality of life were seen at the end of the training program in rehabilitation and nonrehabilitation patients. However, patients in the rehabilitation group improved 6 minutes' walk test minimum hemoglobin oxygen saturation and functional class after ending the training program without having adverse events such as progression of symptoms or heart failure.


CONCLUSIONS
Cardiopulmonary rehabilitation appears to be a safe intervention in patients with congenital heart disease and pulmonary hypertension.
Martínez-Quintana
Efrén
E
Cardiology Service, Complejo Hospitalario Universitario Insular-Materno Infantil, Las Palmas de Gran Canaria, Spain. efrenmartinezquintana@yahoo.es
Miranda-Calderín
Guillermo
G
Ugarte-Lopetegui
Arantza
A
Rodríguez-González
Fayna
F
D000293:Adolescent; D000328:Adult; D005081:Exercise Therapy / Q000009:adverse effects; D017079:Exercise Tolerance; D005260:Female; D018737:Hand Strength; D006330:Heart Defects, Congenital / Q000150:complications / Q000503:physiopathology / Q000534:rehabilitation*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation*; D008297:Male; D053580:Muscle Strength; D010100:Oxygen / Q000097:blood; D015397:Program Evaluation; D011788:Quality of Life; D013997:Time Factors; D016896:Treatment Outcome; D016138:Walking; D055815:Young Adult
D010100:Oxygen