title: [Cardiopulmonary stress testing in children who have had congenital heart disease surgery. Physical exercise recommendations during school hours].
abstract: OBJECTIVE
  To analyze and discover if stress testing with exhaled gases in children who have had congenital heart surgery is useful so we could make physical exercise recommendations according to heart disease, type of surgery performed, present hemodynamic state and level of exercise practiced.
  
  
  METHODS
  Prospective study of 108 children, who performed stress testing with exhaled gases, electrocardiogram monitoring and blood pressure. A questionnaire was used to obtain variables concerning heart disease, surgery, present functional condition and level of exercise practiced. Exercise recommendations were given after stress testing, and after a year 35 patients answered a questionnaire.
  
  
  RESULTS
  There were significant differences between lesion severity and heart rate at rest and during effort, systolic pressure at rest and during effort, oxygen uptake, oxygen pulse, carbon dioxide production and test duration. A relationship was observed between level of weekly exercise and greater oxygen uptake and test duration, but this was not observed with the underlying heart disease. We observed that best performance occurred with fast repairing for 59 children with cyanotic heart disease. Increased exercise level was recommended for 48 children.
  
  
  CONCLUSIONS
  The cardiopulmonary function study allows us to examine the physical performance of children who have had congenital heart surgery and provides us with important data so that we can recommend better physical exercise planning.
authors.affiliation: Servicio de Cardiología, Hospital de la Santa Creu i Sant Pau, Barcelona, España. Jserra@santpau.cat
authors.forename: Ricard
authors.initials: R
authors.lastname: Serra-Grima
authors.forename: Maite
authors.initials: M
authors.lastname: Doñate
authors.forename: Xavier
authors.initials: X
authors.lastname: Borrás
authors.forename: Miquel
authors.initials: M
authors.lastname: Rissech
authors.forename: Teresa
authors.initials: T
authors.lastname: Puig
authors.forename: Dimpna C
authors.initials: DC
authors.lastname: Albert
authors.forename: Joaquim
authors.initials: J
authors.lastname: Bartrons
authors.forename: Ferran
authors.initials: F
authors.lastname: Gran
authors.forename: Begoña
authors.initials: B
authors.lastname: Manso
authors.forename: Queralt
authors.initials: Q
authors.lastname: Ferrer
authors.forename: Josep
authors.initials: J
authors.lastname: Girona
authors.forename: Jaume
authors.initials: J
authors.lastname: Casaldáliga
authors.forename: Maite
authors.initials: M
authors.lastname: Subirana
mesh_terms: D000704:Analysis of Variance; D001794:Blood Pressure; D002245:Carbon Dioxide / Q000378:metabolism; D006348:Cardiac Surgical Procedures; D002648:Child; D003490:Cyanosis / Q000503:physiopathology; D004562:Electrocardiography; D015444:Exercise; D005080:Exercise Test / Q000379:methods*; D005260:Female; D006330:Heart Defects, Congenital / Q000503:physiopathology* / Q000601:surgery*; D006339:Heart Rate; D006439:Hemodynamics; D006801:Humans; D008297:Male; D010101:Oxygen Consumption; D011446:Prospective Studies; D011795:Surveys and Questionnaires
chemical_list: D002245:Carbon Dioxide