title: Factors influencing adaptation and performance at physical exercise in complex congenital heart diseases after surgical repair.
abstract: In the last thirty years, steady progress in the diagnostic tools and care of subjects affected by congenital heart diseases (CHD) has resulted in a significant increase in their survival to adulthood, even for those affected by complex CHD. Based on these premises, a number of teenagers and adults affected by corrected (surgically or through interventional techniques) CHD ask to be allowed to undertake sporting activities, both at a recreational and competitive level. The purpose of this review is to examine the mechanisms influencing the adaptation at physical exercise of patients suffering from complex CHD. The conclusion is that even if there are some modest risks with exercise, they should be seen in perspective, and the life-long benefits of regular exercise on general health, mood, and well-being should be emphasized.
authors.affiliation: Department of Medical Sciences "M. Aresu", University of Cagliari, Policlinico Universitario, S.S. 554, Bivio di Sestu, Monserrato, 09042 Cagliari, Italy.
authors.forename: P P
authors.initials: PP
authors.lastname: Bassareo
authors.affiliation: Department of Imaging Sciences, University of Cagliari, Policlinico Universitario, S.S. 554, Bivio di Sestu, Monserrato, 09042 Cagliari, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Saba
authors.affiliation: Department of Public Health, Clinical, and Molecular Medicine, University of Cagliari, Policlinico Universitario, S.S. 554, Bivio di Sestu, Monserrato, 09042 Cagliari, Italy.
authors.forename: P
authors.initials: P
authors.lastname: Solla
authors.affiliation: Department of Anesthesiology, Intensive Care, and Pediatric Cardiac Surgery, Necker Hospital for Sick Children, 149 rue de Sèvres, 75015 Paris, France.
authors.forename: C
authors.initials: C
authors.lastname: Barbanti
authors.affiliation: Department of Medical Sciences "M. Aresu", University of Cagliari, Policlinico Universitario, S.S. 554, Bivio di Sestu, Monserrato, 09042 Cagliari, Italy.
authors.forename: A R
authors.initials: AR
authors.lastname: Marras
authors.affiliation: Department of Medical Sciences "M. Aresu", University of Cagliari, Policlinico Universitario, S.S. 554, Bivio di Sestu, Monserrato, 09042 Cagliari, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Mercuro
mesh_terms: D000222:Adaptation, Physiological / Q000502:physiology*; D000293:Adolescent; D000328:Adult; D002648:Child; D015444:Exercise / Q000502:physiology*; D005260:Female; D006330:Heart Defects, Congenital / Q000534:rehabilitation / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged