PMID- 30216680
OWN - NLM
STAT- MEDLINE
DCOM- 20190110
LR  - 20190110
IS  - 1747-0803 (Electronic)
IS  - 1747-079X (Linking)
VI  - 13
IP  - 6
DP  - 2018 Nov
TI  - Efficiency of the home cardiac rehabilitation program for adults with complex 
      congenital heart disease.
PG  - 952-958
LID - 10.1111/chd.12659 [doi]
AB  - OBJECTIVE: We aimed to study the efficiency and safety of once-a-week outpatient 
      rehabilitation followed by home program with tele-monitoring in patients with 
      complex cyanotic congenital heart disease. DESIGN: Prospective nonrandomized 
      study. METHOD: Patients who have been diagnosed either Eisenmenger's syndrome or 
      inoperable complex cyanotic heart disease and able to attend 12-week cardiac 
      rehabilitation program were included. Training with treadmill walking and 
      bicycling under supervision at cardiac rehabilitation unit once-a-week in the 
      first 6 weeks followed by home-based exercise program (bicycle and walking) with 
      a target at 40%-70% of maximum heart rate (HRmax) at pretraining peak exercise 
      for another 6 weeks was performed in the intervention group. Video and telephone 
      calls were scheduled for evaluation of compliance and complication. Data from 
      cardiopulmonary exercise testing (CPET) on cycle ergometry including peak oxygen 
      consumption (peakVO(2) ), oxygen pulse (O(2) pulse), ventilatory equivalent for 
      carbon dioxide (VE/CO(2) at anaerobic threshold), constant work-rate endurance 
      time (CWRET) at 75% of peak VO(2) , and 6-minute walk distance (6MWD) were 
      compared between baseline and after training by paired t test. RESULT: Of the 400 
      patients in our adult congenital heart disease clinic, 60 patients met the 
      inclusion criteria. Eleven patients who could follow program regularly were 
      assigned home program. There was a statistically significant improvement of 
      CWRET, O(2) pulse, and 6MWD after finishing the program (P = .003, .039, and .001, 
      respectively). The mean difference of 6MWD change in the home-program group was 
      significantly higher than in the control group (69.3 +/- 47.9 meters vs. 4.1 +/- 43.4 
      meters, P = .003). No serious adverse outcomes were reported during home 
      training. CONCLUSION: Once-a-week outpatient hospital-based exercise program 
      followed by supervised home-based exercise program showed a significant benefit 
      in improvement of exercise capacity in adults with complex cyanotic congenital 
      heart disease without serious adverse outcomes.
CI  - (c) 2018 Wiley Periodicals, Inc.
FAU - Bhasipol, Adikan
AU  - Bhasipol A
AD  - Division of Cardiology, Department of Internal Medicine, Faculty of Medicine, 
      Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
FAU - Sanjaroensuttikul, Nopawan
AU  - Sanjaroensuttikul N
AD  - Department of Rehabilitation Medicine, Faculty of Medicine, Ramathibodi Hospital, 
      Mahidol University, Bangkok, Thailand.
FAU - Pornsuriyasak, Prapaporn
AU  - Pornsuriyasak P
AD  - Division of Pulmonology and Critical Care, Department of Internal Medicine, 
      Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
FAU - Yamwong, Sukit
AU  - Yamwong S
AD  - Division of Cardiology, Department of Internal Medicine, Faculty of Medicine, 
      Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
FAU - Tangcharoen, Tarinee
AU  - Tangcharoen T
AUID- ORCID: 0000-0002-3062-977X
AD  - Division of Cardiology, Department of Internal Medicine, Faculty of Medicine, 
      Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
LA  - eng
GR  - RF_60087/Faculty of Medicine, Ramathibodi Hospital, Mahidol University/
GR  - RF_60087/Faculty of Medicine, Ramathibodi Hospital/
PT  - Journal Article
DEP - 20180914
PL  - United States
TA  - Congenit Heart Dis
JT  - Congenital heart disease
JID - 101256510
SB  - IM
MH  - Adult
MH  - Cardiac Rehabilitation/*methods
MH  - Exercise Therapy/*methods
MH  - Exercise Tolerance/*physiology
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Defects, Congenital/physiopathology/*rehabilitation
MH  - *Home Care Services
MH  - Humans
MH  - Male
MH  - Oxygen Consumption/physiology
MH  - *Patient Compliance
MH  - Prospective Studies
OTO - NOTNLM
OT  - Eisenmenger's syndrome
OT  - adult congenital heart disease
OT  - complex cyanotic congenital heart disease
OT  - home-based cardiac rehabilitation
EDAT- 2018/09/15 06:00
MHDA- 2019/01/11 06:00
CRDT- 2018/09/15 06:00
PHST- 2018/04/24 00:00 [received]
PHST- 2018/06/17 00:00 [revised]
PHST- 2018/06/27 00:00 [accepted]
PHST- 2018/09/15 06:00 [pubmed]
PHST- 2019/01/11 06:00 [medline]
PHST- 2018/09/15 06:00 [entrez]
AID - 10.1111/chd.12659 [doi]
PST - ppublish
SO  - Congenit Heart Dis. 2018 Nov;13(6):952-958. doi: 10.1111/chd.12659. Epub 2018 Sep 
      14.