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Ann Cardiol Angeiol (Paris). 2018 Nov;67(5):345-351. doi: 10.1016/j.ancard.2018.08.008. Epub 2018 Sep 21.

[Cardiac rehabilitation in adults with congenital heart diseases].

[Article in French]

Author information

1
Service de réadaptation cardiaque, centre hospitalier de Bligny, 91640 Briis-sous-Forges, France. Electronic address: s.corone@chbligny.fr.
2
Service de cardiologie congénitale et pédiatrique, centre de compétences des malformations cardiaques congénitales complexes-M3C, CHRU de Nancy, allée de Morvan, 54500 Vandœuvre-lès-Nancy, France.
3
Service de cardiologie pédiatrique, centre de référence des malformations cardiaques congénitales complexes-M3C, hôpital Necker, 75015 Paris, France.
4
Service de cardiologie pédiatrique et congénitale, centre de compétences des malformations cardiaques congénitales complexes-M3C, CHU de Montpellier, 34090 Montpellier, France; Unité d'évaluation et de réadaptation en cardiologie pédiatrique, institut-Saint-Pierre, 34250 Palavas-Les-Flots, France.
5
Service de cardiologie pédiatrique et congénitale, centre de compétences des malformations cardiaques congénitales complexes-M3C, CHU de Montpellier, 34090 Montpellier, France; PHYMEDEXP, CNRS, Inserm, université de Montpellier, 34090 Montpellier, France.

Abstract

The great advances in the medical and surgical management of congenital heart diseases have allowed many children to reach adulthood with often a good hemodynamic result. Nevertheless most of these adults have a limitation of their functional capacity. This limitation is more or less important, penalizes them in their daily life and alters their quality of life. The origin of this limitation is generally multifactorial. It is linked, of course, to the severity of the heart disease and the quality of the operative result. But there is very often a physical deconditioning. It can be secondary to the heart disease but is often secondary to a lack of physical activity. It is the parents, sometimes overprotective, but frequently the doctors who imposed, often wrongly, this restriction. It is essential to take this dimension into account in view of the important benefits expected for health and quality of life. Cardiac rehabilitation is a privileged tool for providing advice in a suitable environment. This requires close collaboration between cardiac rehabilitators and congenital cardiologists to offer appropriate care. We bring here some reflections and the basic elements to guide the re-training of these patients.

KEYWORDS:

Activité physique; Adultes; Adults; Capacité fonctionnelle; Cardiac rehabilitation; Cardiopathie congénitale; Congenital heart disease; Déconditionnement; Exercise training; Fitness; Physical deconditioning; Réadaptation cardiaque

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