TY - JOUR
T1 - Exercise physiology and testing in adult patients with congenital heart disease
AU - Buber, Jonathan
AU - Rhodes, Jonathan
PY - 2014/1
Y1 - 2014/1
N2 - As the longevity of patients with congenital heart disease improves, the number surviving to adulthood will continue to rise. Consequently, practicing physicians can expect to encounter an increasing number of adult patients with various congenital cardiac conditions. Impaired exercise tolerance in this patient population is exceptionally common; adult patients with congenital heart disease have reduced exercise capacity compared with healthy, age-matched counterparts. The different methods of evaluating exercise capacity, the characteristic physiologic abnormalities encountered in patients with various congenital cardiac conditions, the pathophysiologic mechanisms that may account for these abnormalities, and the clinical implications of these findings are discussed.
AB - As the longevity of patients with congenital heart disease improves, the number surviving to adulthood will continue to rise. Consequently, practicing physicians can expect to encounter an increasing number of adult patients with various congenital cardiac conditions. Impaired exercise tolerance in this patient population is exceptionally common; adult patients with congenital heart disease have reduced exercise capacity compared with healthy, age-matched counterparts. The different methods of evaluating exercise capacity, the characteristic physiologic abnormalities encountered in patients with various congenital cardiac conditions, the pathophysiologic mechanisms that may account for these abnormalities, and the clinical implications of these findings are discussed.
KW - Adults
KW - Congenital heart diseases
KW - Exercise physiology
KW - Exercise testing
KW - Exercise training
UR - http://www.scopus.com/inward/record.url?scp=84888025289&partnerID=8YFLogxK
U2 - 10.1016/j.hfc.2013.09.012
DO - 10.1016/j.hfc.2013.09.012
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C2 - 24275292
AN - SCOPUS:84888025289
SN - 1551-7136
VL - 10
SP - 23
EP - 33
JO - Heart Failure Clinics
JF - Heart Failure Clinics
IS - 1
ER -