Cardiology - Case Reports Open access

Effects of an outpatient service holistic rehabilitation program in a case of pulmonary atresia

Authors

Published
15 February 2021
Section
Cardiology - Case Reports
DOI
10.4081/monaldi.2021.1605

Abstract

A 42-year-old woman affected by pulmonary atresia came to our attention complaining of dyspnea and fatigue for minimal efforts with important desaturation. After assessing her basal functional capacity with a cardiopulmonary exercise test, the patient was enrolled in an extremely individualized rehabilitation program, which entailed a discreet improvement in the quality of life indices, in the absence of side effects. This paper shows that even patients with extremely severe forms of congenital heart disease, when clinical stable, can undergone a tailored cardiorespiratory rehabilitation program. This must be carried out in a monitored environment and under the supervision of expert personnel.

Keywords

References

  1. Presnell LB, Blankenship A, Cheatham SL, et al. An overview of pulmonary atresia and major aortopulmonary collateral arteries. World J for Ped and Cong Heart Surg 2015;6:630-9. DOI: https://doi.org/10.1177/2150135115598559
  2. Leonard H, Derrick G, O’Sullivan J, Wren C. Natural and unnatural history of pulmonary atresia. Heart 2000;84:499-503. DOI: https://doi.org/10.1136/heart.84.5.499
  3. Dalla Vecchia LA, Bussotti M. Exercise training in pulmonary arterial hypertension. J Thorac Dis 2018;10:508-21. DOI: https://doi.org/10.21037/jtd.2018.01.90
  4. Miliaresis C, Beker S, Gewitz M. Cardiopulmonary stress testing in children and adults with congenital heart disease. Cardiol Rev 2014;22:275-8. DOI: https://doi.org/10.1097/CRD.0000000000000039
  5. Inuzuka R, Diller GP, Borgia F, et al. Comprehensive use of cardiopulmonary exercise testing identifies adults with congenital heart disease at increased mortality risk in the medium term. Circulation 2012;125:250-9. DOI: https://doi.org/10.1161/CIRCULATIONAHA.111.058719
  6. Bussotti M, Gremigni P, Pedretti RFE, et al. Effects of an outpatient service rehabilitation programme in patients affected by pulmonary arterial hypertension: An observational study. Cardiovasc Hematol Disord Drug Targets 2017;17:3-10. DOI: https://doi.org/10.2174/1871529X16666161130123937
  7. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983;67:361-70. DOI: https://doi.org/10.1111/j.1600-0447.1983.tb09716.x
  8. Balestroni G, Bertolotti G. [EuroQol-5D (EQ-5D): an instrument for measuring quality of life].[Article in Italian]. Monaldi Arch Chest Dis 2012;78:155-9.
  9. Bussotti M, Sommaruga M. Anxiety and depression in patients with pulmonary hypertension: impact and management challenges. Vasc Health Risk Manag 2018;14:349-60. DOI: https://doi.org/10.2147/VHRM.S147173
  10. Duppen N, Takken T, Hopman MT, et al. Systematic review of the effects of physical exercise training programmes in children and young adults with congenital heart disease. Int J Cardiol 2013;168:1779-87. DOI: https://doi.org/10.1016/j.ijcard.2013.05.086
  11. Duppen N, Etnel JR, Spaans L, et al. Does exercise training improve cardiopulmonary fitness and daily physical activity in children and young adults with corrected tetralogy of Fallot or Fontan circulation? A randomized controlled trial. Am Heart J 2015;170:606-14. DOI: https://doi.org/10.1016/j.ahj.2015.06.018

Metrics

Citations and online attention from Dimensions, Altmetric and PlumX.

PlumX Metrics

License

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.