Exercise studies after the mustard operation in transposition of the great arteries

Twenty-one postoperative patients with transposition of the great arteries (TGA) underwent graded exercise testing 4 to 15 years (mean 9) after the Mustard operation. No patient had subjective exercise intolerance before testing, although some had symptomatic resting arrhythmias. Correlations were m...

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Veröffentlicht in:The American journal of cardiology 1983-05, Vol.51 (9), p.1526-1529
Hauptverfasser: Mathews, Robert A, Fricker, Frederick J, Beerman, Lee B, Stephenson, Robert J, Fischer, Donald R, Neches, William H, Park, Sang C, Lenox, Cora C, Zuberbuhler, James R
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container_end_page 1529
container_issue 9
container_start_page 1526
container_title The American journal of cardiology
container_volume 51
creator Mathews, Robert A
Fricker, Frederick J
Beerman, Lee B
Stephenson, Robert J
Fischer, Donald R
Neches, William H
Park, Sang C
Lenox, Cora C
Zuberbuhler, James R
description Twenty-one postoperative patients with transposition of the great arteries (TGA) underwent graded exercise testing 4 to 15 years (mean 9) after the Mustard operation. No patient had subjective exercise intolerance before testing, although some had symptomatic resting arrhythmias. Correlations were made between cardiac catheterization data and 24-hour ambulatory monitoring. Exercise tolerance was diminished in nearly half of the patients. No statistically significant differences were found in heart rate or blood pressure responses, but maximal oxygen consumption values were lower than the control values (p
doi_str_mv 10.1016/0002-9149(83)90670-7
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No patient had subjective exercise intolerance before testing, although some had symptomatic resting arrhythmias. Correlations were made between cardiac catheterization data and 24-hour ambulatory monitoring. Exercise tolerance was diminished in nearly half of the patients. No statistically significant differences were found in heart rate or blood pressure responses, but maximal oxygen consumption values were lower than the control values (p &lt;0.001) in the larger patients. Arrhythmias were present or provoked in most patients during exercise testing. Only 28% remained in normal sinus rhythm during and after exercise. Multifocal premature contractions were the most serious arrhythmias demonstrated. Some long-term survivors of the Mustard operation may have abnormal exercise dynamics, even though they may be asymptomatic and have normal physical activities and endurance. 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Mean maximal systolic blood pressure, heart rate, oxygen consumption, and maximal treadmill times were consistently in the low-normal range or were statistically lower than normal.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>6846188</pmid><doi>10.1016/0002-9149(83)90670-7</doi><tpages>4</tpages></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adolescent
Adult
Arrhythmias, Cardiac - physiopathology
Blood Pressure
Cardiac Catheterization
Child
Electrocardiography
Exercise Test
Heart - physiopathology
Heart Rate
Humans
Oxygen - blood
Oxygen Consumption
Transposition of Great Vessels - physiopathology
Transposition of Great Vessels - surgery
title Exercise studies after the mustard operation in transposition of the great arteries
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