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 |
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container_title | The American journal of cardiology |
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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 |
format | Article |
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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 <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. 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.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/0002-9149(83)90670-7</identifier><identifier>PMID: 6846188</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>The American journal of cardiology, 1983-05, Vol.51 (9), p.1526-1529</ispartof><rights>1983</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c357t-da30178f9082cea5effb0dde0b40fb4971e4e37eabc6d329421289bb8d3e80743</citedby><cites>FETCH-LOGICAL-c357t-da30178f9082cea5effb0dde0b40fb4971e4e37eabc6d329421289bb8d3e80743</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/0002914983906707$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6846188$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mathews, Robert A</creatorcontrib><creatorcontrib>Fricker, Frederick J</creatorcontrib><creatorcontrib>Beerman, Lee B</creatorcontrib><creatorcontrib>Stephenson, Robert J</creatorcontrib><creatorcontrib>Fischer, Donald R</creatorcontrib><creatorcontrib>Neches, William H</creatorcontrib><creatorcontrib>Park, Sang C</creatorcontrib><creatorcontrib>Lenox, Cora C</creatorcontrib><creatorcontrib>Zuberbuhler, James R</creatorcontrib><title>Exercise studies after the mustard operation in transposition of the great arteries</title><title>The American journal of cardiology</title><addtitle>Am J Cardiol</addtitle><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 <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. 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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Arrhythmias, Cardiac - physiopathology</subject><subject>Blood Pressure</subject><subject>Cardiac Catheterization</subject><subject>Child</subject><subject>Electrocardiography</subject><subject>Exercise Test</subject><subject>Heart - physiopathology</subject><subject>Heart Rate</subject><subject>Humans</subject><subject>Oxygen - blood</subject><subject>Oxygen Consumption</subject><subject>Transposition of Great Vessels - physiopathology</subject><subject>Transposition of Great Vessels - surgery</subject><issn>0002-9149</issn><issn>1879-1913</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1983</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LAzEQhoMotVb_gUJOoofVZJNukosgpX5AwYN6DtlkViPd3ZpkRf-96QcePQ0z877vMA9Cp5RcUUKra0JIWSjK1YVkl4pUghRiD42pFKqgirJ9NP6THKKjGD9yS-m0GqFRJXlFpRyj5_k3BOsj4JgG5yFi0yQIOL0DboeYTHC4X0Ewyfcd9h1OwXRx1Ue_GfTNRvkWwCRsQnbmiGN00JhlhJNdnaDXu_nL7KFYPN0_zm4XhWVTkQpnGKFCNorI0oKZQtPUxDkgNSdNzZWgwIEJMLWtHCsVL2kpVV1Lx0ASwdkEnW9zV6H_HCAm3fpoYbk0HfRD1JJwwfLDWci3Qhv6GAM0ehV8a8KPpkSvWeo1KL0GpSXTG5ZaZNvZLn-oW3B_ph28vL_Z7iE_-eUh6Gg9dBacD2CTdr3__8AvZ7WEbQ</recordid><startdate>19830515</startdate><enddate>19830515</enddate><creator>Mathews, Robert A</creator><creator>Fricker, Frederick J</creator><creator>Beerman, Lee B</creator><creator>Stephenson, Robert J</creator><creator>Fischer, Donald R</creator><creator>Neches, William H</creator><creator>Park, Sang C</creator><creator>Lenox, Cora C</creator><creator>Zuberbuhler, James R</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19830515</creationdate><title>Exercise studies after the mustard operation in transposition of the great arteries</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c357t-da30178f9082cea5effb0dde0b40fb4971e4e37eabc6d329421289bb8d3e80743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1983</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Arrhythmias, Cardiac - physiopathology</topic><topic>Blood Pressure</topic><topic>Cardiac Catheterization</topic><topic>Child</topic><topic>Electrocardiography</topic><topic>Exercise Test</topic><topic>Heart - physiopathology</topic><topic>Heart Rate</topic><topic>Humans</topic><topic>Oxygen - blood</topic><topic>Oxygen Consumption</topic><topic>Transposition of Great Vessels - physiopathology</topic><topic>Transposition of Great Vessels - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mathews, Robert A</creatorcontrib><creatorcontrib>Fricker, Frederick J</creatorcontrib><creatorcontrib>Beerman, Lee B</creatorcontrib><creatorcontrib>Stephenson, Robert J</creatorcontrib><creatorcontrib>Fischer, Donald R</creatorcontrib><creatorcontrib>Neches, William H</creatorcontrib><creatorcontrib>Park, Sang C</creatorcontrib><creatorcontrib>Lenox, Cora C</creatorcontrib><creatorcontrib>Zuberbuhler, James R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mathews, Robert A</au><au>Fricker, Frederick J</au><au>Beerman, Lee B</au><au>Stephenson, Robert J</au><au>Fischer, Donald R</au><au>Neches, William H</au><au>Park, Sang C</au><au>Lenox, Cora C</au><au>Zuberbuhler, James R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Exercise studies after the mustard operation in transposition of the great arteries</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>1983-05-15</date><risdate>1983</risdate><volume>51</volume><issue>9</issue><spage>1526</spage><epage>1529</epage><pages>1526-1529</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><abstract>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 <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. 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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