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Exercise Testing and Training in Adults With Congenital Heart Disease: A Surgical Perspective

Derek L Tran1, Andrew Maiorana2, Glen M Davis3

  • 1Department of Cardiology, Royal Prince Alfred Hospital, Camperdown, Australia; Sydney Medical School, University of Sydney, Camperdown, Australia; Discipline of Exercise and Sport Science, University of Sydney, Camperdown, Australia; Heart Research Institute, Newtown, Australia.

The Annals of Thoracic Surgery
|December 7, 2020
PubMed

Insights

Adults with congenital heart disease (CHD) benefit from exercise testing for risk stratification and exercise training to improve outcomes. This review offers guidance on exercise prescription for CHD patients before and after surgery.

Area of Science:

  • Cardiology
  • Adult Congenital Heart Disease
  • Exercise Physiology

Background:

  • Advances in medical and surgical care have increased survival for children with congenital heart disease (CHD) into adulthood.
  • Adults with CHD increasingly require reoperations and palliative surgeries.
  • Effective risk stratification and outcome-improving therapies are crucial for managing adult CHD patients perioperatively and long-term.

Purpose of the Study:

  • To provide individualized recommendations for exercise prescription in adult congenital heart disease (CHD) patients.
  • To discuss the role of exercise testing in risk stratification for adult CHD.
  • To explore the benefits of exercise training in the preoperative and postoperative settings for CHD patients.

Main Methods:

  • This review synthesizes current literature on exercise testing and training in adult CHD.
  • It focuses on providing evidence-based recommendations for exercise prescription.
  • The review discusses the prognostic implications of exercise testing responses.

Main Results:

  • Exercise testing is a valuable tool for risk stratification in adult CHD.
  • Exercise training can enhance physiological reserve, potentially reducing postoperative complications.
  • Exercise plays a key role in the physical rehabilitation of adult CHD patients.

Conclusions:

  • Individualized exercise prescription is essential for optimizing care in adult CHD patients.
  • Exercise testing and training are integral components of preoperative and postoperative management.
  • Further research and clinical application of exercise interventions can improve long-term outcomes for adults with CHD.

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