eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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1/2016
vol. 13
 
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abstract:

Mountain climbing of the grown-up patient with non-corrected congenital heart defect

Ireneusz Haponiuk
,
Katarzyna Gierat-Haponiuk
,
Dominika Szalewska
,
Piotr Niedoszytko
,
Stanisław Bakuła
,
Maciej Chojnicki

Kardiochirurgia i Torakochirurgia Polska 2016; 13 (1): 68-71
Online publish date: 2016/03/31
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Congenital heart defects (CHD) are the cause of reduced physical performance. The presence of congenital abnormalities in the heart of grown-up patients contributes to excessive hypo­kinesia. We present endurance parameters and a personalized comprehensive cardiac rehabilitation program before an extreme mountain climbing of a 27-year-old patient with an uncorrected ventricular septal defect (VSD). A 26-year-old female patient with an uncorrected congenital VSD was admitted to the department of cardiac rehabilitation before the planned high-mountain expedition. Professional preparation and assessment of actual exercise capacity was performed before scheduled extreme climbing. We conclude that physical activity associated with a heavy load in people with uncorrected CHD who have not developed pulmonary hypertension and reverse right-to-left flow seems to be safe, while participation of grown-up patients with congenital heart disease (GUCH) in extreme mountain climbing requires special preparation, individually designed endurance training and education program, conducted by the team of professionals in specialist centers.
keywords:

congenital heart defects (CHD), grown-up patients with congenital heart disease (GUCH), physical activity, endurance training, GUCH comprehensive cardiac rehabilitation (CCR-GUCH)

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