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Intensive Care of the Adult with Congenital Heart Disease pp 481–505Cite as

Cardiac Rehabilitation in Adults with Congenital Heart Disease

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Part of the book series: Congenital Heart Disease in Adolescents and Adults ((CHDAA))

Abstract

Adults with congenital heart disease represent a small but growing population of patients presenting for cardiac rehabilitation. An approach to clinical assessment of these patients prior to commencing cardiac rehabilitation is discussed. Methods to evaluate exercise capacity are reviewed. Aerobic capacity is significantly reduced in adult congenital heart disease patients and is related to prognosis. Exercise prescription based on the FITT principle is discussed. Benefits of moderate continuous aerobic training versus high-intensity interval training are compared. Testing muscular strength and endurance are described, and resistance training in congenital heart disease is discussed. Evidence for exercise training on improving exercise capacity in congenital heart disease is reviewed. Spontaneous physical activity is reduced, with most adult congenital patients not achieving the World Health Organization’s (W.H.O.) recommendations for daily physical activity and correspondingly having excessive sedentary time. Comprehensive cardiac rehabilitation programs should include formal exercise training as well as physical activity counseling to improve exercise capacity, reduce the risk of coronary artery disease, and ultimately reduce morbidity and mortality in patients with congenital heart disease.

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Authors and Affiliations

  1. Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada

    John Willner, Robert Haennel & Ailar Ramadi

  2. Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada

    Isabelle Vonder Muhll

  3. Stollery Children’s Hospital, Edmonton, AB, Canada

    Andrew Mackie

Authors
  1. John Willner
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  2. Robert Haennel
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  3. Ailar Ramadi
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  4. Isabelle Vonder Muhll
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  5. Andrew Mackie
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Correspondence to Andrew Mackie .

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Editors and Affiliations

  1. Children’s Hospital Colorado, University of Colorado Denver, Aurora, CO, USA

    Eduardo da Cruz

  2. Pediatric Intensive Care, Royal Brompton & Harefield NHS Foundation Trust, London, UK

    Duncan Macrae

  3. Adult Congenital Heart Program, Heart Institute, Cincinnati Children Hospital Medical Center, Cincinnati, OH, USA

    Gary Webb

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Willner, J., Haennel, R., Ramadi, A., Muhll, I.V., Mackie, A. (2019). Cardiac Rehabilitation in Adults with Congenital Heart Disease. In: da Cruz, E., Macrae, D., Webb, G. (eds) Intensive Care of the Adult with Congenital Heart Disease. Congenital Heart Disease in Adolescents and Adults. Springer, Cham. https://doi.org/10.1007/978-3-319-94171-4_25

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  • DOI: https://doi.org/10.1007/978-3-319-94171-4_25

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