Hemodynamic Responses to Exercise in Children with Cyanotic Forms of Heart Disease

  • Bruce S. Alpert
  • Darlene M. Moes
  • Robert H. DuRant
  • William B. Strong
Conference paper


The objectives of this study were to evaluate the heart rate (HR), systolic blood pressure (BP), maximal workload (Wmax), and peak working capacity index (PWCI) values obtained in response to a continuous, graded, maximal exercise test in patients with tetralogy of Fallot (ToF), tricuspid atresia (TA), and complete transposition of the great arteries (TGA). These data were compared to those obtained in a control group of 405 healthy children [1, 2] covarying for the effects of age, race, sex, and body surface area. The ToF group contained a large number of patients who had undergone intracardiac surgical repair. Surgical variables and exercise variables were compared to assess whether there were any significant correlations between these data sets.


Exercise Performance Right Bundle Branch Block Maximal Exercise Test Tricuspid Atresia Maximal Workload 
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  1. 1.
    Alpert BS, Dover EV, Booker DL, Martin AM, Strong WB: Blood pressure response to dynamic exercise in healthy children—black vs white. J Pediatr 99:558, 1981.Google Scholar
  2. 2.
    Alpert BS, Flood NL, Strong WB, Dover EV, Durant RH, Martin AM, Booker DL: Responses to ergometer exercise in a healthy biracial population of children. J Pediatr 101:538, 1982.PubMedCrossRefGoogle Scholar
  3. 3.
    Murphy JH, BarlaI-Kovach MM, Mathews RA, Beerman LB, Park SC, Neches WH, Zuberbuhler JR: Rest and exercise right and left ventricular function late after the Mustard operation: assessment by radionuclide ventriculography. Am J Cardiol 51:1520, 1983.PubMedCrossRefGoogle Scholar
  4. 4.
    ShacharGB, FuhrmanBP, WangY, LucasRV JR, LockJE: Rest and exercise hemodynamics after the Fontan procedure. Circulation 65:1043, 1982.PubMedCrossRefGoogle Scholar
  5. 5.
    GoldbergB, FrippRR, ListerG, LokeJ, NicholasJA, TalnerNS: Effect of physical training on exercise performance of children following surgical repair of congenital heart disease. Pediatrics 68:691, 1981.PubMedGoogle Scholar
  6. 6.
    Wessel HU, CunninghamWJ, PaulMH, BastanierCK, MusterAJ, IdrissFS: Exercise performance in tetralogy of Fallot after intracardiac repair. J Thoracic Cardiovasc Surg 80:582, 1980.Google Scholar

Copyright information

© Springer Science+Business Media New York 1986

Authors and Affiliations

  • Bruce S. Alpert
  • Darlene M. Moes
  • Robert H. DuRant
  • William B. Strong

There are no affiliations available

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