Skip to main content
SpringerLink
Log in

Angeborene Herzerkrankungen

  • Chapter
Sportkardiologie

  • 2373 Accesses

Auszug

Der Bewegungsdrang bei Kindern ist in der Regel sehr ausgeprägt. Es ist deshalb von Bedeutung, dass körperliche Aktivität als auslösender Faktor von fatalen Ereignissen bei angeborenen Herzerkrankungen keine große Rolle zu spielen scheint [3, 6, 14–17, 39]. Solche Ereignisse sind am häufigsten mit der hypertrophen Kardiomyopathie, angeborenen Anomalien der Koronararterien, seltener jedoch mit Herzklappenerkrankungen oder komplexen Fehlbildungen assoziiert. Darüber hinaus hat sich durch die verbesserte nichtinvasive und invasive Diagnostik und ebenso durch die verbesserten therapeutischen, in der Regel operativen Möglichkeiten der Verlauf dieser Krankheitsbilder und deren Bewältigung deutlich verändert. Heute werden angeborene Herzerkrankungen bereits im Neugeborenen- und Kleinkinderalter diagnostiziert und in der Regel auch korrigiert [36, 37]. Dies bedeutet auch, dass die Entscheidung über die körperliche Belastbarkeit zunächst im Wesentlichen von den Kinderkardiologen beurteilt werden muss. Aufgrund der guten Operationsergebnisse erreichen immer mehr Patienten das Erwachsenenalter [31, 37] und stellen deshalb auch den Erwachsenenkardiologen vor die Frage der körperlichen Belastbarkeit und Leistungsfähigkeit [11, 12, 18, 23, 30, 31, 42].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Bubenheimer P (2004) Pulmonale Hypertonie — Cor pulmonale. In „Herzkrankheiten“ (Roskamm H, Neumann FJ, Kalusche D, Bestehorn HP Hrsg). Springer, Berlin Heidelberg New York, S 1201–1216

    Google Scholar 

  2. Brandenburg RO Jr, Tajik AJ, Edwards WD, Reeder GS, Shub C, Seward JB (1983) Accuracy of 2-dimensional echocardiographic diagnosis of congenitally bicuspid aortic valve: echocardiographic-anatomic correlation in 115 patients. Am J Cardiol 51:1469–1473

    Article  PubMed  Google Scholar 

  3. Calzolari A, Giordano U, Di Giacinto B, Turchetta A (2001) Exercise and sports participation after surgery for congenital heart disease: the European perspective. Ital Heart J 2:736–739

    PubMed  CAS  Google Scholar 

  4. Carabello BA (2002) Clinical practise. Aortic stenosis. N Engl J Med 346:677–682

    Article  PubMed  Google Scholar 

  5. Cecconi M, Nistri S, Quarti A, Manfrin M, Colonna PL, Molini E, Perna GP (2006) Aortic dilatation in patients with bicuspid aortic valve. J Cardiovasc Med (Hagerstown) 7:11–20

    Article  Google Scholar 

  6. Dent JM (2003) Congenital heart disease and exercise. Clin Sports Med 22:81–99

    Article  PubMed  Google Scholar 

  7. Faratellone PM, Steinfeld L, Coplan NL (1994) Exercise and congenital heart disease. Am Heart J 127:1676–1680

    Article  Google Scholar 

  8. Fedak P, David T, Borger M, Verma S, Butany J, Weisel R (2005) Bicuspid aortic valve disease: recent insights in pathophysiology and treatment. Expert Rev Cardiovasc Ther 3:295–308

    Article  PubMed  Google Scholar 

  9. Fedak P, de Sa M, Verma S, Nili N, Kazemian P, Butany J, Strauss B, Weisel R, David T (2003) Vascular matrix remodeling in patients with bicuspid aortic valve malformations: implications for aortic dilatation. J Thorac Cardiovasc Surg 126: 797–806

    Article  PubMed  Google Scholar 

  10. Fedak P, Verma S, David T, Leask R, Weisel R, Butany J (2002) Clinical and pathophysiological implications of a bicuspid aortic valve (Case report). Circulation 106:900–904

    Article  PubMed  Google Scholar 

  11. Fredriksen PM, Veldtman G, Hechter S, Therrien J, Chen A, Warsi MA, Freeman M, Liu P, Siu S, Thaulow E, Webb G (2001) Aerobic capacity in adults with various congenital heart diseases. Am J Cardiol 87:310–314

    Article  PubMed  CAS  Google Scholar 

  12. Fredriksen PM, Ingjer F, Nystad W, Thaulow E (1999) A comparison of VO2(peak) between patients with congenital heart disease and healthy subjects, all aged 8-17 years. Eur J Appl Physiol Occup Physiol 80:409–416

    Article  PubMed  CAS  Google Scholar 

  13. Fritsch J, Winter UJ, Kämmerer H, Hilger HH (1994) Cardiopulmonary capacity of patients with congenital heart defects in childhood, adolescence and adulthood. Z Kardiol Suppl 3:131–139

    Google Scholar 

  14. Gabriel HM, Heger M, Innerhofer P, Zehetgruber M, Mundigler G, Wimmer M, Mauerer G, Baumgartner H (2002) Long-term outcome of patients with ventricular septal defect considered not to require surgical closure during childhood. J Am Coll Cardiol 39:1066–1071

    Article  PubMed  Google Scholar 

  15. Garson A, McNamara DG (1985) Sudden death in a pediatric cardiology population (1958–1983): relation to prior arrhythmias. J Am Coll Cardiol 5:134B–137B

    Article  PubMed  Google Scholar 

  16. Graham TP, Bricker T, James FW, Strong WB (1994) Congenital heart disease. Med Sci Sports Exerc S 246–S 253

    Google Scholar 

  17. Graham TP Jr, Driscoll DJ, Gersony WM, Newburger JW, Rocchini A, Towbin JA (2005) Task Force 2: congenital heart disease. J Am Coll Cardiol 45:1326–1333

    Article  PubMed  Google Scholar 

  18. Hirth A, Reybrouck T, Bjarnasson-Wehrens B, Lawrenz W, Hoffmann A (2006) Recommendations for participation in competitive and leisure sports in patients with congenital heart disease: a consensus document. Eur J Cardiovasc Prev Rehabil 13:293–299

    Article  PubMed  Google Scholar 

  19. Immer FF, Haefeli-Bleuer B, Seiler A, Stocker F, Weber JW (1994) Congenital heart defects: prevalence and course during the school years (8 to 16 years). Schweiz Med Wochenschr 124:893–899

    PubMed  CAS  Google Scholar 

  20. Januzzi J, Isselbacher E, Fattori R, Cooper J, Smith D, Fang J, Eagle K, Mehta R, Nienaber C, Pape L (2004) Characterizing the young patient with aortic dissection: results from the International Registry of Aortic Dissection (IRAD). J Am Coll Cardiol 43:665–669

    Article  PubMed  Google Scholar 

  21. Kaminer SJ, Hixon RL, Strong WB (1995) Evaluation and recommendations for participation in athletics for children with heart disease. Curr Opin Pediatr 7:595–600

    Article  PubMed  CAS  Google Scholar 

  22. Keane M, Wiegers S, Plappert T, Pochettino A, Bavaria J, Sutton M (2000) Bicuspid aortic valves are associated with aortic dilatation out of proportion to coexistent valvular lesions. Circulation 102:III35–39

    PubMed  CAS  Google Scholar 

  23. Kitchiner D (1996) Physical activities in patients with congenital heart disease. Heart 76:6–7

    Article  PubMed  CAS  Google Scholar 

  24. Larson E, Edwards W (1984) Risk factors for aortic dissection: a necropsy study of 161 cases. Am J Cardiol 53:849–855

    Article  PubMed  CAS  Google Scholar 

  25. Maron B (2005) Cardiovascular disease in athletes. In Braunwald’s Heart Disease: a textbook of cardiovascular medicine 7th edn (Zipes D, Libby P, Bonow R, Braunwald E Eds). Elsevier Saunders, Philadelphia, USA 7th edn, 1985–1991

    Google Scholar 

  26. Nataatmadja M, West M, West J, Summers K, Walker P, Nagata M, Watanabe T (2003) Abnormal extracellular matrix protein transport associated with increased apoptosis of vascular smooth muscle cells in marfan syndrome and bicuspid aortic valve thoracic aortic aneurysm. Circulation 108:II329–334

    Article  PubMed  Google Scholar 

  27. Nistri S, Sorbo MD, Basso C, Thiene G (2002) Bicuspid aortic valve: abnormal aortic elastic properties. J Heart Valve Dis 11:369–373

    PubMed  Google Scholar 

  28. Nugent EW, Freedom RM, Nora JJ, Ellison RC, Rowe RD, Nadas AS (1977) Clinical course in pulmonary stenosis. Circulation 56(Suppl):I 38–I 47

    CAS  Google Scholar 

  29. Pelech AN, Kartdihardjo W, Balfe JA, Balfe JW, Olley M, Leenen HH (1986) Exercise in children before and after coarctectomy: hemodynamic, echocardiographic and biochemical assessment. Am Heart J 112:1263–1270

    Article  PubMed  CAS  Google Scholar 

  30. Picchio FM, Giardini A, Bonvicini M, Gargiulo G (2006) Can a child who has been operated on for congenital heart disease participate in sport and in which kind of sport? J Cardiovasc Med (Hagerstown) 7:234–238

    Article  Google Scholar 

  31. Reybrouck T, Mertens L (2005) Physical performance and physical activity in grown-up congenital heart disease. Eur J Cardiovasc Prev Rehabil 12:498–502

    Article  PubMed  Google Scholar 

  32. Reybrouck T, Rogers R, Weymans M, Dumoulin M, Vanhove M, Daenen W, van der Hauwaert L, Gewillig M (1995) Serial cardiorespiratory exercise testing in patients with congenital heart disease. Eur J Pediatr 154:801–806

    Article  PubMed  CAS  Google Scholar 

  33. Reybrouck T, Bisschop A, Dumoulin M, van der Hauwaert LG (1991) Cardiorespiratory exercise capacity after surgical closure of atrial septal defect is influenced by the age at surgery. Am Heart J 122:1073–1078

    Article  PubMed  CAS  Google Scholar 

  34. Scharhag J, Meyer T, Kindermann I, Schneider G, Urhausen A, Kindermann W (2006) Bicuspid aortic valve — Evaluation of the ability to participate in competitive sports: case reports of two soccer players. Clin Res Cardiol 95:228–234

    Article  PubMed  Google Scholar 

  35. Schuhmacher G (2001) Pulmonalstenose. In Schuhmacher G, Hess J, Bühlmeyer K (Hrsg) Klinische Kinderkardiologie. Springer, S 239–251

    Google Scholar 

  36. Schuhmacher G, Bühlmeyer K (Hrsg) (1980) Diagnostik angeborener Herzfehler. Perimed, Erlangen

    Google Scholar 

  37. Schuhmacher G, Hess J, Bühlmeyer K (Hrsg) (2001) Klinische Kinderkardiologie. Springer

    Google Scholar 

  38. Sklansky MS, Bricker JT (1993) Guidelines for exercise and sports participation in children and adolescents with congenital heart disease. Prog Pediatr Cardiol 2:55–66

    Article  Google Scholar 

  39. Singer H, Hofbeck M (2001) Betreuung herzoperierter Jugendlicher und junger Erwachsener. In Schuhmacher G, Hess J, Bühlmeyer G (Hrsg) Klinische Kinderkardiologie. Springer, Heidelberg, S 555–562

    Google Scholar 

  40. Spittell P, Spittell JA Jr, Joyce J, Tajik A, Edwards W, Schaff H, Stanson A (1993) Clinical features and differential diagnosis of aortic dissection: experience with 236 cases (1980 through 1990). Mayo Clin Proc 68:642–651

    PubMed  CAS  Google Scholar 

  41. Stening J (2001) Sportmedizinische Betreuung bei Marfan-Syndrom. Dtsch Z Sportmed 52:69–72

    Google Scholar 

  42. Swan L, Hillis WS (2000) Exercise prescription in adults with congenital heart disease: a long way to go. Heart 83:685–687

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Abteilung Rehabilitative und Präventive Sportmedizin, Medizinische Universitätsklinik, Hugstetter Str. 55, 79106, Freiburg

    Univ.-Prof. Dr. med. Hans-Hermann Dickhuth

  2. Institut für Sport- und Präventivmedizin, Universität des Saarlandes, Campus Gebäude B 8.2, 66123, Saarbrücken

    Dr. med. Jürgen Scharhag

  3. Abteilung für Herz- und Gefäßchirurgie, Herz-Kreislauf-Zentrum Universitätsklinikum Freiburg, Hugstetter Straße 55, 79106, Freiburg

    Priv.-Doz. Dr. med. Christian Schlensak

Authors
  1. Univ.-Prof. Dr. med. Hans-Hermann Dickhuth
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dr. med. Jürgen Scharhag
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Priv.-Doz. Dr. med. Christian Schlensak
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Steinkopff Verlag Darmstadt

About this chapter

Cite this chapter

Dickhuth, HH., Scharhag, J., Schlensak, C. (2007). Angeborene Herzerkrankungen. In: Sportkardiologie. Steinkopff. https://doi.org/10.1007/978-3-7985-1707-3_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-7985-1707-3_7

  • Publisher Name: Steinkopff

  • Print ISBN: 978-3-7985-1706-6

  • Online ISBN: 978-3-7985-1707-3

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation