Samenvatting
Omdat de meeste patiënten met congenitale hartafwijkingen tot de pediatrische leeftijdsgroep behoren, moeten procedures voor inspanningstests en revalidatieprogramma’s aangepast worden voor kinderen. Een onderscheid wordt gemaakt tussen cyanogene hartafwijkingen (bijv. tetralogie van Fallot) en acyanogene hartafwijkingen (bijv. ventrikelseptumdefect). De functionele capaciteit kan beoordeeld worden door metingen van de gastuitwisseling tijdens inspanning. Nieuwe concepten hierbij zijn breath by breath-analyse van de respiratoire gasuitwisseling tijdens inspanning. De inspanningsintensiteit tijdens revalidatieprogramma’s wordt bepaald aan de hand van de talktest, wat betekent dat de kinderen nog in staat moeten zijn om te kunnen spreken tijdens inspanning.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsLiteratuur
Balfour IC, Drimma AM, Nouri S, Pennington DG, Hemkens C, Harvey LL. Pediatric cardiac rehabilitation. Am J Dis Child 1991;145:627-630.
Barber G, Heise CT. Subjective estimates of exercise ability: Comparison to objective measurements. Pediatr Exerc Sci 1991;3:327-332.
Bar-Or O, Rowland TW. Physiologic and perceptual responses to exercise in the healthy child. Pediatric Medicine: From physiologic principles to health care application (pp. 3-61). Champaign, IL: Human Kinetics, 2004.
Hirth A, Reybrouck T, Bjarnason-Wehrens B, Lawrenz W, Hoffmann A. Recommendations for participation in competitive and leisure sports in patients with congenital heart disease. Eur J Cardiovasc Prevent Rehab 2006;13:293-299.
Moons P, Gewillig M, Sluysmans T, Verhaaren H, Viart P, Massin M. et al. Long-term outcome up to 30 years after the Mustard or Senning operation: a nationwide multicentre study in Belgium. Heart 2004;90:307-313.
Paridon SM, Alpert BS, Boas SR, Cabrera M, Caldarera LL, Daniels SR, et al. Clinical stress testing in the pediatric age group. A statement from the American Heart Council on cardiovascular disease in the young, Committee on atherosclerosis, hypertension and obesity in the youth. Circulation 2006;113:1905-1920.
Pelliccia A, Fagard R, Bjørnstad HH, Anastassakis A, Arbustini E, Assanelli D, et al. Recommendations for competitive sports participation in athletes with cardiovascular disease: A consensus document from the Study Group of Sports Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology. Eur Heart J 2005;26(14):1422-1445.
Reybrouck T, Mertens L. Physical performance and physical activity in grown-up congenital heart disease. Eur J Cardiov Prevent Rehab 2005;12:498-502.
Reybrouck T, Weymans M, Stijns H, Hauwaert LG van der. Exercise testing after correction of tetralogy of Fallot: The fallacy of a reduced heart rate response. Am Heart J 1986;112:998-1003.
Rogers R, Reybrouck T, Weymans M, Dumoulin M, Hauwaert L van der, Gewillig M. Reliability of subjective estimates of exercise capacity after total repair of tetralogy of Fallot. Acta Paediatr 1994;83:866-869.
Ruttenberg H, Moller JH, Strong WB, Fisher AG, Adams TD. Recommended guidelines for graded exercise testing and exercise presentation in children with heart disease. J Cardiac Rehab 1984;4:10-16.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Bohn Stafleu van Loghum, onderdeel van Springer Media
About this chapter
Cite this chapter
Reybrouck, T., Gewillig, M. (2011). 6 Cardiale revalidatie bij kinderen met congenitale hartafwijkingen: klinische richtlijnen. In: van Wegen, E., Calders, P., Geraets, J., Nijs, J., Veenhof, C., van Wilgen, C. (eds) Jaarboek Fysiotherapie Kinesitherapie 2011. Bohn Stafleu van Loghum, Houten. https://doi.org/10.1007/978-90-313-8603-1_7
Download citation
DOI: https://doi.org/10.1007/978-90-313-8603-1_7
Publisher Name: Bohn Stafleu van Loghum, Houten
Print ISBN: 978-90-313-8602-4
Online ISBN: 978-90-313-8603-1
eBook Packages: Dutch language eBook collection