Comparison of the Results of Cardiopulmonary Exercise Testing between Healthy Peers and Pediatric Patients with Different Echocardiographic Severity of Mitral Valve Prolapse

Huang, Ming-Hsuan; Tuan, Sheng‐Hui; Tsai, Yi-Wen; Huang, Wei-Chun; Huang, Tsai-Wang; Chang, Shin-Tsu; Lin, Ko-Long

doi:10.3390/life13020302

Cited by 5 publications

(1 citation statement)

References 53 publications

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“…Recently, our team observed that patients with MVP had similar exercise capacity (as indicated by peak metabolic equivalent [MET] measured during CPET); however, they had significantly lower peak rate pressure product (PRPP) values than healthy peers. The reduced PRPP indicates compromised coronary perfusion and subtle left ventricular function impairment in patients with MVP [23]. To our best knowledge, this is the first study in the literature that uses this method in patients with MVP.…”

Section: Introductionmentioning

confidence: 90%

Comparison of Cardiorespiratory Fitness between Patients with Mitral Valve Prolapse and Healthy Peers: Findings from Serial Cardiopulmonary Exercise Testing

Chung

Tsai

Lin

et al. 2023

JCDD

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Individuals with mitral valve prolapse (MVP) have exercise intolerance even without mitral valve regurgitation. Mitral valve degeneration may progress with aging. We aimed to evaluate the influence of MVP on the cardiopulmonary function (CPF) of individuals with MVP through serial follow-ups from early to late adolescence. Thirty patients with MVP receiving at least two cardiopulmonary exercise tests (CPETs) using a treadmill (MVP group) were retrospectively analyzed. Age-, sex-, and body mass index-matched healthy peers, who also had serial CPETs, were recruited as the control group. The average time from the first CPET to the last CPET was 4.28 and 4.06 years in the MVP and control groups, respectively. At the first CPET, the MVP group had a significantly lower peak rate pressure product (PRPP) than the control group (p = 0.022). At the final CEPT, the MVP group had lower peak metabolic equivalent (MET, p = 0.032) and PRPP (p = 0.031). Moreover, the MVP group had lower peak MET and PRPP as they aged, whereas healthy peers had higher peak MET (p = 0.034) and PRPP (p = 0.047) as they aged. Individuals with MVP had poorer CPF than healthy individuals as they develop from early to late adolescence. It is important for individuals with MVP to receive regular CPET follow-ups.

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Section: Introductionmentioning

confidence: 90%

Comparison of Cardiorespiratory Fitness between Patients with Mitral Valve Prolapse and Healthy Peers: Findings from Serial Cardiopulmonary Exercise Testing

Chung

Tsai

Lin

et al. 2023

JCDD

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Assessment of Cardiac Anomalies in Pediatric Patients with Pectus Carinatum

Acıpayam,

Güllü,

Güngör

2024

Black Sea Journal of Health Science

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Background: Pectus carinatum (PC) is an anterior thoracic visible deformity manifested by protrusion of the sternum. It can be an isolated chest deformity or it can be seen together with genetic pathologies. Methods: We analyzed the cardiac findings of 40 children who were diagnosed with pectus carinatum at Kahramanmaras Sutcu Imam University’s Thoracic Surgery Outpatient Clinic between 1 February 2021 and 1 February 2022 and 97 healthy controls in similar age groups. Results: The Pectus Carinatum patients had higher rates of cardiac malposition, MVP (Mitral valve prolapse), MI (mitral insufficiency), TVP (tricuspid valve prolapse), CHD (congenital heart disease), and aortic valve pathology. Conclusıons: Our study showed that the prevalence of cardiac pathologies in the pediatric PC patients was higher than that in the control group consisting of healthy children. Thus, it may be recommend the referral of pediatric PC patients to cardiology outpatient clinics for the early diagnosis of potential cardiac pathologies.

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Benefits of Physical Activity in Children with Cardiac Diseases—A Concise Summary for Pediatricians

Luca,

Țarcă,

Tănase

et al. 2024

Children

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A physically active lifestyle offers multiple benefits, including lowering the risk of cardiovascular disease, lowering body-mass index (BMI), and, last but not least, improving the quality of life. However, there are still disincentives to physical activity in children with heart diseases due to the high protection of parents and the scarcity of data in the literature. The purpose of this paper is to help pediatricians and pediatric cardiologists identify the type of physical activity allowed in children with congenital cardiac malformations, thus minimizing the risk of major adverse effects, such as acute coronary syndrome and sudden cardiac death. Therefore, we searched various electronic databases, such as PubMed, ScienceDirect, and Embase. We selected 61 articles published between 2008–2024. These articles included data on pediatric patients, from newborn to adolescent age. We decided to choose the 2008 study because of its focus on the essential role of education in schools regarding physical activity and the prevention of complications from sedentary lifestyles. Subsequently, we analyzed the data available in the literature up to 2024 regarding the type, intensity, and duration of exercise for patients with various congenital heart malformations. The conclusions of this review are presented based on the category of heart disease. There are differences in the free practice of sports in children with cardiomyopathies, atrioventricular block, arrhythmias with a genetic substrate, valvulopathies, and cyanogenic and non-cyanogenic congenital malformations. For example, children with arrhythmogenic right ventricle cardiomyopathy are not allowed to participate in sports competitions, but they can perform low physical activity for 150 min/week—golf, table tennis, and photography. However, it is recognized that a physically active lifestyle correlates with a decreased risk of cardiovascular diseases, body mass index, and an improvement in the quality of life. Children with congenital heart disease who are active have improved their cardiovascular systems.

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Comparison of the Results of Cardiopulmonary Exercise Testing between Healthy Peers and Pediatric Patients with Different Echocardiographic Severity of Mitral Valve Prolapse

Cited by 5 publications

References 53 publications

Comparison of Cardiorespiratory Fitness between Patients with Mitral Valve Prolapse and Healthy Peers: Findings from Serial Cardiopulmonary Exercise Testing

Comparison of Cardiorespiratory Fitness between Patients with Mitral Valve Prolapse and Healthy Peers: Findings from Serial Cardiopulmonary Exercise Testing

Assessment of Cardiac Anomalies in Pediatric Patients with Pectus Carinatum

Benefits of Physical Activity in Children with Cardiac Diseases—A Concise Summary for Pediatricians

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