Ventilatory and Cardiovascular Responses to Exercise in Patients With Pectus Excavatum

Malek, Moh H.; Fonkalsrud, Eric W.; Cooper, Christopher B.

doi:10.1378/chest.124.3.870

Cited by 152 publications

(110 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…(18)(19)(20)(21) In conclusion, the present study is unique in the literature in that it determined the prevalence of congenital anterior chest wall deformities among students in the city of Manaus, Brazil. This prevalence was found to be 1.95%.…”

Section: Discussionmentioning

confidence: 85%

Prevalência de pectus carinatum e pectus excavatum em escolares de Manaus

et al. 2009

View full text Add to dashboard Cite

OBJETIVO: Determinar a prevalência das deformidades congênitas da parede torácica anterior em escolares de 11 a 14 anos. MÉTODOS: Participaram do estudo escolares da rede estadual de ensino da cidade de Manaus (AM). Para a composição de uma amostra estatisticamente significativa, com precisão de 1% e IC95%, foram incluídos 1.332 escolares. A deformidade pectus foi identificada através de exame físico do tórax, e os indivíduos com esta deformidade responderam a um questionário com questões sobre hereditariedade e sintomatologia decorrente da anomalia torácica. RESULTADOS: A idade média dos participantes foi de 11,7 anos. A prevalência da deformidade pectus foi de 1,95% (pectus excavatum: 1,275%; pectus carinatum: 0,675%). Dos 26 escolares com deformidades pectus, 17 (65,4%) tinham pectus excavatum, e 18 (69,2%) eram do sexo masculino. Houve associação com a escoliose em 3 casos (11,5%). História familiar de pectus foi relatada por 17 escolares (65,4%), e 17 (65,4%) relataram dor torácica, dispneia ou palpitações. CONCLUSÕES: A prevalência das deformidades pectus encontrada neste estudo (1,95%) foi inferior àquela de trabalhos em outras regiões do país (3,6-4,9%), porém, superior àquela relatada na literatura (média, 1%).

show abstract

Section: Discussionmentioning

confidence: 85%

Prevalência de pectus carinatum e pectus excavatum em escolares de Manaus

et al. 2009

View full text Add to dashboard Cite

show abstract

“…13,16,39 -41 Cardiac compression can also reduce stroke volume and cardiac output in severe deformities, causing accelerated fatigue and compensatory tachycardia. 16,17,[22][23][24]40 A systolic cardiac murmur is sometimes heard and mitral valve prolapse is found in as many as 25% of patients. 4,5,31 The percentage of pectus patients with mitral valve prolapse seems to increase with age.…”

Section: Symptomsmentioning

confidence: 99%

“…24,36 Low-normal and below-normal values indicate that surgical correction could benefit the patient. 22,24,25,36,48 Figures 4 and 5 show the cardiopulmonary exercise testing Vo 2 /heart rate and Vo 2 / CO 2 finding from a symptomatic PE patient before and after an operation.…”

Section: Cardiopulmonary Exercise Testingmentioning

confidence: 99%

See 1 more Smart Citation

Current Management of Pectus Excavatum: A Review and Update of Therapy and Treatment Recommendations

Jaroszewski¹,

Notrica²,

McMahon³

et al. 2010

The Journal of the American Board of Family Medicine

197

162

View full text Add to dashboard Cite

Pectus excavatum (PE) is a posterior depression of the sternum and adjacent costal cartilages and is frequently seen by primary care providers. PE accounts for >90% of congenital chest wall deformities. Patients with PE are often dismissed by physicians as having an inconsequential problem; however, it can be more than a cosmetic deformity. Severe cases can cause cardiopulmonary impairment and physiologic limitations. Evidence continues to present that these physiologic impairments may worsen as the patient ages. Data reports improved cardiopulmonary function after repair and marked improvement in psychosocial function. More recent consensus by both the pediatric and thoracic surgical communities validates surgical repair of the significant PE and contradicts arguments that repair is primarily cosmetic. We performed a review of the current literature and treatment recommendations for patients with PE deformities. (J Am Board Fam Med 2010;23:230 -239.)

show abstract

“…Solunum fonksiyon testlerinde restriktif tip bozukluk, total akciğer kapasitesinde ve vital kapasitede azalma saptanmıştır. Egzersiz kapasitesinde hafif azalma ve artmış solunum iş yüküne bağlı VO 2 max' da artma, dispne ve hafif egzersizde bile çabuk yorulma görülür (5,6,9,(11)(12)(13)(14)(15)(16)(17)(18)(19).…”

Section: Pektus Ekskavatum (Kunduraci Göğsü)unclassified

Pulmonary Rehabilitation in Chest Wall Deformities

Ozyilmaz¹

2015

Toraks Cer Bult

View full text Add to dashboard Cite

Chest wall deformities can be divided into 2 main categories: congenital and acquired. Congenital chest wall deformities may occur any time between birth and early adolescence. Acquired chest wall deformities typically follow prior chest surgery or a postoperative diaphragmatic hernia repair. Congenital chest wall deformities fall within 2 main groups: those with either a depression or protrusion of the sternum and those with varying degrees of aplasia or dysplasia. The most common chest wall deformities are pectus excavatum (88%) and pectus carinatum (5%). Surgery intervention is an accepted practice intervention for severe chest wall deformities. Pulmonary rehabilitation could play a important role in prevention of pulmonary complications after surgery. Other than surgical intervention, exercise is a treatment alternative. With an increase in strength and muscle tone by exercise training, the chest wall deformity may be diminished or at least maintained. In addition, the increase in the intensity of training, particularly to the anterior chest wall, may help in building up larger muscle bulk and result in a better cosmetic outlook.Keywords: Chest wall deformities, exercise training, pulmonary rehabilitation ÖzetKonjenital ve sonradan gelişen deformiteler olmak üzere 2 ana gruba ayrılır. Konjenital göğüs duvar deformiteleri doğumdan hemen sonra ya da adolesan dönemin başların-da ortaya çıkarken, sonradan oluşan deformiteler herhangi bir göğüs cerrahisi operasyonu sonrasında ya da postoperatif diyafragmatik herni onarımlarını takiben gelişebilir. Konjenital göğüs duvar anomalileri sternumun depresyonu ya da sternumun protrüzyonu olmak üzere 2 grup altında incelenir. Bu duruma değişik derecelerde plazi ya da displazi eşlik edebilir. En yaygın göğüs duvar deformiteleri pektus ekskavatum (%88) ve pektus karinatum (%5) dur. Şiddetli göğüs duvar deformitelerinde cerrahi müdahaleler kabul edilen tedavi yöntemleridir. Pulmoner rehabilitasyon ameliyat sonrası pulmoner komplikasyonların önlenmesinde önemli bir rol oynar. Egzersiz, cerrahi müdahalelerin dışında alternatif olarak kullanılan bir tedavi yöntemidir. Egzersiz eğitimi ile kas kuvveti ve tonusunun arttırılması ile göğüs duvar deformitelerinin şiddeti azaltılabilir ya da en azından ilerlemesine engel olunabilir. Egzersiz eğitimi ile özellikle anterior göğüs duvarında büyük kas kitlesi oluşturularak iyi bir kozmetik görünüm sağlanabilir.

show abstract

Ventilatory and Cardiovascular Responses to Exercise in Patients With Pectus Excavatum

Cited by 152 publications

References 45 publications

Prevalência de pectus carinatum e pectus excavatum em escolares de Manaus

Prevalência de pectus carinatum e pectus excavatum em escolares de Manaus

Current Management of Pectus Excavatum: A Review and Update of Therapy and Treatment Recommendations

Pulmonary Rehabilitation in Chest Wall Deformities

Contact Info

Product

Resources

About