Difetto del setto interatrial (ostium secundum) e attività fisica nel bambino

Translated title of the contribution: Atrial septal defect (ostium secundum) and physical activity in children

B. Di Giacinto, U. Giordano, B. Cifra, A. Turchetta, R. Meta, A. Calzolari

Research output: Contribution to journalArticle

Abstract

Aim. Atrial septal defect is from 6% to 10% of congenital heart diseases at birth and is the most common congenital heart defect in adulthood. The quality of life of these children has significant importance also to permit them the practice of physical activity as healthy children. Aim of our study was to evaluate cardiorespiratory functional assessment in children with diagnosed atrial septal defect (ostium secundum) after patch closure to establish the possibility to practice physical activity also at competitive level. Methods. Ninty three patients with atrial septal defect II type underwent patch closure at our Hospital (44 males and 49 females). Mean age at the first observation was 8 ± 2,7 years for males and 9 ± 3 years for females (range from 4 to 14 years). The mean duration of follow-up was 4,6 ± 3,5 years. All subjects underwent: physical examination with the measurement of blood pressure at rest using a calibrated Tycos aneroid sphygmomanometer; electrocardiogram at rest (12 leads); colour-Doppler echocardiogram following the ACC/AHA/AAP recommendations; 24 hours Holter monitoring and exercise testing on treadmill following the Bruce protocol with the measurement of time of exercise, maximal heart rate and maximal systolic blood pressure. Control group: 186 healty children examined in our laboratory. Results. In 78 patients an incomplete right bundle-branch block was found while in 17/93 (17 %) patients simple arrhythmias were observed during 24-h Holter monitoring. Majority of patients presented a statistically significant reduction in time duration during exercise testing respect to control group, even if the difference decreased progressively in follow-up (aboveall in female patients). No deaths or major complications occurred. Conclusion. We can conclude that most of patients after surgical repair for atrial septal defect II type can practice physical activity also at competitive level without significant risks for their life. An accurate yearly functional evaluation is needed.

Translated title of the contributionAtrial septal defect (ostium secundum) and physical activity in children
Original languageItalian
Pages (from-to)159-166
Number of pages8
JournalMedicina dello Sport
Volume61
Issue number2
Publication statusPublished - Jun 2008

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Orthopedics and Sports Medicine

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    Di Giacinto, B., Giordano, U., Cifra, B., Turchetta, A., Meta, R., & Calzolari, A. (2008). Difetto del setto interatrial (ostium secundum) e attività fisica nel bambino. Medicina dello Sport, 61(2), 159-166.