Pulmonary function and ventilatory limitation to exercise in congenital heart disease

Paolo T. Pianosi, Jonathan N. Johnson, Attilio Turchetta, Bruce D. Johnson

Research output: Contribution to journalArticle

Abstract

Pulmonary function in older children and adolescents following surgical repair of congenital heart disease is often abnormal for various reasons. Many of these patients report symptoms of exercise intolerance although the reason(s) for this symptom can be complicated and sometimes interrelated. Is it simply deconditioning due to inactive lifestyle, chronotropic or inotropic insufficiency? or could there indeed be ventilatory limitation to exercise? These are the questions facing the clinician with the increasing frequency of patients undergoing repair early in life and growing into adulthood. Understanding pulmonary functional outcomes and means of determining ventilatory limitation to exercise is essential to thoroughly address the problem. This article reviews pulmonary function in patients with congenital heart disease and then describes a newer technique that should be applied to determine ventilatory limitation to exercise.

Original languageEnglish
Pages (from-to)2-11
Number of pages10
JournalCongenital Heart Disease
Volume4
Issue number1
DOIs
Publication statusPublished - 2009

Keywords

  • Congenital heart disease
  • Exercise
  • Pulmonary function tests
  • Ventilation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Radiology Nuclear Medicine and imaging

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