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June 1991, Vol 145, No. 6 >
Article | June 1991

Pediatric Cardiac Rehabilitation FREE

Ian C. Balfour, MBBS; Ami M. Drimmer, PhD; Soraya Nouri, MBBS; D. Glenn Pennington, MD; Carol L. Hemkens, RN; Linda L. Harvey, RN
[+] Author Affiliations

Accepted for publication January 3, 1991.

Reprint requests to St Louis University Medical Center, Department of Pediatrics/Adolescent Medicine, 1465 S Grand Blvd, St Louis, MO 63104 (Dr Balfour).


Am J Dis Child. 1991;145(6):627-630. doi:10.1001/archpedi.1991.02160060045018.
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References
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• Sixteen patients participated in a Pediatric/Young Adult Cardiac Rehabilitation Program that included exercise training, education about cardiovascular diseases, dietary counseling, and counseling on stress management. Seven patients completed the program, and complete data were available on six. The subjects demonstrated significant changes in their hemodynamics and exercise tolerance after completing the program. Resting blood pressure decreased by 7%, from 119±12 to 111±10 mm Hg; peak oxygen consumption increased by 20%, from 31.9±4.3 mL/kg of body weight per minute to 38.4±6.0 mL/kg of body weight per minute; and exercise treadmill time increased by 21%, from 8.5±1.4 to 10.3±1.0 minutes. No complications occurred during exercise training or testing. Supervised exercise training at moderate intensity is safe and produces significant and beneficial changes in hemodynamics and exercise time in children with cardiac disease.

(AJDC. 1991;145:627-630)

REFERENCES

1 +
O'Connor GT, Buring JE, Yusuf S, et al.  An overview of randomized trials of rehabilitation with exercise after myocardial infarction . Circulation . 1989;;80:234-244.
2 +
Matthews RA, Nixon PA, Stephenson RJ, et al.  An exercise program for pediatric patients with congenital heart disease . J Cardiac Rehabil. 1983;;3:467-475.
3 +
Bradley LM, Galioto FM, Vaccaro P, Hansen DA, Vaccaro J.  Effect of intense aerobic training on exercise performance in children after surgical repair of tetralogy of Fallot or complete transposition of the great arteries . Am J Cardiol. 1985;;56:816-818.
4 +
ParmleyWW.  President's page: position report on cardiac rehabilitation (recommendations of the American College of Cardiology) . J Am Coll Cardiol. 1986;;7:451-452.
5 +
Wasserman K, Hansen JE, Sue DL, Whipp BJ. Principles of Exercise Testing and Interpretation . Philadelphia, Pa: Lea & Febiger; 1987;:58-71.
6 +
Goforth D, James F.  Exercise training in noncoronary heart disease . Cardiovasc Clin . 1985;;15( (2) ):243-253.
7 +
Linde LM.  The psychiatric aspects of congenital heart disease . Psychiatr Clin North Am . 1982;;5:399-406.
8 +
Strunk RC, Mrazek DA, Fukuhara JT, Masterson J, Ludwick SK, LaBrecque JF.  Cardiovascular fitness in children with asthma correlates with psychologic functioning of the child . Pediatrics . 1989;;84:460-464.
9 +
Hartley HL.  The role of exercise in the primary and secondary prevention of atherosclerotic coronary artery disease . In: Wenger NK, ed. Exercise and the Heart . Philadelphia, Pa: FA Davis Co Publishers; 1985;:1-8.
10 +
Holloszy JO, Coyle EF.  Adaptations of skeletal muscle to endurance exercise and their metabolic consequences . J Appl Physiol Respir Environ Exerc Physiol . 1984;;56:831-838.
11 +
Blomquist CG, Saltin B.  Cardiovascular adaptations to physical training . Annu Rev Physiol . 1983;;45:169-189.
12 +
Hammond HK, Froelicher VF.  The physiologic sequelae of chronic dynamic exercise . Med Clin North Am . 1985;;69:21-39.
13 +
Schaible TF, Scheuer J.  Cardiac adaptations to chronic exercise . Prog Cardiovasc Dis. 1985;;27:297-324.
14 +
Gewillig MH, Lundstrom VR, Bull C, Wyse RK, Deanfield JE.  Exercise responses in patients with congenital heart disease after Fontan repair: patterns and determinants of performance . J Am Coll Cardiol. 1990;;15:1424-1432.
15 +
Cooksey JD, Reilly P, Brown S, Bomze H, Cryer PE.  Exercise training and plasma catecholamines in patients with ischemic heart disease . Am J Cardiol. 1978;;42:372-376.
16 +
Nelson L, Esler MD, Jennings GL, Korner PI.  The effect of changing levels of physical activity on blood-pressure and hemodynamics in essential hypertension . Lancet . 1986;;2:473-476.
17 +
Hagberg JM, Goldring D, Ehsani AA, et al.  Effect of exercise training on the blood pressure and hemodynamic features of hypertensive adolescents . Am J Cardiol. 1983;;52:763-768.
18 +
Choquette G, Ferguson RJ.  Blood pressure reduction in 'borderline'hypertensives following physical training . Can Med Assoc J. 1973;;108:699-703.
19 +
Drimmer AM, Hibbert A, Arnold M.  Exercise effect on long term control of mild hypertension . J Cardiopulmonary Rehabil. 1989;;10:404. Abstract.

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References

1 +
O'Connor GT, Buring JE, Yusuf S, et al.  An overview of randomized trials of rehabilitation with exercise after myocardial infarction . Circulation . 1989;;80:234-244.
2 +
Matthews RA, Nixon PA, Stephenson RJ, et al.  An exercise program for pediatric patients with congenital heart disease . J Cardiac Rehabil. 1983;;3:467-475.
3 +
Bradley LM, Galioto FM, Vaccaro P, Hansen DA, Vaccaro J.  Effect of intense aerobic training on exercise performance in children after surgical repair of tetralogy of Fallot or complete transposition of the great arteries . Am J Cardiol. 1985;;56:816-818.
4 +
ParmleyWW.  President's page: position report on cardiac rehabilitation (recommendations of the American College of Cardiology) . J Am Coll Cardiol. 1986;;7:451-452.
5 +
Wasserman K, Hansen JE, Sue DL, Whipp BJ. Principles of Exercise Testing and Interpretation . Philadelphia, Pa: Lea & Febiger; 1987;:58-71.
6 +
Goforth D, James F.  Exercise training in noncoronary heart disease . Cardiovasc Clin . 1985;;15( (2) ):243-253.
7 +
Linde LM.  The psychiatric aspects of congenital heart disease . Psychiatr Clin North Am . 1982;;5:399-406.
8 +
Strunk RC, Mrazek DA, Fukuhara JT, Masterson J, Ludwick SK, LaBrecque JF.  Cardiovascular fitness in children with asthma correlates with psychologic functioning of the child . Pediatrics . 1989;;84:460-464.
9 +
Hartley HL.  The role of exercise in the primary and secondary prevention of atherosclerotic coronary artery disease . In: Wenger NK, ed. Exercise and the Heart . Philadelphia, Pa: FA Davis Co Publishers; 1985;:1-8.
10 +
Holloszy JO, Coyle EF.  Adaptations of skeletal muscle to endurance exercise and their metabolic consequences . J Appl Physiol Respir Environ Exerc Physiol . 1984;;56:831-838.
11 +
Blomquist CG, Saltin B.  Cardiovascular adaptations to physical training . Annu Rev Physiol . 1983;;45:169-189.
12 +
Hammond HK, Froelicher VF.  The physiologic sequelae of chronic dynamic exercise . Med Clin North Am . 1985;;69:21-39.
13 +
Schaible TF, Scheuer J.  Cardiac adaptations to chronic exercise . Prog Cardiovasc Dis. 1985;;27:297-324.
14 +
Gewillig MH, Lundstrom VR, Bull C, Wyse RK, Deanfield JE.  Exercise responses in patients with congenital heart disease after Fontan repair: patterns and determinants of performance . J Am Coll Cardiol. 1990;;15:1424-1432.
15 +
Cooksey JD, Reilly P, Brown S, Bomze H, Cryer PE.  Exercise training and plasma catecholamines in patients with ischemic heart disease . Am J Cardiol. 1978;;42:372-376.
16 +
Nelson L, Esler MD, Jennings GL, Korner PI.  The effect of changing levels of physical activity on blood-pressure and hemodynamics in essential hypertension . Lancet . 1986;;2:473-476.
17 +
Hagberg JM, Goldring D, Ehsani AA, et al.  Effect of exercise training on the blood pressure and hemodynamic features of hypertensive adolescents . Am J Cardiol. 1983;;52:763-768.
18 +
Choquette G, Ferguson RJ.  Blood pressure reduction in 'borderline'hypertensives following physical training . Can Med Assoc J. 1973;;108:699-703.
19 +
Drimmer AM, Hibbert A, Arnold M.  Exercise effect on long term control of mild hypertension . J Cardiopulmonary Rehabil. 1989;;10:404. Abstract.

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