scholarly journals Red Flags for Maltese Adults with Congenital Heart Disease: Poorer Dental Care and Less Sports Participation Compared to Other European Patients—An APPROACH-IS Substudy

2017 ◽  
Vol 38 (5) ◽  
pp. 965-973 ◽  
Author(s):  
Maryanne Caruana ◽  
◽  
Silke Apers ◽  
Adrienne H. Kovacs ◽  
Koen Luyckx ◽  
...  
2014 ◽  
Vol 10 (2) ◽  
pp. 169-179 ◽  
Author(s):  
Peter N. Dean ◽  
Catherine W. Gillespie ◽  
Elizabeth Anne Greene ◽  
Gail D. Pearson ◽  
Adelaide S. Robb ◽  
...  

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Astrid M De Souza ◽  
Nicholas Tran ◽  
Kaelan Naylor ◽  
Kim Hoskins ◽  
Hilary Romans ◽  
...  

Introduction: Underlying structural lesions in congenital heart disease (CHD) result in differences in anatomy and physiology that may affect peak aerobic capacity (VO 2peak ). The relationship between sports participation and VO 2peak is unclear in these patients. The aim of this study was to determine if children with CHD who participated in sports had a higher VO 2peak than those who did not. Methods: Two-year, single-centre, retrospective review (May 2016-November 2018). Fifty-eight CHD patients were included: 9 aortic valve disease; 13 coarctation; 6 Ross procedure for aortic stenosis; 20 tetralogy of Fallot, and 10 transposition of the great arteries. Sports participation was categorized into 3 groups: 0-1 days/week; 2-3 days/week; and ≥4 days/week. A validated institutional treadmill protocol (BCCH) was used. Criteria for a maximal test included: VO 2 plateau, respiratory exchange ratio>1.0, and/or a peak heart rate >200 bpm. VO 2peak z-scores, % VO 2 at ventilatory threshold, and O 2 Pulse were calculated. Medians and interquartile ranges are reported. P<0.05 was considered statistically significant. Results: Those who participated in sports ≥2-3 days/week had a significantly higher VO 2peak [39.9 (34.6, 48.1) vs 30.3 (27.8, 39.6) mL/min/kg; p<0.001], VO 2peak z-score [-0.84 (-1.28,-0.30) vs -1.89 (-2.37, -1.16); p=0.002], and O 2 Pulse [0.20 (0.19, 0.25) vs 0.16 (0.14, 0.21) mL/beat/kg; p=0.004] compared to those who participated 0-1 day/week, respectively. There were no differences between those who participated in sports 2-3 days/week and ≥4 days/week. VO 2peak was similar between CHD lesions (p=0.21). Conclusions: VO 2peak is higher in those who participate in sports compared to those who do not. It is unclear whether those who have a higher VO 2peak are more inclined to participate in sports or whether sports participation leads to a higher VO 2peak . The role of exercise rehabilitation in the 0-1 day/week group needs to be explored.


2020 ◽  
Vol 52 (7S) ◽  
pp. 167-167
Author(s):  
Astrid-Marie De Souza ◽  
Kathryn Armstrong ◽  
Nicholas Tran ◽  
Kaelan C. Naylor ◽  
Hilary V. Romans ◽  
...  

2015 ◽  
Vol 187 ◽  
pp. 175-182 ◽  
Author(s):  
Petra Opić ◽  
Elisabeth M.W.J. Utens ◽  
Judith A.A.E. Cuypers ◽  
Maarten Witsenburg ◽  
Annemien van den Bosch ◽  
...  

2014 ◽  
Vol 63 (12) ◽  
pp. A574 ◽  
Author(s):  
Peter N. Dean ◽  
Catherine W. Gillespie ◽  
Elizabeth Greene ◽  
Gail Pearson ◽  
Adelaide S. Robb ◽  
...  

Author(s):  
H. Karhumaa ◽  
E. Lämsä ◽  
H. Vähänikkilä ◽  
M. Blomqvist ◽  
T. Pätilä ◽  
...  

Abstract Purpose Oral health of children with congenital heart disease (CHD) is of utmost importance. This study aimed to investigate the prevalence of dental caries and attendance to dental care in Finnish heart-operated CHD patients born in 1997–1999. Methods The cohort of children born in 1997–1999 was selected using a national register on all heart-operated children in Finland. Gender, general health problems, diagnosis, type of the heart defect (shunting, stenotic and complex defects), and number of operations were available and included in the analyses. Dental records from primary health care were collected from municipalities with their permission. The data comprised of the number of dental examinations and data on caries status (dt, DT, dmft, DMFT) at the age of 7 (grade 1), 11 (grade 5) and 15 (grade 8) years and at the most recent examination. The control group consisted of dental data on patients born in 1997–1999 provided by the City of Oulu, Finland (n = 3356). Results Oral patient records of 215/570 children were obtained. The difference between the defect types was statistically significant both for DT (p = 0.046) and DMFT (p = 0.009) at the age of 15 (grade 8). The prevalence of caries did not differ between the study population and the controls. High present and past caries experiences were not associated with higher number of visits to oral health care, especially to oral hygienist, or with oral health promotion. National obligations concerning dental visits were not implemented in all municipalities. Conclusion There seems to be a need for oral health promotion and preventive means implemented by oral hygienists among those with CHD.


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