Transposition of Great Vessels
Conditions
Keywords
tga, atrial switch, training
Brief summary
In transposition patients after atrial switch operation, the morphological right ventricle serves as the systemic ventricle. These patients often develop signs of heart failure. It is not known, whether physical training can safely be recommended in these patients- like heart failure guidelines recommend training in patients with normal anatomy. Furthermore it is not known, whether these TGA-patients benefit from training with respect to cardiopulmonary exercise capacity.
Detailed description
This is a randomized, controlled, prospective trial on the safety of physical training in TGA patients after atrial switch operation. In transposition patients after atrial switch operation, the morphological right ventricle serves as the systemic ventricle. These patients often develop signs of heart failure. It is not known, whether physical training can safely be recommended in these patients- like heart failure guidelines recommend training in patients with normal anatomy. Furthermore it is not known, whether these TGA-patients benefit from training with respect to cardiopulmonary exercise capacity. Primary endpoints are Systemic Ventricle Ejection Fraction and Volumes, Exercise Capacity. Secondary endpoints are Echo Diastolic Function, as well as laboratory markers of heart failure.
Interventions
Controlled home ergometer training
Sponsors
Study design
Eligibility
Inclusion criteria
* age \>=18 years
Exclusion criteria
* tricuspid regurgitation grade 2 or more * sign. LVOTO or RVOTO * pacemaker or defibrillator * recent hospitalisation for heart failure (90 days)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cardiac MRI Right Ventricular Ejection Fraction | 6 and 12 months |
| Cardiopulmonary exercise capacity | 6 and 12 months |
Secondary
| Measure | Time frame |
|---|---|
| Right ventricular volumes | 6 and 12 months |
| Right ventricular mass | 6 and 12 months |
| laboratory markers of heart failure | 6 and 12 months |
| quality of life questionnaire | 6 and 12 months |
| NYHA-class | 6 and 12 months |
| Diastolic RV and LV function | 6 and 12 months |
Countries
Germany