Adolescent, Heart Defects, Congenital, Young Adult
Conditions
Keywords
cardiac rehabilitation, Congenital heart diseases, Heart defects, congenital, Adolescent, Young adult, Physical activity, Cardio-pulmonary exercice test, Oxygen uptake, Muscular deconditioning, Patient education as topic, Quality of life, Health Knowledge, Attitudes, Practice
Brief summary
The investigators aim to measure the impact of a rehabilitation program in congenital cardiology in terms of health related quality of life. The orginality of the rehabilitation program consists in its design : initial hospitalizationfor a short period of time (5 days) at the rehabilitation center, followed by 11 weeks of rehabilitation at home under the supervision of a specialized sports trainer.
Detailed description
Adolescents and adults with congenital heart disease (CHD) have reduced exercise capacity compared to the general population, even for simple heart disease. Regular physical activity is known to reduce the risk of acquired heart disease. Cardiac rehabilitation programs have been largely developed to manage adult coronary and heart failure patients, which is not yet the case routinely in patients, adults and children, carriers of DC. The investigators assume that patients who participate in this program will improve their quality of life compared to controls. The orginality of the rehabilitation program consists in its design : initial hospitalizationfor a short period of time (5 days) at the rehabilitation center, followed by 11 weeks of rehabilitation at home under the supervision of a specialized sports trainer .
Interventions
OTHERCardiac rehabilitation
Educational/Counseling/Training : Rehabilitation, , cardiovascular rehabilitation in congenital heart disease
Sponsors
University Hospital, Montpellier
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Intervention model description
Cardiac rehabilitation
Eligibility
Sex/Gender
ALL
Age
13 Years to 25 Years
Healthy volunteers
No
Inclusion criteria
* Patient aged 13 to 25 years included * With a congenital heart diseases (CHD) as defined in the international CHD classification. * Recent (\< 3 months) cardio-pulmonary exercise test (CPET)with maximum oxygen uptake (VO2max) \<80% of theoretical values and/or first ventilatory anaerovic threshold (VAT) \<55% of VO2max. * Consent of the adult patient or the parents or legal guardians of the minor patient. * Beneficiary of the social security scheme.
Exclusion criteria
* Uncontrolled arrhythmia. * Cardiac surgery planned during the rehabilitation program. * Severe musculoskeletal disorders. * Severe intellectual disability that does not allow the quality of life questionnaire to be completed. * Pregnancy. * Patient who already underwent cardiac rehabilitation in the last 24 months. * All medical contraindications to perform a cardiorespiratory stress test. * Uncontrolled heart failure (NYHA IV) * Obesity (BMI \> 30)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life score (PedsQL, 24 items), range score from 0 to 100, higher score indicating better quality of life. | follow up of patients over 12 months | Evolution of the PedsQL 4.0 self-reported scores from month 0 to month 12 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ventilatory anaerobic threshold (VAT, ml/kg/min) | Month 0 and Month 12 | — |
| knowledge of the disease | Month 0 and Month 12 | Disease knowledge questionnaire (Leuven questionnaire, 34 items, total range score from 0 to 100, a higher score indicating better knowledge) |
| cardiac events | Month 0 and Month 12 | number of consultation in cardiology, number of hospitalization in cardiology, number of cardiovascular events |
| Peak oxygen uptake (VO2max, ml/kg/min) | Month 0 and Month 12 | — |
| functional NYHA class | Month 0 and Month 12 | NYHA functional class= New York Association functional class from the World Health Organization |
| Cardiac output during exercise | Month 0 and Month12 | Variation of cardiac output during exercise tests measured by impedance measurement (Physioflow) |
| physical activity scoring | Month 0 and Month 12 | Score of physical activity (Ricci and Gagnon questionnaire, 9 items, total range score from 6 to 45, higher score indicating a higher level of physical activity) |
Countries
France
Outcome results
None listed