Exercise Capacity and Quality of Life after Total Cavopulmonary Connection at Adults

Hu Xiaosng, Keming Yang, Shoujun Li, Wenxiang Jiang, Xingguo Sun
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Abstract

Objective: The aim of this study was to evaluate the clinical and psychological profile of after total cavopulmonary connection procedure and to identify the significant determinants of quality of life. Methods: Data from 21 patients underwent total cavopulmonary connection procedure from January 2001 to December 2015 were retrospectively analyzed. Patients underwent an echocardiography and cardiopulmonary exercise testing. Used ST-36 questionnaire to perceived health status. The NT-pro BNP levels was test. Results: 21 patients aged between 19 to 36 years (mean 26.6 years) were enrolled. The mean follow-up time was 44.2 ± 29.9 months. The mean EF was 59.4 ± 6.2%, and the mean maximal oxygen consumption was 19.9 ± 3.6 ml/kg/min, predict value was 52.5 ± 8.9%. SF-36 score was well. Independent risk for impaired exercise capacity was interval time from surgery. Conclusions: The exercise capacity of total cavopulmonary connection patients was impaired. Identify more predict factors of the quality of these patients need further study.
成人全腔隙肺连接术后的运动能力和生活质量
目的:本研究的目的是评估全腔肺连接手术后的临床和心理状况,并确定生活质量的重要决定因素。方法:回顾性分析2001年1月至2015年12月行全腔肺连接术的21例患者的资料。患者接受超声心动图和心肺运动测试。采用ST-36问卷调查感知健康状况。检测NT-pro BNP水平。结果:21例患者入组,年龄19 ~ 36岁(平均26.6岁)。平均随访时间为44.2±29.9个月。平均EF为59.4±6.2%,平均最大耗氧量为19.9±3.6 ml/kg/min,预测值为52.5±8.9%。SF-36得分很好。运动能力受损的独立风险是手术间隔时间。结论:全腔肺连接患者运动能力受损。对这些患者质量的更多预测因素有待进一步研究。
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