Exercise and Congenital Heart Disease
Exercise is an essential part of the physical and mental health. However, many doctors and patients have a conservative attitude to participate in exercise in patients with congenital heart disease (CHD). Exercise in patients with CHD is a relatively new
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Exercise and Congenital Heart Disease Junnan Wang and Bin Liu
Abstract Exercise is an essential part of the physical and mental health. However, many doctors and patients have a conservative attitude to participate in exercise in patients with congenital heart disease (CHD). Exercise in patients with CHD is a relatively new and controversial field. Taking into account the involvement of exercise in patients with CHD is likely to induce acute cardiovascular events and even sudden death; many doctors have a conservative attitude to participate in exercise in patients with CHD, leading to the occurrence of excessive self-protection. CHD has been transformed from the original fatal diseases into chronic diseases, medical treatment will also transform from the improvement of the survival rate to the improvement of the quality of life. It is still a problem that whether patients with CHD should participate in exercise and which kind of CHD should take part in exercise to improve the quality of life. Keywords Exercise • Congenital heart disease • Self-protection
1 Introduction With the advances of medicine, surgery, especially intervention therapy, the survival rate of congenital heart disease (CHD) has been dramatically improved. Nearly 90% patients with CHD can survive to adulthood [1]. The congenital defect of patients with CHD can be repaired well, but the psychological and social problems are always associated with patients throughout their life. Regardless of whether or not to be completely repaired, patients with congenital heart disease often have the high propensity for fear, insecurities, depression, anxiety and low self-efficacy, even it is difficult to get along with their peers. Some of these problems were due to the inherent limitations of patients, but most of them were due to their excessive self- protection. CHD has been transformed from the original fatal diseases into chronic J. Wang • B. Liu (*) Department of Cardiology, Second Hospital of Jilin University, No. 218 Ziqiang Street, Changchun 130041, China e-mail: [email protected] © Springer Nature Singapore Pte Ltd. 2017 J. Xiao (ed.), Exercise for Cardiovascular Disease Prevention and Treatment, Advances in Experimental Medicine and Biology 1000, DOI 10.1007/978-981-10-4304-8_7
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diseases, medical treatment will also transform from the improvement of the survival rate to the improvement of the quality of life. How to help patients to complete this transformation has become a new problem in the field of congenital heart disease.
2 Benefit of Exercise in CHD Exercise is not only required for the development of physical body, but also necessary for the development of emotional and social psychology as well as cognitive skills. Exercise is an essential part of the physical and mental health of healthy people, and patients with CHD. However, due to the misunderstanding, the majority of CHD patients often have psychological conflict. Compared with the same aged healthy people, young patients with congenital heart
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