| Summary: | 博士 === 國立臺灣師範大學 === 體育學系 === 104 === Ventricular Septal Defects (VSDs) and Atrial Septal Defects (ASDs) are the most common problems found in pediatric heart-related diseases which generally occur in 50% of all children of congenital heart disease. Physical activity, cardiopulmonary function and exercise capacity in the group of grown-up patients with ASDs or VSDs were evaluated through this study. To study the influence of ASDs or VSDs on cardiopulmonary function and exercise capacity, we have performed cardiopulmonary exercise test (CPET) in 28 patients in the ASD group, 31 patients in the VSD group, along with 24 healthy adults were recruited in the control group. Based on the finding, AT MET, AT heart rate, peak MET demonstrated statistically differences between patients with ASDs / VSDs and healthy participants. The comprehensive cardiac rehabilitation (CCR) program was addressed to a group of 29 patients (CCR group, 15 from ASD group and 14 from VSD group). After 6 weeks, CCR group underwent CPET again. Patients in the CCR group showed significantly higher AT heart rate and peak heart rate compared to the initial evaluation. And no significant differences were found in AT heart and peak heart rate compared to the healthy participants. In the presented study, the group of grown-up patients with ASDs or VSDs showed poorer cardiac function when comparing to the healthy group, while no limitation in exercise was observed and CCR program improves the physical activity and exercise capacity. Our findings support no contraindications for physical exercise in this patient group.
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