循環器ジャーナル69巻3号

2021年07月発行

特集 成人先天性心疾患 エキスパートコンセンサス Ⅱ．成人先天性心疾患特有の問題点に対するアプローチ

成人先天性心疾患患者の運動負荷，運動療法

著者： 大内秀雄¹²

所属機関： ¹国立循環器病研究センター小児循環器部 ²国立循環器病研究センター成人先天性心疾患

ページ範囲：P.394 - P.400

Point
・成人先天性心疾患患者でも，心肺運動負荷試験はその予後を含めた病態の把握に重要である．
・運動耐容能の規定要因は心肺機能を含めた多要因であるが，最近は体組成，特に骨格筋量維持の重要性が指摘されている．
・運動トレーニングは一般循環器領域では運動耐容能改善に有用であるとされるが，成人先天性心疾患患者でのエビデンスは少なく，今後の新たな知見の構築が望まれる．

参考文献

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