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Erschienen in: Heart and Vessels 5/2021

02.01.2021 | Original Article

Late recovery of the cardiopulmonary exercise capacity after transcatheter amplatzer device closures for atrial septal defects in adults

verfasst von: Shigeki Yoshiba, Takuro Kojima, Takayuki Oyanagi, Koichi Toda, Yousuke Osada, Shota Muraji, Tomohiko Imamura, Shintaro Nakano, Shigeru Makita, Toshiki Kobayashi, Naokata Sumitomo

Erschienen in: Heart and Vessels | Ausgabe 5/2021

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Abstract

Transcatheter atrial septal defect (ASD) closures using an Amplatzer Septal Occluder (ASO) have been widely performed. Compared to children, we sometimes experience late recovery of exercise performance in adult patients. Our study aimed to evaluate the change in the cardiopulmonary exercise capacity in asymptomatic or mildly symptomatic adult patients after a transcatheter ASD closure using an ASO. The subjects consisted of 29 patients (age 39.5 ± 13.6 years) that underwent cardiopulmonary exercise testing (CPX) before, 3, 6, and 12 months after a transcatheter secundum ASD closure using an ASO. The peak oxygen consumption (peak VO2), anaerobic threshold (AT), and slope of the correlation between the ventilation and carbon dioxide production (VE/VCO2 slope) were evaluated. We also evaluated the left-ventricular end-diastolic diameter (LVEDD), right-ventricular end-diastolic dimension (RVEDD) by echocardiography, and hemodynamic values by cardiac catheterization before the ASO procedure. The peak VO2 did not show any improvement 3 months after the ASO procedure; however, a significant improvement was displayed 6 and 12 months (baseline: 23.4 ± 6.3, 3 months: 23.6 ± 6.4, 6 months: 25.1 ± 5.6, 12 months: 26.4 ± 5.3 mL/kg/min; p < 0.001) after the ASO. The LVEDD (before: 38.1 ± 3.6, 3 months: 43.4 ± 3.4 mm; p < 0.001) and RVEDD (before: 33.6 ± 5.3, 3 months: 26.3 ± 2.6 mm; p < 0.001) on echocardiography quickly improved 3 months after the ASO. Although the LVEDD and RVEDD normalized 3 months after the ASO, the peak VO2 still decreased; however, the peak VO2 improved to almost a normal range 6 months after the ASO.
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Metadaten
Titel
Late recovery of the cardiopulmonary exercise capacity after transcatheter amplatzer device closures for atrial septal defects in adults
verfasst von
Shigeki Yoshiba
Takuro Kojima
Takayuki Oyanagi
Koichi Toda
Yousuke Osada
Shota Muraji
Tomohiko Imamura
Shintaro Nakano
Shigeru Makita
Toshiki Kobayashi
Naokata Sumitomo
Publikationsdatum
02.01.2021
Verlag
Springer Japan
Erschienen in
Heart and Vessels / Ausgabe 5/2021
Print ISSN: 0910-8327
Elektronische ISSN: 1615-2573
DOI
https://doi.org/10.1007/s00380-020-01741-7

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