Kinesiology 2000A/B Lecture Notes - Lecture 1: Ventricular Assist Device, Ventricular Septal Defect, University Health Network

• School: Western University
• Department: Kinesiology
• Course: Kinesiology 2000A/B
• Professor: Vincent Liardi

Document Summary

Largest adult congenital heart disease centre in the world. Adult congenital heart disease- in utero the heart doesn"t form properly. Babies - congenital heart defects is the #1 birth defect in canada- 1 in 100. Diagnosis: complete transposition of the great arteries (tga) Recent hospital admission for life-threatening arrhythmia that occurred. 37 year old male surgical repair at 6 months old during exercise. Diagnosis: left ventricular assist device and eventual cardiac transplant. Low functional capacity multifactorial and is related to cardiac, neuroendocrine, vascular and pulmonary changes. Pubmed search for exercise prescription guidelines for adult congenital heart disease. Heart failure: significant reduction in morality over 2 years when vo2max is higher. Achd: fewer hospitalizations and death with higher vo2max. Heart failure: clinically significant depression present in 1 of 5 patients. Achd: 1 in 2 met diagnostic criteria for at least one lifetime mood or anxiety disorder. 77% patients reported moderate to extreme concern regarding physical activity.