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Exercise Tolerance Tests in Patients with Tetralogy of Fallot Repaired Earlier : Correlation with 2-Dimensional Echocardiography and Cardiac Catheterization

Journal of the Korean Pediatric Society 1992;35(2):157-167.
Published online February 15, 1992.
Exercise Tolerance Tests in Patients with Tetralogy of Fallot Repaired Earlier : Correlation with 2-Dimensional Echocardiography and Cardiac Catheterization
Jin Yong Lee1, Jun Hee Sul1, Sung Kyu Lee1, Dong Shik Chin1, Bum Koo Cho2, Soo Kwan Hwang3, Dong Soo Yeoun3
1Department of Pediatric Cardiology and Cardiovascular Surgery, Cardiovascular Center, Yonsei University College of Medicine, Seoul, Korea
2Division of Cardiovascular Surgery, Yonsei Cardiovascular Center Yonsei University, College of Medicine, Seoul, Korea
3The Institute of Sports Sciences, Yonsei University College of Medicine, Seoul, Korea
활로 4징으로 교정수술을 받은 환아들에 대한 운동부하검사 : 심에코도와 심도자검사 소견과의 비교
이진용1, 설준희1, 이승규1, 진동식1, 조범구2, 황수관3, 연동수3
1연세대학교 의과대학 심장혈관센터 소아심장과
2연세대학교 의과대학 심장혈관센터 심장혈관외과
3연세대학교 의과대학 스포츠과학연구소
Abstract
Exercise tolerance tests were performed using treadmill in 21 patients with tetralogy of Fallot (TOF) repaired earlier (4.8 years in mean) and 10 subjects with small ventricular septal defect or normal heart, aged 8-16 years. Pre and postexercise echocardiography and cardiac catheterization were also performed and the hemodynamic data were compared with exercise parameters. The following results were obtained. 1) The patients with right ventricular systolic pressure (RVP) above 100 mmHg have severe exercise intolerance compared with patients with RVP less than 100 mmHg and the control subjects. 2) The degree of posteoperative pulmonary regurgitation did not influence the exercise tolerance. 3) Echoardiographic interventricular septal configuration can be a godd predictor for exercise tolerance.
Key Words: Tetralogy of Fallot, Echocardiography, Right ventricular pressure, Exercise tolerance test


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