Supported exercise programme for adults with Congenital Heart Disease (SEACHange)

Abstract

BackgroundCongenital heart disease (CHD) is a lifelong condition. Many patients will require repeated interventions. Long term morbidity due to heart failure, arrhythmias and recurrent hospital admissions is common. The benefits of regular exercise are well known. The aim of this study is to determine the feasibility of introducing a supported exercise programme to develop physical and psychological wellbeing in adults with CHD, living in Scotland. MethodsPatients were mainly recruited via the Adult Congenital Heart Disease (ACHD) review clinic at the Golden Jubilee National Hospital (GJNH). Participants were initially assessed using a 6-min walk test (6MWT) and stratified in to either Group 1 (n = 10) or Group 2 (n = 18). Further baseline measurements (Grip strength, Bicep strength, Quadriceps strength, and psychological measurements) were completed for both groups. Sniff Nasal Inspiratory Pressure (SNIP) was also assessed for Group 1. All measurements were repeated after 12 weeks. ResultsFor both groups 1 and 2 the majority of individuals improved upon their baseline measurements across all physical metrics (6MWT, quadriceps, bicep and grip strength). Although not achieving statistical significance individually, when combined groups 1 and 2 demonstrated a statistically significant increase in the objective measures of fitness from those measured at baseline to week 12. ConclusionsExercise in the adult congenital cardiac population is safe when patients are given guidance and structure.