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Castellani, C; Windhaber, J; Schober, PH; Hoellwarth, ME.
Exercise performance testing in patients with pectus excavatum before and after Nuss procedure
PEDIAT SURG INT. 2010; 26(7): 659-663.
Doi: 10.1007/s00383-010-2627-0
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
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Castellani Christoph
- Co-Autor*innen der Med Uni Graz
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Höllwarth Michael
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Schober Peter
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Windhaber Jana Maria
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- Abstract:
- PURPOSE: To assess the changes in lung function and exercise performance due to minimal invasive pectus repair. METHODS: Fifty-nine patients with an average age of 16 years were included in this prospective investigation. After determination of body mass index (BMI) and body fat patients were subjected to pre-OP, post-OP and post-implant removal spirometry and bicycle ergospirometry. Forced vital capacity (FVC), performance capacity (PC) and relative oxygen uptake were determined. RESULTS: Post-OP FVC significantly decreased from 91% of normal value to 79%, but again increased to 88% after implant removal. PC showed a significant reduction (105-97% of normal value). Likewise, the relative oxygen uptake showed a significant decrease (43.8-42.2 ml/kg per min). These findings correlated to a significant increase of BMI and body fat. When calculating oxygen uptake per kilogram lean body weight, there were no significant changes (49.8 to 49.8 ml/kg per min). CONCLUSIONS: Pectus repair resulted in a temporary reduction of FVC, which resolved after implant removal. The drop in oxygen uptake and PC could be related to a significant increase of BMI and body fat. According to our data pectus repair is not followed by improvements in lung function and exercise performance.
- Find related publications in this database (using NLM MeSH Indexing)
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Adolescent - administration & dosage
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Adult - administration & dosage
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Body Composition - administration & dosage
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Body Mass Index - administration & dosage
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Child - administration & dosage
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Exercise Test - administration & dosage
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Female - administration & dosage
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Funnel Chest - physiopathology, surgery
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Humans - administration & dosage
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Lung - physiopathology
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Male - administration & dosage
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Oxygen Consumption - physiology
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Prospective Studies - administration & dosage
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Prostheses and Implants - adverse effects
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Spirometry - administration & dosage
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Treatment Outcome - administration & dosage
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Vital Capacity - physiology
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Young Adult - administration & dosage
- Find related publications in this database (Keywords)
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Pectus excavatum
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MIRPE
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Nuss procedure
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Lung function
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Exercise performance
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Ergometry