TY - JOUR
T1 - Treadmill test in patients with rheumatic mitral regurgitation
AU - Madiyono, Bambang
AU - Rusdi, Sabiqun
AU - Oesman, Ismet N.
AU - Sastroasmoro, Sudigdo
AU - Putra, Sukman Tulus
AU - Advani, Najib
N1 - Publisher Copyright:
© 1995 Faculty of Medicine, Universitas Indonesia. All rights reserved.
PY - 1995/10/1
Y1 - 1995/10/1
N2 - Treadmill tests were performed in 48 patients with rheumatic mitral regurgitation ranging in age from 9 to 18 years, consisted of 17 boys and 31 girls. The method used was Bruce protocol. Patients with heart failure or other valvular defects were excluded from this study. Thirty-eight (79.2%) patients, 15 boys and 23 girls, could reach stage 4 or more. Shorter endurance time was associated with increasing age and larger body surface area, both in boys and girls. In the group of patients with cardiomegaly in their x-ray photos, 83.3% of the boys and 70.0% of the girls could reach stage 4 or more in, while in those without cardiomegaly 100% of the boys and 76.1% of the girls could achieve stage 4 or more. Patients with LVH on their ECGs could reach stage 4 or more in 87.5% of the boys and 85.7% of the girls, while patients without LVH could reach stage 4 or more in 88.8% of the boys and 70.0% of the girls. We conclude that: (1) treadmill test is quite safe for children with mild and moderate rheumatic mitral regurgitation; (2) older age and larger body surface area are associated with lower endurance, (3) cardiomegaly on chest X-ray can be used as a guide for exercise restriction in that group, but this is not true with ECG-LVH.
AB - Treadmill tests were performed in 48 patients with rheumatic mitral regurgitation ranging in age from 9 to 18 years, consisted of 17 boys and 31 girls. The method used was Bruce protocol. Patients with heart failure or other valvular defects were excluded from this study. Thirty-eight (79.2%) patients, 15 boys and 23 girls, could reach stage 4 or more. Shorter endurance time was associated with increasing age and larger body surface area, both in boys and girls. In the group of patients with cardiomegaly in their x-ray photos, 83.3% of the boys and 70.0% of the girls could reach stage 4 or more in, while in those without cardiomegaly 100% of the boys and 76.1% of the girls could achieve stage 4 or more. Patients with LVH on their ECGs could reach stage 4 or more in 87.5% of the boys and 85.7% of the girls, while patients without LVH could reach stage 4 or more in 88.8% of the boys and 70.0% of the girls. We conclude that: (1) treadmill test is quite safe for children with mild and moderate rheumatic mitral regurgitation; (2) older age and larger body surface area are associated with lower endurance, (3) cardiomegaly on chest X-ray can be used as a guide for exercise restriction in that group, but this is not true with ECG-LVH.
KW - Cardiomegaly
KW - Left ventricular hypertrophy
KW - Rheumatic mitral regurgitation
KW - Treadmill test
UR - http://www.scopus.com/inward/record.url?scp=85008628447&partnerID=8YFLogxK
U2 - 10.13181/mji.v4i4.924
DO - 10.13181/mji.v4i4.924
M3 - Article
AN - SCOPUS:85008628447
VL - 4
SP - 247
EP - 253
JO - Medical Journal of Indonesia
JF - Medical Journal of Indonesia
SN - 0853-1773
IS - 4
ER -