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The Effect of Exercise Training as Adjuvant Treatment on Functional Capacity in Congenital Heart Disease with Negative Vaso Reactivity Test Pulmonary Hypertension Patient at Saiful Anwar Hospital Malang

Heart Science Journal · Vol. 4 No. 3 (2023) · hlm. 12–16

DOI
10.21776/ub.hsj.2023.004.03.3
ISSN
2721-9984, 2721-9976
Terbit
2023-07-01
Penerbit
Universitas Brawijaya
Bahasa
en

Abstrak

BackgroundPulmonary hypertension associated with congenital heart disease (CHD) is an important subgroup that accounts for approximately 11% of all patients with PAH. Physical limitations are one of the main symptoms of hemodynamic changes in patients with PH. Objective This study aimed to evaluate the effect of physical exercise therapy for 12 weeks as an additional therapy with PDE-5 inhibitors on the functional capacity of patients with Congenital Heart Disease accompanied by Pulmonary Artery Hypertension (CHD – PH). MethodThis research was an analytic experimental study with a prospective cohort research method. This study used data sources obtained from medical records to adjust subjects based on inclusion and exclusion criteria, initial cardiac training test examination data was carried out at IPJT in patients selected as subjects. The patient's clinical outcomes were followed in the next 12 weeks. ResultThis research was conducted on 16 samples divided into two groups, namely the control and study groups. The evaluation after 12 weeks found that there was an increase in mileage as measured through the 6MWT submaximal test and a better duration of physical activity in the study group tested through the Endurance Shuttle Walk Test (ESWT). This is consistent with the effect of physical exercise, which suppresses systemic inflammation and causes vasodilation, thereby increasing oxygen delivery to the tissues. This causes more optimal aerobic metabolism and reduces lactate production. So that the patient did not quickly feel tired during activities. However, there was no significant increase in the Incremental Shuttle Walk Test. This could be due to the relatively short training duration of 12 weeks. Conclusion A positive correlation exists between physical exercise and increased functional capacity of patients with CHD who were evaluated using 6MWT and ESWT.

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Rekan penulisOrganisasiArtikel bersama
Mohammad Saifur RohmanUniversity of Brawijaya44
Indra PrasetyaUniversity of Brawijaya31
Anna Fuji RahimahUniversity of Brawijaya27
Novi KurnianingsihUniversity of Brawijaya22
Budi SatrijoUniversity of Brawijaya20
Ardian RizalUniversity of Brawijaya20
Djanggan SargowoUniversity of Brawijaya16
Sasmojo WiditoUniversity of Brawijaya15
Valerinna YogibuanaAfiliasi tidak diketahui10
Yoga WaranugrahaUniversity of Brawijaya6
Muhammad Rizki FadlanUniversity of Brawijaya6
Valerinna Yogibuana Swastika PutriUniversity of Brawijaya6
Ayu Asri Devi AdityawatiUniversity of Brawijaya5
Wella KarolinaUniversity of Brawijaya5
Ratna PancasariUniversity of Brawijaya4
Zainal FathurohimUniversity of Brawijaya4
Tria Yudha NugrahaUniversity of Brawijaya4
Teguh AryanugrahaUniversity of Brawijaya4
Ira Vori NugrohoUniversity of Brawijaya4
Dadang HendrawanUniversity of Brawijaya3
Anna Fuji RahimahAfiliasi tidak diketahui3
Krishna Ari NugrahaUniversity of Brawijaya3
Seprian WidasmaraUniversity of Brawijaya3
Arif Ranu WicaksonoUniversity of Brawijaya3
Evit RuspionoAfiliasi tidak diketahui3
Dion SetiawanUniversity of Brawijaya3
Lukitasari Ayu Galuh ArdhiUniversity of Brawijaya3
Lutfi Hafiz ZunardiUniversity of Brawijaya3
Akhmad Isna NurudinullohUniversity of Brawijaya3
Putri Annisa KamilaUniversity of Brawijaya3
Adhika Prastya WikanandaUniversity of Brawijaya3
Imam Mi'raj SuprayogaUniversity of Brawijaya3
Yoseph Budi UtomoUniversity of Brawijaya2
Tonny AdriyantoUniversity of Brawijaya2
Olivia HandayaniUniversity of Brawijaya2

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Sumber metadata: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">The Effect of Exercise Training as Adjuvant Treatment on Functional Capacity in Congenital Heart Disease with Negative Vaso Reactivity Test Pulmonary Hypertension Patient at Saiful Anwar Hospital Malang</dc:title>
	<dc:creator xml:lang="en">Pratiwi, Irma Kamelia</dc:creator>
	<dc:creator xml:lang="en">Martini, Heny</dc:creator>
	<dc:creator xml:lang="en">Tjahjono, Cholid Tri</dc:creator>
	<dc:creator xml:lang="en">Anjarwani, Setyasih</dc:creator>
	<dc:creator xml:lang="en">Handari, Saskia Dyah</dc:creator>
	<dc:subject xml:lang="en">Pulmonary arterial hypertension</dc:subject>
	<dc:subject xml:lang="en">congenital heart disease</dc:subject>
	<dc:subject xml:lang="en">exercise training</dc:subject>
	<dc:subject xml:lang="en">functional capacity</dc:subject>
	<dc:description xml:lang="en">BackgroundPulmonary hypertension associated with congenital heart disease (CHD) is an important subgroup that accounts for approximately 11% of all patients with PAH. Physical limitations are one of the main symptoms of hemodynamic changes in patients with PH. Objective This study aimed to evaluate the effect of physical exercise therapy for 12 weeks as an additional therapy with PDE-5 inhibitors on the functional capacity of patients with Congenital Heart Disease accompanied by Pulmonary Artery Hypertension (CHD – PH). MethodThis research was an analytic experimental study with a prospective cohort research method. This study used data sources obtained from medical records to adjust subjects based on inclusion and exclusion criteria, initial cardiac training test examination data was carried out at IPJT in patients selected as subjects. The patient's clinical outcomes were followed in the next 12 weeks. ResultThis research was conducted on 16 samples divided into two groups, namely the control and study groups. The evaluation after 12 weeks found that there was an increase in mileage as measured through the 6MWT submaximal test and a better duration of physical activity in the study group tested through the Endurance Shuttle Walk Test (ESWT). This is consistent with the effect of physical exercise, which suppresses systemic inflammation and causes vasodilation, thereby increasing oxygen delivery to the tissues. This causes more optimal aerobic metabolism and reduces lactate production. So that the patient did not quickly feel tired during activities. However, there was no significant increase in the Incremental Shuttle Walk Test. This could be due to the relatively short training duration of 12 weeks. Conclusion A positive correlation exists between physical exercise and increased functional capacity of patients with CHD who were evaluated using 6MWT and ESWT.</dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2023-07-01</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/10836</dc:identifier>
	<dc:identifier>10.21776/ub.hsj.2023.004.03.3</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 4 No. 3 (2023): The Essensial Role of the Metabolic Syndrome in the Development of Cardiovascular Disease; 12-16</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2023.004.03</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/10836/348</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2023 Irma Kamelia Pratiwi, Heny Martini, cholid Tri Tjahjono, Setyasih Anjarwani, Saskia Dyah Handari</dc:rights>
</oai_dc:dc>