Standard cardiovascular rehabilitation is performed in a medical care and rehabilitation centre. However, it may not be adapted to the patient's profile and there are few medical care and rehabilitation centres specialized in pediatric cardiology. The objective of this study is to evaluate the impact of cardiovascular rehabilitation entirely at home on the physical fitness of young patients with congenital heart disease.
Indication for home cardiovascular rehabilitation given by the referring cardiologist as part of routine care.
Follow-up for congenital heart disease in the ACC-CHD classification.
Patient aged 8 to 25 years at the time of inclusion.
Consent of the adult patient or the parents or legal guardians of the minor patient.
Unstable and/or severe heart failure: severe heart failure (NYHA functional class IV), recent decompensated heart failure requiring hospitalisation and/or any significant change in medication (< 3 months before inclusion), systolic ventricle dysfunction (left ventricular or systemic ventricular ejection fraction < 50%).
Severe hypoxemia: pulse oxygen saturation (SpO2) at rest < 85%, and/or SpO2 at exercise < 80%, and/or patient requiring oxygen therapy.
Pulmonary hypertension as defined by the 2020 ESC guidelines, whatever the aetiology.
Significant systolic right ventricle (sRV) hypertension (Srv pressure > 50% of systemic systolic pressure).
Single group
Muscle Your Heart home-based program
Other intervention2 one-hour sessions of adapted physical activity per week - HIIT and free adapted physical activity - 1 one-hour monthly therapeutic patient education session - A dedicated platform - Adapted physical activity educators - Dedicated education therapeutic nurses
Evolution of the maximal oxygen consumption (VO2max) obtained in the cardiopulmonary exercise test (CPET)
First ventilatory anaerobic threshold obtained at the CPET
Ventilatory efficiency (VE/VCO2 slope) obtained at the CPET
Maximum oxygen pulse obtained at the CPET
Maximum workload in watt obtained at the CPET
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