ArticleJournal of the American Heart Association2025
Low Burden of Arrhythmia in Pediatric Patients and Patients With Congenital Heart Disease Participating in Cardiac Rehabilitation.
Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Evaluation of heart rate variability in pediatric patients with beta thalassemia major: Cross-sectional study.World journal of clinical pediatrics · 2026Article
- Early cardiac rehabilitation in ICU for infants after complex congenital heart disease surgery: a retrospective case series.Frontiers in pediatrics · 2026Article
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Authors and funding
8 authors.
Funding
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Abstract
backgroundCardiac rehabilitation (CR) is underused in pediatric and congenital heart disease populations. Concern about arrhythmia risk may be an obstacle to CR referral. We sought to describe the frequency and risk factors for arrhythmia in patients who participated in a standardized CR program.
methodsWe conducted a retrospective chart review of all patients who completed at least 1 CR encounter from 2017 to 2022 at a pediatric cardiology center. We used descriptive statistics to determine the frequency of atrial and ventricular ectopy. Logistic regression was performed to identify predictors of frequent ventricular ectopy, nonsustained ventricular tachycardia, or ventricular tachycardia.
resultsThere were 177 patients who participated in 4494 rehabilitation encounters over the 6-year study period (median age, 17 years [14-22]). Most patients had congenital heart disease (63%). Moderate or severe systolic dysfunction was noted in 14% of patients. Presence of an implantable cardioverter-defibrillator (9% of patients) and a ventricular assist device (5% of patients) was noted. Nonsustained ventricular tachycardia occurred in 7 patients (3.9%) across 18 sessions (0.4%). There was an episode of sustained ventricular tachycardia resulting in an appropriate implantable cardioverter-defibrillator shock. There were no deaths. Patients ≥18 years old (odds ratio, 2.7 [95% CI, 1.1 - 6.4]) were more likely to have frequent ventricular ectopy, nonsustained ventricular tachycardia, or ventricular tachycardia.
conclusionsSupervised CR in pediatric and congenital heart disease populations is associated with a low risk for clinically significant arrhythmias, and should not be an obstacle to referral for individuals who would otherwise benefit from CR.
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