Rehabilitation of Adolescents and Young Adults With Congenital Heart Diseases

Impact of Cardiovascular Rehabilitation on the Quality of Life of Adolescents and Young Adults With Congenital Heart Disease: A Randomized Controlled Multicentre Trial

The investigators aim to measure the impact of a rehabilitation program in congenital cardiology in terms of health related quality of life. The orginality of the rehabilitation program consists in its design : initial hospitalizationfor a short period of time (5 days) at the rehabilitation center, followed by 11 weeks of rehabilitation at home under the supervision of a specialized sports trainer.

Adolescents and adults with congenital heart disease (CHD) have reduced exercise capacity compared to the general population, even for "simple" heart disease.

Regular physical activity is known to reduce the risk of acquired heart disease.

Cardiac rehabilitation programs have been largely developed to manage adult coronary and heart failure patients, which is not yet the case routinely in patients, adults and children, carriers of DC.

The investigators assume that patients who participate in this program will improve their quality of life compared to controls.

The orginality of the rehabilitation program consists in its design : initial hospitalizationfor a short period of time (5 days) at the rehabilitation center, followed by 11 weeks of rehabilitation at home under the supervision of a specialized sports trainer .

Inclusion Criteria:

• Patient aged 13 to 25 years included
• With a congenital heart diseases (CHD) as defined in the international CHD classification.
• Recent (< 3 months) cardio-pulmonary exercise test (CPET)with maximum oxygen uptake (VO2max) <80% of theoretical values and/or first ventilatory anaerovic threshold (VAT) <55% of VO2max.
• Consent of the adult patient or the parents or legal guardians of the minor patient.
• Beneficiary of the social security scheme.

Exclusion Criteria:

• Uncontrolled arrhythmia.
• Cardiac surgery planned during the rehabilitation program.
• Severe musculoskeletal disorders.
• Severe intellectual disability that does not allow the quality of life questionnaire to be completed.
• Pregnancy.
• Patient who already underwent cardiac rehabilitation in the last 24 months.
• All medical contraindications to perform a cardiorespiratory stress test.
• Uncontrolled heart failure (NYHA IV)
• Obesity (BMI > 30)