Derya ARSLAN, Bülent ORAN, Tuğba CøHAN, Derya ÇİMEN

Cardiovascular Adverse Effects of ActivityPromoting Video Games in Children with Heart Diseases

Amaç: Aktivite üreten video oyun sistemleri giderek daha popüler hale gelmektedir. Bu prospektif çalışmanın amacı kalp hastalığı olan çocuklarda, aktivite üreten video oyunlarının kardiyovasküler yan etkilerini araştırmaktır. Materyal ve Metot: Bu prospektif çalışma kalp hastalığı olan 20 çocuk ile yaş ve cinsiyet olarak uyumlu 20 sağlıklı kontrol bireyi ile gerçekleştirildi. Tüm hastalara elektrokardiyografi ve transtorasik ekokardiyografi yapıldı. Tüm hasta ve sağlıklı kontrol bireylerine 15 dakika boyunca aktivite üreten video oyunu oynatıldı. Katılımcıların video oyunu oynarken kalp hızı, solunum hızı ve kan basıncı ölçüldü. Bulgular: Video oyunu oynatılarak yüksek kalp ve solunum hızı, yüksek kan basıncı ortaya çıkarıldı. Video oyunu oynarken tahmin edilen kardiyovasküler yan etkiler gözlendi. En sık görülen semptomlar yorgunluk, baş dönmesi, bulantı ve göğüs ağrısı idi. Sonuçlar: Aktivite üreten video oyunlarının kalp hastalığı olan çocuklarda kardiyovasküler yan etkilerde artış gibi potansiyel bir dezavantajı olabilir. Bu video oyunlarını oynama süresi sınırlandırılmalıdır. Özellikle ciddi kalp yetmezliği ya da kardiyovasküler obstrüktif lezyonları olan çocuklar için ani ölüme neden olabileceği unutulmamalıdır.

(Kalp hastalığı olan çocuklarda aktivite üreten video oyunlarının kardiyovasküler yan etkileri)

Background: Activity-promoting video game systems are becoming increasingly popular. The purpose of this prospective study is to compare the cardiovascular adverse effects of playing these games in children with heart disease. Material and Methods: This prospective patient group consisted of 20 children with heart diseases and 20 sex and age matched healthy controls. Electrocardiography and transthoracic echocardiography were performed in all patients. All the patient and healthy controls performed the activity-promoting video game during another 15 minutes. Heart rate, respiratory rate and blood pressure were measured while participants were playing the video game. Results: High heart and respiratory rate, high blood pressures and perceived exertion were elicited from playing video game. The predicted cardiovascular adverse effects were observed while playing video game. Most common symptoms were fatigue, dizziness, nausea and chest pain during video game. Conclusions: Activity-promoting video games naturally have the potential to increase movement with the drawback of increase in also cardiovascular adverse effects in children with heart disease. Play time of these video games must be limited, and sudden death must be considered especially for children with serious heart failure or obstructive cardiovascular lesions.

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