Right ventricular free wall strain predicts functional capacity in patients with repaired Tetralogy of Fallot
To investigate the role of right ventricular free wall strain (RVFWSL) to predict low functional capacity in repaired tetralogy of Fallot (rTOF). We prospectively enrolled 33 patients with rTOF with moderate to severe PR who underwent rest and peak exercise echocardiography on a semisupine cycloergo...
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| Veröffentlicht in: | The International Journal of Cardiovascular Imaging 2020-04, Vol.36 (4), p.595-604 |
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| creator | Arroyo-Rodríguez, Cuitlahuac Fritche-Salazar, Juan Francisco Posada-Martínez, Edith Liliana Arías-Godínez, Jose Antonio Ortiz-León, Xochitl A. Calvillo-Arguelles, Oscar Ruiz-Esparza, María Eugenia Sandoval, Juan Pablo Sierra-Lara, Daniel Araiza-Garaygordobil, Diego Picano, Eugenio Rodríguez-Zanella, Hugo |
| description | To investigate the role of right ventricular free wall strain (RVFWSL) to predict low functional capacity in repaired tetralogy of Fallot (rTOF). We prospectively enrolled 33 patients with rTOF with moderate to severe PR who underwent rest and peak exercise echocardiography on a semisupine cycloergometer. Conventional function and strain imaging parameters of both ventricles were measured. Patients performing |
| doi_str_mv | 10.1007/s10554-019-01753-z |
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We prospectively enrolled 33 patients with rTOF with moderate to severe PR who underwent rest and peak exercise echocardiography on a semisupine cycloergometer. Conventional function and strain imaging parameters of both ventricles were measured. Patients performing < 7 METS were defined to have low functional capacity. Logistic regression was used to identify parameters associated with low functional capacity. Eleven patients (33.3%) had low functional capacity. These patients were shorter (height 155 ± 7 vs 163 ± 9 cm, p = 0.023), more frequently female (27.3 vs 72.7%, p = 0.024) and had history of Blalock–Taussig shunt (45.5 vs 9.1%, p = 0.027). On multivariate analysis RVFWSL was the only predictor of low functional capacity OR 1.39 (CI 95%, 1.06–1.83., p = 0.018) per % change. A RVFWSL < 17% (absolute value) had an AUC of 0.785, sensitivity of 81.8% and specificity of 77.3% to predict low functional capacity. Right ventricular free wall strain is an independent predictor of low functional capacity in repaired tetralogy of Fallot with moderate to severe PR. A value < 17% might be useful in deciding when to perform pulmonary valve replacement, when functional capacity cannot be objectively measured.</description><identifier>ISSN: 1569-5794</identifier><identifier>EISSN: 1573-0743</identifier><identifier>EISSN: 1875-8312</identifier><identifier>DOI: 10.1007/s10554-019-01753-z</identifier><identifier>PMID: 31894525</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Cardiac Imaging ; Cardiology ; Cardiovascular disease ; Congenital diseases ; Echocardiography ; Heart ; Imaging ; Medicine ; Medicine & Public Health ; Multivariate analysis ; Original Paper ; Parameter identification ; Radiology ; Regression analysis ; Tetralogy of Fallot ; Ventricle</subject><ispartof>The International Journal of Cardiovascular Imaging, 2020-04, Vol.36 (4), p.595-604</ispartof><rights>Springer Nature B.V. 2020</rights><rights>Springer Nature B.V. 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-87cee960d1bd46b359d4ccd29eaef28d7f39ab5a3ea729e307a3470314aae59b3</citedby><cites>FETCH-LOGICAL-c375t-87cee960d1bd46b359d4ccd29eaef28d7f39ab5a3ea729e307a3470314aae59b3</cites><orcidid>0000-0003-0336-5593</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10554-019-01753-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10554-019-01753-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31894525$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arroyo-Rodríguez, Cuitlahuac</creatorcontrib><creatorcontrib>Fritche-Salazar, Juan Francisco</creatorcontrib><creatorcontrib>Posada-Martínez, Edith Liliana</creatorcontrib><creatorcontrib>Arías-Godínez, Jose Antonio</creatorcontrib><creatorcontrib>Ortiz-León, Xochitl A.</creatorcontrib><creatorcontrib>Calvillo-Arguelles, Oscar</creatorcontrib><creatorcontrib>Ruiz-Esparza, María Eugenia</creatorcontrib><creatorcontrib>Sandoval, Juan Pablo</creatorcontrib><creatorcontrib>Sierra-Lara, Daniel</creatorcontrib><creatorcontrib>Araiza-Garaygordobil, Diego</creatorcontrib><creatorcontrib>Picano, Eugenio</creatorcontrib><creatorcontrib>Rodríguez-Zanella, Hugo</creatorcontrib><title>Right ventricular free wall strain predicts functional capacity in patients with repaired Tetralogy of Fallot</title><title>The International Journal of Cardiovascular Imaging</title><addtitle>Int J Cardiovasc Imaging</addtitle><addtitle>Int J Cardiovasc Imaging</addtitle><description>To investigate the role of right ventricular free wall strain (RVFWSL) to predict low functional capacity in repaired tetralogy of Fallot (rTOF). We prospectively enrolled 33 patients with rTOF with moderate to severe PR who underwent rest and peak exercise echocardiography on a semisupine cycloergometer. Conventional function and strain imaging parameters of both ventricles were measured. Patients performing < 7 METS were defined to have low functional capacity. Logistic regression was used to identify parameters associated with low functional capacity. Eleven patients (33.3%) had low functional capacity. These patients were shorter (height 155 ± 7 vs 163 ± 9 cm, p = 0.023), more frequently female (27.3 vs 72.7%, p = 0.024) and had history of Blalock–Taussig shunt (45.5 vs 9.1%, p = 0.027). On multivariate analysis RVFWSL was the only predictor of low functional capacity OR 1.39 (CI 95%, 1.06–1.83., p = 0.018) per % change. A RVFWSL < 17% (absolute value) had an AUC of 0.785, sensitivity of 81.8% and specificity of 77.3% to predict low functional capacity. Right ventricular free wall strain is an independent predictor of low functional capacity in repaired tetralogy of Fallot with moderate to severe PR. A value < 17% might be useful in deciding when to perform pulmonary valve replacement, when functional capacity cannot be objectively measured.</description><subject>Cardiac Imaging</subject><subject>Cardiology</subject><subject>Cardiovascular disease</subject><subject>Congenital diseases</subject><subject>Echocardiography</subject><subject>Heart</subject><subject>Imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Multivariate analysis</subject><subject>Original Paper</subject><subject>Parameter identification</subject><subject>Radiology</subject><subject>Regression analysis</subject><subject>Tetralogy of Fallot</subject><subject>Ventricle</subject><issn>1569-5794</issn><issn>1573-0743</issn><issn>1875-8312</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kcFrFTEQxoMotlb_AQ8S8OJlNckkL5ujFGuFgiD1HGazs68p-3bXJGt5_evN66sKHjwMGTK_7xuSj7HXUryXQtgPWQpjdCOkq2UNNPdP2Kk0FhphNTw99BvXGOv0CXuR860QQgkFz9kJyNZpo8wp232L25vCf9JUUgzriIkPiYjf4TjyXBLGiS-J-hhK5sM6hRLnCUcecMEQy54f5lhi1Wd-F8sNT7RgrAp-TVU-zts9nwd-Uf3m8pI9G3DM9OrxPGPfLz5dn182V18_fzn_eNUEsKY0rQ1EbiN62fV604FxvQ6hV46QBtX2dgCHnUEgtPUShEXQVoDUiGRcB2fs3dF3SfOPlXLxu5gDjSNONK_ZKwAlWtWCqOjbf9DbeU31iQeqNW2rK1YpdaRCmnNONPglxR2mvZfCH8LwxzB8DcM_hOHvq-jNo_Xa7aj_I_n9-xWAI5DraNpS-rv7P7a_APBpl1I</recordid><startdate>20200401</startdate><enddate>20200401</enddate><creator>Arroyo-Rodríguez, Cuitlahuac</creator><creator>Fritche-Salazar, Juan Francisco</creator><creator>Posada-Martínez, Edith Liliana</creator><creator>Arías-Godínez, Jose Antonio</creator><creator>Ortiz-León, Xochitl A.</creator><creator>Calvillo-Arguelles, Oscar</creator><creator>Ruiz-Esparza, María Eugenia</creator><creator>Sandoval, Juan Pablo</creator><creator>Sierra-Lara, Daniel</creator><creator>Araiza-Garaygordobil, Diego</creator><creator>Picano, Eugenio</creator><creator>Rodríguez-Zanella, Hugo</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0336-5593</orcidid></search><sort><creationdate>20200401</creationdate><title>Right ventricular free wall strain predicts functional capacity in patients with repaired Tetralogy of Fallot</title><author>Arroyo-Rodríguez, Cuitlahuac ; Fritche-Salazar, Juan Francisco ; Posada-Martínez, Edith Liliana ; Arías-Godínez, Jose Antonio ; Ortiz-León, Xochitl A. ; Calvillo-Arguelles, Oscar ; Ruiz-Esparza, María Eugenia ; Sandoval, Juan Pablo ; Sierra-Lara, Daniel ; Araiza-Garaygordobil, Diego ; Picano, Eugenio ; Rodríguez-Zanella, Hugo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-87cee960d1bd46b359d4ccd29eaef28d7f39ab5a3ea729e307a3470314aae59b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Cardiac Imaging</topic><topic>Cardiology</topic><topic>Cardiovascular disease</topic><topic>Congenital diseases</topic><topic>Echocardiography</topic><topic>Heart</topic><topic>Imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Multivariate analysis</topic><topic>Original Paper</topic><topic>Parameter identification</topic><topic>Radiology</topic><topic>Regression analysis</topic><topic>Tetralogy of Fallot</topic><topic>Ventricle</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arroyo-Rodríguez, Cuitlahuac</creatorcontrib><creatorcontrib>Fritche-Salazar, Juan Francisco</creatorcontrib><creatorcontrib>Posada-Martínez, Edith Liliana</creatorcontrib><creatorcontrib>Arías-Godínez, Jose Antonio</creatorcontrib><creatorcontrib>Ortiz-León, Xochitl A.</creatorcontrib><creatorcontrib>Calvillo-Arguelles, Oscar</creatorcontrib><creatorcontrib>Ruiz-Esparza, María Eugenia</creatorcontrib><creatorcontrib>Sandoval, Juan Pablo</creatorcontrib><creatorcontrib>Sierra-Lara, Daniel</creatorcontrib><creatorcontrib>Araiza-Garaygordobil, Diego</creatorcontrib><creatorcontrib>Picano, Eugenio</creatorcontrib><creatorcontrib>Rodríguez-Zanella, Hugo</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>The International Journal of Cardiovascular Imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arroyo-Rodríguez, Cuitlahuac</au><au>Fritche-Salazar, Juan Francisco</au><au>Posada-Martínez, Edith Liliana</au><au>Arías-Godínez, Jose Antonio</au><au>Ortiz-León, Xochitl A.</au><au>Calvillo-Arguelles, Oscar</au><au>Ruiz-Esparza, María Eugenia</au><au>Sandoval, Juan Pablo</au><au>Sierra-Lara, Daniel</au><au>Araiza-Garaygordobil, Diego</au><au>Picano, Eugenio</au><au>Rodríguez-Zanella, Hugo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Right ventricular free wall strain predicts functional capacity in patients with repaired Tetralogy of Fallot</atitle><jtitle>The International Journal of Cardiovascular Imaging</jtitle><stitle>Int J Cardiovasc Imaging</stitle><addtitle>Int J Cardiovasc Imaging</addtitle><date>2020-04-01</date><risdate>2020</risdate><volume>36</volume><issue>4</issue><spage>595</spage><epage>604</epage><pages>595-604</pages><issn>1569-5794</issn><eissn>1573-0743</eissn><eissn>1875-8312</eissn><abstract>To investigate the role of right ventricular free wall strain (RVFWSL) to predict low functional capacity in repaired tetralogy of Fallot (rTOF). We prospectively enrolled 33 patients with rTOF with moderate to severe PR who underwent rest and peak exercise echocardiography on a semisupine cycloergometer. Conventional function and strain imaging parameters of both ventricles were measured. Patients performing < 7 METS were defined to have low functional capacity. Logistic regression was used to identify parameters associated with low functional capacity. Eleven patients (33.3%) had low functional capacity. These patients were shorter (height 155 ± 7 vs 163 ± 9 cm, p = 0.023), more frequently female (27.3 vs 72.7%, p = 0.024) and had history of Blalock–Taussig shunt (45.5 vs 9.1%, p = 0.027). On multivariate analysis RVFWSL was the only predictor of low functional capacity OR 1.39 (CI 95%, 1.06–1.83., p = 0.018) per % change. A RVFWSL < 17% (absolute value) had an AUC of 0.785, sensitivity of 81.8% and specificity of 77.3% to predict low functional capacity. Right ventricular free wall strain is an independent predictor of low functional capacity in repaired tetralogy of Fallot with moderate to severe PR. A value < 17% might be useful in deciding when to perform pulmonary valve replacement, when functional capacity cannot be objectively measured.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>31894525</pmid><doi>10.1007/s10554-019-01753-z</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-0336-5593</orcidid></addata></record> |
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| subjects | Cardiac Imaging Cardiology Cardiovascular disease Congenital diseases Echocardiography Heart Imaging Medicine Medicine & Public Health Multivariate analysis Original Paper Parameter identification Radiology Regression analysis Tetralogy of Fallot Ventricle |
| title | Right ventricular free wall strain predicts functional capacity in patients with repaired Tetralogy of Fallot |
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