OBJECTIVES: To assess if exercise capacity and resting stroke volume are different in tetralogy of Fallot (TOF) repair survivors with indexed RV (right ventricle) end-diastolic volume (RVEDVi) more versus less than 150 ml/m(2), a currently suggested threshold for pulmonary valve replacement (PVR). DESIGN: Cross-sectional study. SETTING: Single-centre adult congenital heart disease unit. PATIENTS: 55 consecutively eligible patients with repaired TOF (age at repair 2.3±1.9 years; age at evaluation 26.2±8.8 years; NYHA Class I or II). INTERVENTIONS: Cardiovascular MRI (1.5T) and cardiopulmonary exercise test. MAIN OUTCOME MEASURES: Biventricular volumes and function; exercise capacity. RESULTS: 20 patients had RVEDVi below, and 35 had RVEDVi above 150 ml/m(2), at time of referral. In the >150 ml/m(2) group, fractional pulmonary regurgitation was higher (41±8 vs 31±8%, p<0.001). Although RV ejection fraction (EF) was lower (47±7 vs 54±6%, p=0.007), indexed RV stroke volume was higher (87±14 vs 64±10 ml/m(2), p<0.001) in the >150 ml/m(2) group. There were no significant differences in LVEF, indexed LV stroke volume or exercise capacity (% predicted peak work: 90±17 vs 89±11% and; % predicted VO(2) peak: 84±17 vs 87±12%). CONCLUSIONS: Exercise capacity and stroke volume are maintained with RVEDVi above compared with below a commonly used cut-off for PVR surgery. Optimal timing for PVR, thus, remains unclear.
OBJECTIVES: To assess if exercise capacity and resting stroke volume are different in tetralogy of Fallot (TOF) repair survivors with indexed RV (right ventricle) end-diastolic volume (RVEDVi) more versus less than 150 ml/m(2), a currently suggested threshold for pulmonary valve replacement (PVR). DESIGN: Cross-sectional study. SETTING: Single-centre adult congenital heart disease unit. PATIENTS: 55 consecutively eligible patients with repaired TOF (age at repair 2.3±1.9 years; age at evaluation 26.2±8.8 years; NYHA Class I or II). INTERVENTIONS: Cardiovascular MRI (1.5T) and cardiopulmonary exercise test. MAIN OUTCOME MEASURES: Biventricular volumes and function; exercise capacity. RESULTS: 20 patients had RVEDVi below, and 35 had RVEDVi above 150 ml/m(2), at time of referral. In the >150 ml/m(2) group, fractional pulmonary regurgitation was higher (41±8 vs 31±8%, p<0.001). Although RV ejection fraction (EF) was lower (47±7 vs 54±6%, p=0.007), indexed RV stroke volume was higher (87±14 vs 64±10 ml/m(2), p<0.001) in the >150 ml/m(2) group. There were no significant differences in LVEF, indexed LV stroke volume or exercise capacity (% predicted peak work: 90±17 vs 89±11% and; % predicted VO(2) peak: 84±17 vs 87±12%). CONCLUSIONS: Exercise capacity and stroke volume are maintained with RVEDVi above compared with below a commonly used cut-off for PVR surgery. Optimal timing for PVR, thus, remains unclear.
Authors: Laura Mercer-Rosa; Stephen M Paridon; Mark A Fogel; Jack Rychik; Ronn E Tanel; Huaqing Zhao; Xuemei Zhang; Wei Yang; Justine Shults; Elizabeth Goldmuntz Journal: Circ Cardiovasc Genet Date: 2015-01-05
Authors: Lauren E Sterrett; Eric S Ebenroth; Christina Query; Jason Ho; Gregory S Montgomery; Roger A Hurwitz; Fitsum Baye; Marcus S Schamberger Journal: Pediatr Cardiol Date: 2014-07-03 Impact factor: 1.655