Literature DB >> 28618202

Effects of persistent Fontan fenestration patency on cardiopulmonary exercise testing variables.

M Elisabeth Heal1, Lanier B Jackson2, Andrew M Atz2, Ryan J Butts3.   

Abstract

Cardiopulmonary exercise testing (CPET) aids in clinical assessment of patients with Fontan circulation. Effects of persistent fenestration on CPET variables have not been clearly defined. Associations between fenestration and CPET variables at anaerobic threshold (AT) and peak exercise were explored in the Pediatric Heart Network Fontan Cross-Sectional Study cohort. Fenestration patency was associated with a greater decrease in oxygen saturation from rest to peak exercise (fenestration -4.9 ± 3.8 v. nonfenestration -3 ± 3.5; P < .001). Physiological dead space at peak exercise was higher in fenestrated v. nonfenestrated (25.2 ± 16.1 v. 21.4 ± 15.2; P = .03). There was a weak association between fenestration patency and maximal work and heart rate. Fenestration patency was also weakly correlated with oxygen pulse, work and VE/VCO2 at AT. The effect of persistent fenestration on CPET measurements was minimal in this study, likely due to the cross-sectional design.
© 2017 Wiley Periodicals, Inc.

Entities:  

Keywords:  Exercise testing; Fontan; fenestration

Mesh:

Year:  2017        PMID: 28618202      PMCID: PMC5794490          DOI: 10.1111/chd.12451

Source DB:  PubMed          Journal:  Congenit Heart Dis        ISSN: 1747-079X            Impact factor:   2.007


  15 in total

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Authors:  H Ohuchi; H Ohashi; H Takasugi; O Yamada; T Yagihara; S Echigo
Journal:  Pediatr Cardiol       Date:  2004-05-12       Impact factor: 1.655

2.  Effect of Fontan fenestration on regional venous oxygen saturation during exercise: further insights into Fontan fenestration closure.

Authors:  Rohit S Loomba; Michael E Danduran; Jennifer E Dixon; Rohit P Rao
Journal:  Pediatr Cardiol       Date:  2013-10-23       Impact factor: 1.655

3.  Exercise tolerance and cardiorespiratory response to exercise after the Fontan operation for tricuspid atresia or functional single ventricle.

Authors:  D J Driscoll; G K Danielson; F J Puga; H V Schaff; C T Heise; B A Staats
Journal:  J Am Coll Cardiol       Date:  1986-05       Impact factor: 24.094

4.  Baffle fenestration with subsequent transcatheter closure. Modification of the Fontan operation for patients at increased risk.

Authors:  N D Bridges; J E Lock; A R Castaneda
Journal:  Circulation       Date:  1990-11       Impact factor: 29.690

5.  Pulmonary gas exchange during exercise in Fontan patients at a long-term follow-up.

Authors:  Eva Strömvall-Larsson; Bengt O Eriksson; Daniel Holmgren; Rune Sixt
Journal:  Clin Physiol Funct Imaging       Date:  2004-11       Impact factor: 2.273

6.  Abnormal dynamic cardiorespiratory responses to exercise in pediatric patients after Fontan procedure.

Authors:  W B Troutman; T J Barstow; A J Galindo; D M Cooper
Journal:  J Am Coll Cardiol       Date:  1998-03-01       Impact factor: 24.094

7.  A cross-sectional study of exercise performance during the first 2 decades of life after the Fontan operation.

Authors:  Stephen M Paridon; Paul D Mitchell; Steven D Colan; Richard V Williams; Andrew Blaufox; Jennifer S Li; Renee Margossian; Seema Mital; Jennifer Russell; Jonathan Rhodes
Journal:  J Am Coll Cardiol       Date:  2008-07-08       Impact factor: 24.094

8.  Contemporary outcomes after the Fontan procedure: a Pediatric Heart Network multicenter study.

Authors:  Page A W Anderson; Lynn A Sleeper; Lynn Mahony; Steven D Colan; Andrew M Atz; Roger E Breitbart; Welton M Gersony; Dianne Gallagher; Tal Geva; Renee Margossian; Brian W McCrindle; Stephen Paridon; Marcy Schwartz; Mario Stylianou; Richard V Williams; Bernard J Clark
Journal:  J Am Coll Cardiol       Date:  2008-07-08       Impact factor: 24.094

9.  Impairment of heart rate recovery after peak exercise predicts poor outcome after pediatric heart transplantation.

Authors:  Alessandro Giardini; Matthew Fenton; Graham Derrick; Michael Burch
Journal:  Circulation       Date:  2013-09-10       Impact factor: 29.690

10.  Prognostic value of submaximal exercise data for cardiac morbidity in Fontan patients.

Authors:  Chun-An Chen; Ssu-Yuan Chen; Hsin-Hui Chiu; Jou-Kou Wang; Chung-I Chang; Ing-Sh Chiu; Yih-Sharng Chen; Chun-Wei Lu; Ming-Tai Lin; Hung-Chi Lue; Yu-Chuan Hua; Mei-Hwan Wu
Journal:  Med Sci Sports Exerc       Date:  2014-01       Impact factor: 5.411

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  3 in total

1.  Comparative Cardiorespiratory Fitness in Children: Racial Disparity May Begin Early in Childhood.

Authors:  Neha Bansal; Deemah R Mahadin; Roxann Smith; Michelle French; Peter P Karpawich; Sanjeev Aggarwal
Journal:  Pediatr Cardiol       Date:  2019-06-08       Impact factor: 1.655

2.  Comparison of the fenestrated and non-fenestrated Fontan procedures: A meta-analysis.

Authors:  Dongxu Li; Mengsi Li; Xu Zhou; Qi An
Journal:  Medicine (Baltimore)       Date:  2019-07       Impact factor: 1.817

3.  Home-Based Long-Term Physical Endurance and Inspiratory Muscle Training for Children and Adults With Fontan Circulation-Initial Results From a Prospective Study.

Authors:  Stefan Dirks; Peter Kramer; Anastasia Schleiger; Hans-Martin Speck; Bernd Wolfarth; Thomas Thouet; Felix Berger; Hannes Sallmon; Stanislav Ovroutski
Journal:  Front Cardiovasc Med       Date:  2022-02-07
  3 in total

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