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May 20, 2026American Journal of Respiratory and Critical Care Medicine0 citations

Noninvasive Screening for Surgery in Adults With Congenital Heart Disease

C66-03 Noninvasive Screening for Surgery in Adults With Congenital Heart Disease

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Why the study?

The study was conducted to evaluate non-invasive parameters for assessing eligibility to undergo surgery in patients with adult congenital heart disease.

Does the echocardiographic parameter TAPSE/SPAP predict surgical eligibility in adults with congenital heart disease?

Population

81 patients with adult CHD

Comparison

Patients eligible for surgery vs not meeting surgical criteria

Design

Single-center retrospective study

Key result

The echocardiographic TAPSE/SPAP ratio emerged as an independent predictor of surgical eligibility in adults with congenital heart disease (AUC 0.81; 95% CI 0.70-0.92; p<0.01).

Authors

JGJ GuoXSX Sun

Discussion

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Overview

Non-invasive parameters may aid surgical eligibility assessment in adult CHD; leaves open need for prospective validation before practice change.

Key Points

  • This study aims to evaluate non-invasive parameters for determining surgical eligibility in adults with congenital heart disease.
  • Single-center retrospective study of 81 adults with congenital heart disease
  • Collected data included demographics, right heart catheterization, NT-proBNP, PFT, CPET, and echocardiographic parameters
  • Used logistic regression to identify independent predictive factors for surgical eligibility.
  • 34 out of 81 patients were eligible for surgery, exhibiting better hemodynamics compared to non-eligible patients.
  • Eligible patients had significantly lower SPAP (79.23±23.56 vs. 98.91±20.23 mmHg, p=0.00) and higher TAPSE (2.10 vs. 1.81 cm, p=0.001).
  • TAPSE/SPAP ratio was a significant predictor with an ROC area of 0.81 (95% CI: 0.70 - 0.92, p<0.01).

Study Design

Type

Observational (n=81)

Multicenter

No

Structured PICO

Does the echocardiographic parameter TAPSE/SPAP predict surgical eligibility in adults with congenital heart disease?

P
Population
81 adults with congenital heart disease (CHD)
I
Intervention
Echocardiographic parameter TAPSE/SPAP
C
Comparator
Hemodynamic parameters from right heart catheterization (PVR < 4.6 WU and PVRI < 8 WU*m2)
O
Outcome
Surgical eligibility based on hemodynamic parameterssurrogate

The non-invasive echocardiographic parameter TAPSE/SPAP is a valuable predictor of surgical eligibility in adults with congenital heart disease, potentially reducing the need for invasive right heart catheterization.

Main Result

Effect estimate: AUC 0.81 (95% CI 0.70 - 0.92)

p-value: p=< 0.01

Cite This Study

Guo et al. (2026) conducted an observational in Adult congenital heart disease (CHD) (n=81). TAPSE/SPAP ratio was evaluated on Surgical eligibility based on hemodynamic parameters (AUC 0.81, 95% CI 0.70 - 0.92, p=< 0.01). The echocardiographic TAPSE/SPAP ratio emerged as an independent predictor of surgical eligibility in adults with congenital heart disease (AUC 0.81; 95% CI 0.70-0.92; p<0.01).

synapsesocial.com/papers/6a0d4f4cf03e14405aa9a8f1https://doi.org/10.1093/ajrccm/aamag162.1572
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