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July 29, 2015European Heart Journal - Cardiovascular ImagingOpen Access

Adults with repaired Tetralogy of Fallot had significantly lower right ventricular free wall strain compared to healthy controls (-18.1% vs. -26.5%, P<0.001).

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Why the study?

How does ventricular deformation differ between adults with repaired Tetralogy of Fallot and healthy controls?

Population

94 adults with repaired Tetralogy of Fallot and 85 healthy controls of similar age and sex.

Comparison

Myocardial deformation imaging to assess… vs Healthy controls

Design

Cross-sectional

Key result

Adults with repaired Tetralogy of Fallot had significantly lower right ventricular free wall strain compared to healthy controls (-18.1% vs. -26.5%, P<0.001).

Authors

MMMyrthe E. MentingABAnnemien E. van den BoschJMJackie S. McGhie

Discussion

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Overview

RV/LV deformation changes in repaired ToF with PR are hypothesis-generating; prospective studies needed before guiding intervention timing.

Study Design

Type

Cross-Sectional (n=179)

Structured PICO

How does ventricular deformation differ between adults with repaired Tetralogy of Fallot and healthy controls?

P
Population
179 participants including 94 adults with repaired Tetralogy of Fallot (mean age 32.8 years, 39% female) and 85 healthy controls of similar age and sex.
E
Exposure
Myocardial deformation imaging (speckle-tracking echocardiography) to assess ventricular function
C
Comparator
Healthy controls
O
Outcome
Peak systolic global longitudinal strain (GLS), segmental longitudinal strain and strain rate of the RV free wall, LV lateral wall, and septumsurrogate

Main Result

Absolute Event Rate: -18.1% vs -26.5%

p-value: p=<0.001

Adults with repaired Tetralogy of Fallot exhibit decreased right and left ventricular longitudinal strain compared to healthy controls, indicating biventricular dysfunction.

Cite This Study

Menting et al. (2015) conducted a cross-sectional in Repaired Tetralogy of Fallot (n=179). Repaired Tetralogy of Fallot vs. Healthy controls was evaluated on Right ventricular free wall strain (p=<0.001). Adults with repaired Tetralogy of Fallot had significantly lower right ventricular free wall strain compared to healthy controls (-18.1% vs. -26.5%, P<0.001).

synapsesocial.com/papers/6a65926ee118a1f92035840fhttps://doi.org/10.1093/ehjci/jev090
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