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April 1, 2021Cardiovascular Diagnosis and TherapyOpen Access

Corrected tetralogy of Fallot was associated with significantly lower global left ventricular longitudinal, circumferential, and area strains compared to healthy controls.

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Why the study?

Aortopathy is common in TOF, and the relationship between LV deformation abnormalities and aortic stiffness in corrected TOF remained to be evaluated using 3D speckle-tracking echocardiography.

Do left ventricular strains correlate with aortic elastic properties in adult patients with corrected tetralogy of Fallot compared to healthy controls?

Population

28 cTOF patients (15 pcTOF, 13 etrTOF) and 39 matched healthy adults

Comparison

pcTOF vs etrTOF vs healthy controls

Design

Comparative cross-sectional study

Key result

Corrected tetralogy of Fallot was associated with significantly lower global left ventricular longitudinal, circumferential, and area strains compared to healthy controls.

Authors

GRGergely RáczÁKÁrpád KormányosPDPéter Domsik

Discussion

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Member takes

Overview

LV strain reductions associate with aortic stiffness in corrected TOF; hypothesis-generating for early total repair benefits.

Study Design

Type

Observational (n=67)

Structured PICO

Do left ventricular strains correlate with aortic elastic properties in adult patients with corrected tetralogy of Fallot compared to healthy controls?

P
Population
67 adults, including 28 with corrected tetralogy of Fallot and 39 matched healthy controls, evaluated for left ventricular deformation abnormalities.
E
Exposure
Assessment of left ventricular deformation and aortic stiffness using three-dimensional (3D) speckle-tracking echocardiography (3DSTE)
C
Comparator
39 matched healthy adults (mean age 35.5±6.0 years, 16 males)
O
Outcome
Left ventricular deformation abnormalities (global LV longitudinal, circumferential, area, and 3D strains) and their correlation with aortic elastic propertiessurrogate

Adults with corrected tetralogy of Fallot exhibit significant left ventricular deformational abnormalities that correlate with aortic stiffness, with early total reconstruction showing better LV strain parameters than early palliation-late correction.

Cite This Study

Rácz et al. (2021) conducted an observational in Corrected tetralogy of Fallot (n=67). Corrected tetralogy of Fallot vs. Healthy adults was evaluated on Left ventricular strains and aortic elastic properties. Corrected tetralogy of Fallot was associated with significantly lower global left ventricular longitudinal, circumferential, and area strains compared to healthy controls.

synapsesocial.com/papers/6a986cb74e6c8dba1244e1cahttps://doi.org/10.21037/cdt-20-366
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