Key result
Adults with a systemic right ventricle reported a stable quality of life over 3 years, with mean Linear Analog Scale scores of 79.1 at baseline and 79.2 at 3-year follow-up.
Why the study?
Adults with transposition anatomy and a systemic right ventricle face long-term complications affecting quality of life, but few longitudinal data exist.
Cohort (n=100)
Yes
Absolute Event Rate: 79.2% vs 79.1%
p-value: p=0.900
Adults with a systemic right ventricle maintain a stable and good quality of life over 3 years, with exercise capacity and self-efficacy being independent predictors.
Stable QoL in adults with systemic right ventricle is reassuring; leaves open causal roles of exercise capacity and self-efficacy.
Adults with a transposition anatomy and a systemic right ventricle (RV) face long-term complications which may impact on their quality of life (QoL). Few data are available regarding the QoL in this patient group and its evolution over time. This study was performed in the SERVE trial’s (Identifier: NCT03049540) prospective cohort of patients (n= 100) with congenitally corrected transposition of the great arteries (ccTGA) or dextro-transposition of the great arteries (d-TGA) after atrial switch procedure and a longitudinal follow-up of 3 years. We aimed to describe the longitudinal QoL levels and its predictors. QoL was assessed using the Linear Analog Scale (LAS). QoL parameters were collected at baseline, after 12 months and 36 months, together with clinical parameters and a questionnaire assessing general self-efficacy (GSE). The mean QoL on LAS scale was 79.1 ± 13.6 at baseline, 75.5 ± 14.8 at 1 year and 79.2 ± 13.6 at 3-years follow-up (p = 0.900). No significant differences in QoL were observed between ccTGA or d-TGA patients. CPET maximum work rate and maximum oxygen uptake, NYHA class, end-diastolic RV volumes, NT-proBNP concentration, and GSE showed significant correlations with QoL levels. Multivariable regression analysis identified GSE value and NYHA class (r 2 = 0.283, p value <0.001) as independent predictors of QoL at baseline. Patients with a systemic RV reported a stable good QoL during 3 years of follow-up. Exercise capacity and self-efficacy were the only independent predictors of QoL.
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Castiglione et al. (2024) conducted a cohort in Transposition of the great arteries with a systemic right ventricle (n=100). Congenitally corrected TGA or dextro-TGA with systemic right ventricle vs. Baseline was evaluated on Mean Quality of Life on the Linear Analog Scale (p=0.900). Adults with a systemic right ventricle reported a stable quality of life over 3 years, with mean Linear Analog Scale scores of 79.1 at baseline and 79.2 at 3-year follow-up.
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