QRS duration in Fontan circulation in adults: A predictor of aerobic capacity

International Journal of Cardiology

Volumn 132, Issue 3, 2009, Pages 375-381

  Westhoff Bleck, Mechthild ^a   Norozi, Kambiz ^a   Schoof, Stephan ^a   Fuchs, Martin ^a   Tutarel, Oktay ^a   Drexler, Helmut ^a   Wessel, Armin ^a   Meyer, Gerd Peter ^a  

^a HANNOVER MEDICAL SCHOOL   (Germany)

Author keywords

Aerobic capacity; Fontan circulation; Late outcome; QRS duration

Indexed keywords

ADULT; AEROBIC CAPACITY; ARTICLE; BLOOD PRESSURE; CARDIOPULMONARY EXERCISE TEST; CONGENITAL HEART DISEASE; CONTROLLED STUDY; CORRELATION ANALYSIS; FEMALE; FONTAN PROCEDURE; HEART RATE; HEART STROKE VOLUME; HEART VENTRICLE ENDDIASTOLIC PRESSURE; HEART VENTRICLE FUNCTION; HEART VOLUME; HUMAN; INDEPENDENT VARIABLE; MAJOR CLINICAL STUDY; MALE; MULTIPLE REGRESSION; OXYGEN CONSUMPTION; PREDICTION; PREDICTOR VARIABLE; PRIORITY JOURNAL; PROGNOSIS; QRS COMPLEX; UNIVARIATE ANALYSIS;

ADOLESCENT; ADULT; BLOOD PRESSURE; CORONARY CIRCULATION; EXERCISE TEST; FEMALE; FONTAN PROCEDURE; HEART CONDUCTION SYSTEM; HEART RATE; HUMANS; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; OXYGEN CONSUMPTION; POSTOPERATIVE PERIOD; VENTRICULAR FUNCTION; YOUNG ADULT;

EID: 60649095562     PISSN: 01675273     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ijcard.2007.11.086     Document Type: Article

References (36)

1. Harrison D.A., Liu P., Walters J.E., et al. Cardiopulmonary function in adult patients late after Fontan repair. J Am Coll Cardiol 4 (1995) 1016-1021
2. Iserin L, Chua TP, Chambers J, Coats AJ, Sommerville J. Dyspnoea and exercise intolerance during cardiopulmonary exercise testing in patients with univentricular heart. The effects of chronic hypoxemia and Fontan procedure. Eur Heart J 1997;18:1350-6.
3. Durongpisitkul K., Driscoll D.J., Mahoney D.W., Wollan P.C., Mottram C.D., and Danielson G.K. Cardiorespiratory response to exercise after modified Fontan operation: determinants of performance. J Am Coll Cardiol 29 (1997) 785-790
4. Fredrikson P.M., Therrien, Veldtman G., et al. Lung function and aerobic capacity in adult patients following Fontan procedure. Heart 85 (2001) 295-299
5. Ohuchi H., Ohashi H., Takasugi H., Yamada O., Yagihara T., and Echigo S. Restrictive ventilatory impairment and arterial oxygenation characterize rest and exercise ventilation in patients after Fontan operation. Pediatr Cardiol 25 (2004) 513-521
6. Gewellig M.H., Lundstrom U.R., Bull C., Wyse R.K., and Deanfield J.E. Exercise response in patients with congenital heart disease after Fontan repair: patterns and determinants of performance. J Am Coll Cardiol 15 (1990) 1424-1432
7. Shachar G.B., Fuhrman B.P., Wang Y., Lucas R.V., and Lock J.E. Rest and exercise hemodynamics after the Fontan procedure. Circulation 645 (1982) 1043
8. Fogel M.A., Weinberg P.M., Hoydu A., et al. The nature of flow in the systemic venous pathway measured by magnetic resonance blood tagging in patients having Fontan operation. J Thorac Cardiovasc Surg 114 (1997) 1023-1041
9. Gatzoulis M.A., Balaji S., Webber S.A., et al. Risk factors of arrythmia and sudden cardiac death late after repair of tetralogy of Fallot: a multicenter study. Lancet 359 (2000) 975-981
10. Diller G.P., Dimopoulos K., Broberg C.S., et al. Presentation, survival prospects, and predictors of death in Eisenmenger syndrome: a combined retrospective and case-control study. Eur Heart J 27 (2006) 1737-1742
11. Neffke J.G.J., Tulevski I.I., van der Wall E.E., et al. ECG determinants in adult patients with chronic right ventricular pressure overload caused by congenital heart disease: relation with plasma neurohormones and MRI parameters. Heart 88 (2002) 266-270
12. van Huysduynen B.H., van Straten A., Swenne C.A., et al. Reduction of QRS duration after pulmonary valve replacement in adult Fallot patients is related to reduction of right ventricular volume. Eur Heart J 26 (2005) 928-932
13. Bader H., Garrigue S., Lafitte S., et al. Intra-left ventricular electromechanical asynchrony. J Am Cardiac Coll 43 (2004) 248-256
14. Murkofsky R.L., Dnagas G., Diamond J.A., Mehta D., Schaffer A., and Ambrose J.A. A prolonged QRS duration on surface electrocardiogram is a specific marker of left ventricular dysfunction. J Am Coll Cardiol 32 (1998) 476-482
15. Dubin A.M., Janousek J., Rhee E., et al. Resynchronization therapy in pediatric and congenital heart disease patients. J Am Coll Cardiol 46 (2005) 2277-2283
16. Bacha E.A., Zimmerman F.J., Mor-Avi V., et al. Ventricular resynchronisation by multisite pacing improves myocardial performance in the postoperative single-ventricle patient. Ann Thorac Surg 78 (2004) 1678-1683
17. Penny D.J., Rigby M.L., and Redington A.N. Abnormal patterns of intraventricular flow and diastolic filling after the Fontan operation evidence for incoordinate ventricular wall motion. Br Heart J 66 (1991) 375-378
18. Penny D.J., Lincoln C., and Redington A.N. Abnormal systolic atrioventricular flow related to incoordinate motion of the ventricular wall after the Fontan operation. Int J Cardiol 32 (1991) 112-114
19. Akagi T., Benson L.N., Gilday D.L., et al. Ventricular performance before and after Fontan repair for univentricular atrioventricular connection: angiographic and radionuclide assessment. J Am Coll Cardiol 20 (1992) 920-926
20. Ohuchi H., Miyazaki A., Watanabe T., Yamada O., Yagihara T., and Echigo S. Hemodynamic deterioration during simulated supraventricular tachycardia in patients after the Fontan operation. Inter J Cardiol 117 (2007) 381-387
21. Senzaki H., Masutani S., Kobayashi J., et al. Ventricular afterload and ventricular work in Fontan circulation: comparison with normal two ventricle circulation and single ventricle circulation with Blalock-Taussig shunt. Circulation 105 (2002) 2885-2892
22. Fowler M.B., Laser J.A., Hopkins G.L., Minobe W., and Bristow M.R. Assessment of the β-adrenergic receptor pathway in the intact failing human heart: progressive receptor down-regulation and subsensitivity to agonist response. Circulation 74 (1986) 1290-1302
23. Nir A., Driscoll D.J., Mottram C.D., et al. Cardiorespiratory response to exercise after the Fontan operation: a serial study. J Am Coll Cardiol 22 (1993) 216-220
24. Sunagawa K., Sagawa K., and Maughan W.L. Ventricular interaction with the vascular system in terms of pressure-volume relationships. In: Yin F.C.P. (Ed). Ventricular/vascular coupling (1987), Springer-Verlag, New York, NY 42-50
25. Ohuchi H., Yasuda K., Hasegawa S., et al. Influence of ventricular morphology on aerobic exercise capacity in patients after the Fontan operation. J Am Coll Cardiol 37 (2001) 1967-1974
26. Hiramatsu T., Imai Y., Takanashi Y., et al. Hemodynamic effects of human natriuretic peptide after modified Fontan procedure. Ann Thorac Surg 65 (1998) 761-764
27. Fontan F., Kirklin J.W., Fernandez G., et al. Outcome after a "perfect" Fontan operation. Circulation 81 (1990) 1520-1536
28. Mahle W.T., Wernovsky G., Bridges N.D., Linton A.B., and Paridon S.M. Impact of early ventricular unloading on exercise performance in preadolescents with single ventricle Fontan physiology. J Am Coll Cardiol 34 (1999) 1637-1643
29. Graham Jr. T.P. Ventricular performance in congenital heart disease. Circulation 84 (1991) 2259-2274
30. Williams S.G., Ng L.L., O'Brien R.J., et al. Complementary roles of simple variables, NYHA and N-BNP, in indicating aerobic capacity and severity of heart failure. Int J Cardiol 102 (2005) 279-286
31. Ohuchi H., Takasugi H., Ohashi H., et al. Abnormalities of neurohormonal and cardiac autonomic nervous activities relate poorly to functional status in Fontan patients. Circulation 110 (2004) 2601-2608
32. Larsson D.A., Meurling C.J., Holmqvist F., Waktare J.E.P., and Thilen U.J. The diagnostic and prognostic value of brain natriuretic peptides in adults with a systemic morphologically right ventricle or Fontan-type circulation. Inter J Cardiol 114 (2007) 345-351
33. Levin E.R., Gardner D.G., and Samson W.K. Natriuretic peptides. New England J 339 (1998) 321-328
34. Hopkins W.E., Chen Z., Fukagawa N.K., Hall C., Knot H.J., and LeWinter M.M. Increased atrial and brain peptides in adults with cyanotic congenital heart disease. Circulation 109 (2004) 2872-2877
35. Eicken A., Fratz S., Gutfried C., et al. Hearts late after Fontan operation have normal mass, normal volume and reduced systolic function. A magnetic resonance imaging study. JACC 42 (2003) 1061-1065
36. Law Y.M., Ettedgui J., Beerman L., Maisel A., and Tofovic S. Comparison of plasma B-type natriuretic peptide levels in single ventricle patients with systemic ventricle heart failure versus isolated cavopulmonary failure. Am J Cardiol 98 (2006) 520-525