Factors associated with exercise capacity in patients with a systemic right ventricle.


Journal

International journal of cardiology
ISSN: 1874-1754
Titre abrégé: Int J Cardiol
Pays: Netherlands
ID NLM: 8200291

Informations de publication

Date de publication:
01 10 2019
Historique:
received: 16 03 2019
revised: 21 05 2019
accepted: 12 06 2019
pubmed: 2 7 2019
medline: 13 6 2020
entrez: 2 7 2019
Statut: ppublish

Résumé

Systemic right ventricle (RV) is a rare and complex congenital heart disease (CHD). Patients with a systemic RV present with a significant decrease of their exercise capacity. We aimed at identifying clinical and paraclinical factors associated with maximum oxygen uptake (VO2 This multicentre cross-sectional study was performed in 2017 in three French tertiary care CHD centres. Adult patients with a D-transposition of the great artery (d-TGA) or a congenitally corrected TGA (cc-TGA) were included. Demographic, clinical, laboratory and imaging data were collected. Univariate and multivariate analyses were performed to identify predictors of impaired VO2 A total of 111 patients were included in the study (85% d-TGA, median age 37.2 ± 8.2 years). Most patients presented with impaired physical capacity (mean VO2 NYHA functional class and RV function are predictors of impaired exercise capacity in adult patients with systemic RV.

Sections du résumé

BACKGROUND
Systemic right ventricle (RV) is a rare and complex congenital heart disease (CHD). Patients with a systemic RV present with a significant decrease of their exercise capacity. We aimed at identifying clinical and paraclinical factors associated with maximum oxygen uptake (VO2
METHODS
This multicentre cross-sectional study was performed in 2017 in three French tertiary care CHD centres. Adult patients with a D-transposition of the great artery (d-TGA) or a congenitally corrected TGA (cc-TGA) were included. Demographic, clinical, laboratory and imaging data were collected. Univariate and multivariate analyses were performed to identify predictors of impaired VO2
RESULTS
A total of 111 patients were included in the study (85% d-TGA, median age 37.2 ± 8.2 years). Most patients presented with impaired physical capacity (mean VO2
CONCLUSION
NYHA functional class and RV function are predictors of impaired exercise capacity in adult patients with systemic RV.

Identifiants

pubmed: 31256996
pii: S0167-5273(19)31187-8
doi: 10.1016/j.ijcard.2019.06.030
pii:
doi:

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

230-235

Informations de copyright

Copyright © 2019 Elsevier B.V. All rights reserved.

Auteurs

Arthur Gavotto (A)

Paediatric and Congenital Cardiology Department, M3C Regional Reference Centre, Montpellier University Hospital, Montpellier, France.

Hamouda Abassi (H)

Paediatric and Congenital Cardiology Department, M3C Regional Reference Centre, Montpellier University Hospital, Montpellier, France; Center for Studies and Research on Health Services and Quality of Life, EA3279, Public Health Department, Aix-Marseille University, Marseille, France.

Matthieu Rola (M)

Paediatric and Congenital Cardiology Department, M3C Regional Reference Centre, Montpellier University Hospital, Montpellier, France.

Chris Serrand (C)

Department of Epidemiology and Biostatistics, Montpellier University Hospital, Montpellier, France.

Marie-Christine Picot (MC)

Department of Epidemiology and Biostatistics, Montpellier University Hospital, Montpellier, France.

Xavier Iriart (X)

Paediatric and Adult Congenital Heart Disease Department, M3C National Reference Centre, Cardiology Hospital of Haut-Leveque, Bordeaux University Hospital, Bordeaux, Pessac, France.

Jean-Benoit Thambo (JB)

Paediatric and Adult Congenital Heart Disease Department, M3C National Reference Centre, Cardiology Hospital of Haut-Leveque, Bordeaux University Hospital, Bordeaux, Pessac, France.

Laurence Iserin (L)

Adult Congenital Heart Disease Department, M3C National Reference Centre, APHP, Georges Pompidou European Hospital, Paris, France.

Magalie Ladouceur (M)

Adult Congenital Heart Disease Department, M3C National Reference Centre, APHP, Georges Pompidou European Hospital, Paris, France.

Charlene Bredy (C)

Paediatric and Congenital Cardiology Department, M3C Regional Reference Centre, Montpellier University Hospital, Montpellier, France.

Pascal Amedro (P)

Paediatric and Congenital Cardiology Department, M3C Regional Reference Centre, Montpellier University Hospital, Montpellier, France; PhyMedExp, CNRS, INSERM, University of Montpellier, Montpellier, France. Electronic address: p-amedro@chu-montpellier.fr.

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