Assessment of ventricular function in adults with repaired Tetralogy of Fallot using myocardial deformation imaging
Abstract
Aims Many patients with repaired Tetralogy of Fallot (ToF) have right ventricular (RV) volume overload due to pulmonary regurgitation (PR). We studied the effect of volume overload on global and regional RV and left ventricular (LV) deformation, and their relationships with conventional diagnostic parameters. Methods and results In this cross-sectional study, 94 prospectively recruited ToF patients (61% male, age 32.8 ± 9.5 years, age at repair 1.9 [0.8-5.7] years, 39% pulmonary homograft) and 85 healthy controls of similar age and sex underwent echocardiography and electrocardiography. In a subset of patients, cardiac magnetic resonance imaging, bicycle ergometry, and NT-proBNP measurement were performed within the same day. With speckle-tracking echocardiography, we analysed peak systolic global longitudinal strain (GLS), segmental longitudinal strain and strain rate of the RV free wall, LV lateral wall, and septum. Patients had a lower RV free wall strain than controls (-18.1 ± 4.5 vs. -26.5 ± 4.5%, P 25% had higher LV GLS and RV free wall strain than patients with PR ≤25% (P = 0.004, P = 0.039, respectively). No relationships were found with NT-proBNP or exercise capacity. Conclusion RV free wall strain and strain rate are decreased in adults late after ToF repair, especially at the apical segment suggesting that apical function is most affected in these RVs. Regarding the LV, septal strain is decreased indicating that RV dysfunction adversely affects LV function, probabl…
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Recent studies have found relevant correlations between impaired clinical status and reduced left ventricular systolic deformation, as measured by speckle-tracking analysis, in patients with repaired TOF.
“Recent studies have discovered relevant correlations between impaired clinical status and reduced left ventricular (LV) systolic deformation, as measured by speckle-tracking analysis, in patients with repaired TOF [19].”
From Multimodality imaging assessment of tetralogy of Fallot: From diagnosis to long-term follow-up (2023) · cites this paper as [19]
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Di Salvo, G., Miller, O., Babu Narayan, S., Li, W., Budts, W., Valsangiacomo Buechel, E. R., Frigiola, A., van den Bosch, A. E., Bonello, B., Mertens, L., et al. (2018) · European Heart Journal - Cardiovascular Imaging · doi:10.1093/ehjci/jey102 · Cited by 110 · see citing works
Self-citationCardiovascular imaging approach in pre and postoperative tetralogy of Fallot
Apostolopoulou, S. C., Manginas, A., Kelekis, N. L., & Noutsias, M. (2019) · BMC Cardiovascular Disorders · doi:10.1186/s12872-018-0996-9 · Cited by 60 · see citing works
Avesani, M., Borrelli, N., Krupickova, S., Sabatino, J., Donne, G. D., Ibrahim, A., Piccinelli, E., Josen, M., Michielon, G., Fraisse, A., et al. (2020) · International Journal of Cardiology · doi:10.1016/j.ijcard.2020.07.026 · Cited by 26 · see citing works
Multimodality imaging assessment of tetralogy of Fallot: From diagnosis to long-term follow-up
Moscatelli, S., Pergola, V., Motta, R., Fortuni, F., Borrelli, N., Sabatino, J., Leo, I., Avesani, M., Montanaro, C., Surkova, E., et al. (2023) · Children · doi:10.3390/children10111747 · Cited by 17 · see citing works
- Authors
- Menting, M. E., van den Bosch, A. E., McGhie, J. S., Eindhoven, J. A., Cuypers, J. A. A. E., Witsenburg, M., Geleijnse, M. L., Helbing, W. A., & Roos-Hesselink, J. W.
- Affiliations
- Erasmus MC (NL)
- ORCID
- Venue
- European Heart Journal – Cardiovascular Imaging
- Publisher
- Oxford University Press (OUP)
- Published
- 2015-07-29
- Volume
- 16
- Issue
- 12
- Pages
- jev090
- ISSN
- 2047-2404 (ISSN-L)
- 2047-2412
- OpenAlex
- W2161973313
- Cited by
- 62
- References
- 0
- Citations by year
- 2025: 3 · 2024: 5 · 2023: 5 · 2022: 5 · 2021: 5 · 2020: 10 · 2019: 7 · 2018: 8 · 2017: 11 · 2016: 3
- FWCI
- 5.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Heart Journal - Cardiovascular Imaging (publishedVersion)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- Funders
- Erasmus MC Thorax Foundation
- Topics
- Health Sciences › Medicine › Epidemiology › Congenital Heart Disease Studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Valve Diseases and Treatments
- Keywords
- repaired tetralogy of Fallot, right ventricular volume overload, pulmonary regurgitation, myocardial deformation, global longitudinal strain, strain rate, right ventricular dysfunction, left ventricular function, interventricular septum, speckle tracking echocardiography
- MeSH terms
- Adult, Cross-Sectional Studies, Echocardiography, Electrocardiography, Exercise Test, Female, Humans, Magnetic Resonance Imaging, Male, Peptide Fragments, Prospective Studies, Tetralogy of Fallot, Biomarkers, Ventricular Dysfunction, Left, Ventricular Dysfunction, Right, Natriuretic Peptide, Brain
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