RV adaptation to increased afterload in congenital heart disease and pulmonary hypertension
Mieke M P Driessen,
Tim Leiner,
Gertjan Tj Sieswerda,
Arie P J van Dijk,
Marco C Post,
Mark K Friedberg,
Luc Mertens,
Pieter A Doevendans,
Repke J Snijder,
Erik H Hulzebos and
Folkert J Meijboom
PLOS ONE, 2018, vol. 13, issue 10, 1-17
Abstract:
Background: The various conditions causing a chronic increase of RV pressure greatly differ in the occurrence of RV failure, and in clinical outcome. To get a better understanding of the differences in outcome, RV remodeling, longitudinal function, and transverse function are compared between patients with pulmonary stenosis (PS), those with a systemic RV and those with pulmonary hypertension (PH). Materials and methods: This cross-sectional study prospectively enrolled subjects for cardiac magnetic resonance imaging (CMR), functional echocardiography and cardiopulmonary exercise testing. The study included: controls (n = 37), patients with PS (n = 15), systemic RV (n = 19) and PH (n = 20). Statistical analysis was performed using Analysis of Variance (ANOVA) with posthoc Bonferroni. Results: PS patients had smaller RV volumes with higher RV ejection fraction (61.1±9.6%; p
Date: 2018
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0205196
DOI: 10.1371/journal.pone.0205196
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