From: Ventricular dyssynchrony late after the Fontan operation is associated with decreased survival
 | All Fontan patients (N = 503) | Comparison group LV (N = 42) | Fontan subgroups | p-value | ||||||
---|---|---|---|---|---|---|---|---|---|---|
LV (N = 157) | RV (N = 190) | Mixed (N = 156) | All Fontan vs. comparison group LV | LV vs. comparison group LV | LV vs. RV | RV vs. comparison group LV | Mixed vs. comparison group LV | |||
Baseline characteristics | ||||||||||
 Age at CMR, y | 15.2 (10.3, 21.3) | 15.7 (11.0, 19.7) | 16.6 (12.6, 23.8) | 14.2 (10.0, 18.8) | 14.8 (9.6, 21.7) | 0.923 | 0.107 | < 0.001* | 0.290 | 0.942 |
 Sex, male | 302 (60%) | 18 (43%) | 93 (60%) | 123 (65%) | 86 (55%) | 0.030* | 0.049* | 0.366 | 0.010* | 0.160 |
 BSA, m2 | 1.5 (1.1, 1.8) | 1.6 (1.3, 1.8) | 1.6 (1.2, 1.8) | 1.4 (1.0, 1.7) | 1.5 (1.0, 1.8) | 0.044* | 0.4436 | 0.0021* | 0.009* | 0.0397* |
 SBP, mmHg | 113(101,123) | 117 (106, , 124) | 114 (104, 123) | 113 (102, 126) | 111 (96, 122) | 0.239 | 0.575 | 0.722 | 0.396 | 0.059 |
 SBP, z-score | 0.26 (− 0.62, 1.11) | 0.50 (− 0.26, 1.20) | 0.42 (− 0.56, 1.09) | 0.44 (− 0.37, 1.37) | 0.05 (− 0.90, 0.87) | 0.287 | 0.016* | 0.412 | 0.617 | 0.016* |
 Heart rate, bpm | 82 (70, 93) | 80 (68, 89) | 78 (67, 89) | 85 (73, 95) | 82 (69, 93) | 0.628 | 0.518 | 0.001* | 0.171 | 0.6528 |
%MHR | 41(36, 47) | 40 (34, 46) | 40 (35, 45) | 43 (37, 48) | 41(36, 47) | 0.513 | 0.797 | 0.006* | 0.174 | 0.564 |
 QRS interval, ms | 100 (90, 116) | 84 (78, 92) | 100 (90, 112) | 106 (92, 120) | 100 (88, 112) | < 0.001* | < 0.001* | 0.002* | < 0.001* | < 0.001 |
Conventional CMR variables | ||||||||||
 EDVi, mL/BSA (N = 467) | 107 (92, 134) | 82 (73, 93) | 94 (79, 115) | 115 (99, 142) | 111 (95, 143) | < 0.001* | < 0.001* | < 0.001* | < 0.001* | < 0.001* |
 ESVi, mL/BSA (N = 467) | 50 (39, 68) | 32 (27, 38) | 43 (32, 54) | 56 (46, 75) | 52 (39, 68) | < 0.001* | < 0.001* | < 0.001* | < 0.001* | < 0.001* |
 Massi, grams/BSA (N = 449) | 55 (46, 70) | 48 (42, 54) | 53 (46, 66) | 56 (45, 70) | 57 (47, 74) | < 0.001* | 0.001* | 0.839 | 0.001* | < 0.001* |
 EF % (N = 467) | 54 (47, 58) | 60 (56, 66) | 55 (50, 60) | 51 (45, 56) | 54 (46, 60) | < 0.001* | < 0.001* | < 0.001* | < 0.001* | < 0.001* |
 Indexed stroke volume (N = 467) | 57 (48, 66) | 51 (44, 55) | 51 (44, 59) | 58 (52, 67) | 61 (50, 72) | 0.003* | 0.502* | < 0.001* | < 0.001* | < 0.001* |
 Aortic flow, L/min (N = 359) | 3.0 (2.5, 3.6) | 3.6 (3.2, 3.8) | 3.0 (2.4, 3.5) | 3.2 (2.7, 3.9) | 2.9 (2.4, 3.5) | 0.002* | 0.001* | 0.014* | 0.055 | 0.004* |
 GCS, % (N = 503) | − 14.6 (− 16.8, − 12.2) | − 17.9 (− 19.7, − 17.0) | − 16.6 (− 18.5, − 14.3) | − 13.6 (− 15.6, − 11.2) | − 14.0 (− 16.3, − 12.0) | < 0.001* | 0.001* | < 0.001* | < 0.001* | < 0.001* |
 GRS, % (N = 503) | 22.2 (17.66, 27.28) | 29.40 (27.29, 33.63) | 26.18 (21.71, 31.34) | 19.78 (15.56, 24.57) | 21.20 (17.28, 26.31) | < 0.001* | 0.002* | < 0.001* | < 0.001* | < 0.001* |