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Table 5 Univariate and multivariable linear regression analysis for determinants of RV dysfunction, RV dilation, and exercise capacity in healthy controls and repaired tetralogy of Fallot (rTOF)

From: Ventricular flow analysis and its association with exertional capacity in repaired tetralogy of Fallot: 4D flow cardiovascular magnetic resonance study

 

Univariate analysis

Stepwise multivariable analysis

Coefficient (95% CI)

P value

Coefficient (95% CI)

P value

Determinants of RVEF

 RV direct flow, %

0.574 (0.448, 0.700)

 < 0.001

0.574 (0.448, 0.700)

 < 0.0001

 RV retained inflow, %

− 0.086 (− 0.476, 0.303)

0.661

–

 

 RV delayed ejection flow, %

− 0.077 (− 0.377, 0.222)

0.610

–

 

 RV residual volume, %

− 0.549 (− 0.681, − 0.416)

 < 0.001

–

 

 RV peak systolic KEiEDV, µJ/ml

0.030 (− 0.102, 0.161)

0.655

–

 

 RV average systolic KEiEDV, µJ/ml

− 0.005 (− 0.229, 0.218)

0.963

–

 

 RV peak E-wave KEiEDV, µJ/ml

− 0.091 (− 0.194, 0.012)

0.083

–

 

 KE discordance

− 2.111 (− 4.285, 0.062)

0.057

–

 

 R-squared, multivariable

   

0.396

Determinants of RV remodelling index (RVEDV/LVEDV ratio)

 RVEF, %

− 0.025 (− 0.035, − 0.016)

 < 0.001

–

 

 RV direct flow, %

− 0.033 (− 0.041, − 0.025)

 < 0.0001

− 0.025 (− 0.032, − 0.017)

 < 0.001

 RV retained inflow, %

− 0.005 (− 0.029, 0.019)

0.664

–

 

 RV delayed ejection flow, %

0.010 (− 0.009, 0.028)

0.304

–

 

 RV residual volume, %

0.031 (0.023, 0.040)

 < 0.001

–

 

 RV peak systolic KEiEDV, µJ/ml

0.004 (− 0.004, 0.012)

0.310

–

 

 RV average systolic KEiEDV, µJ/ml

0.013 (− 0.001, 0.026)

0.071

–

 

 RV peak E-wave KEiEDV, µJ/ml

0.021 (0.015, 0.026)

 < 0.001

0.015 (0.010, 0.020)

 < 0.001

 KE discordance

0.122 (− 0.012, 0.256)

0.075

–

 

 R-squared, multivariable

   

0.492

Determinants of exercise capacity (% predicted peak VO2)*

 RVEF, %

0.386 (− 0.341, 1.113)

0.295

–

 

RV direct flow, %

0.626 (0.048, 1.203)

0.034

0.626 (0.048, 1.203)

0.034

 RV retained inflow, %

− 0.919 (− 2.321, 0.484)

0.197

–

 

 RV delayed ejection flow, %

− 0.361 (− 1.448, 0.726)

0.512

–

 

 RV residual volume, %

− 0.431 (− 1.608, 0.207)

0.183

–

 

 RV peak systolic KEiEDV, µJ/ml

− 0.185 (− 0.651, 0.280)

0.431

–

 

 RV average systolic KEiEDV, µJ/ml

− 0.398 (− 1.219, 0.423)

0.338

–

 

 RV peak E-wave KEiEDV, µJ/ml

− 0.362 (− 0.702, − 0.022)

0.037

–

 

 KE discordance

− 4.138 (− 13.049, 4.773)

0.359

–

 

 LV direct flow, %

0.331 (− 0.375, 0.036)

0.354

–

 

 LV retained inflow, %

− 0.631 (− 1.626, 0.363)

0.210

–

 

 LV delayed ejection flow, %

− 0.399 (− 1.463, 0.666)

0.459

–

 

 LV residual volume, %

0.184 (− 0.541, 0.908)

0.616

–

 

 R-squared, multivariable

   

0.046

  1. CI confidence interval, EDV end-diastolic volume, KE kinetic energy, KE discordance RV/LV systolic KEiEDV, KEiEDV kinetic energy normalized to EDV, LV left ventricle, LVEDV left ventricular end-diastolic volume, RV right ventricle, RVEDV right ventricular end-diastolic volume, RVEF right ventricular ejection fraction, VO2 oxygen uptake
  2. *Only for 49 adult rTOF and 49 adult healthy controls