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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
1983-6-23
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pubmed:abstractText |
To evaluate ventricular function late after atrial repair of transposition of the great arteries (TGA), 26 asymptomatic patients had rest and exercise radionuclide ventriculography performed a mean of 9 years (range 5 to 15) after undergoing the Mustard operation. The mean resting right (systemic) ventricular (RV) ejection fraction (EF) was 0.50 +/- 0.10 (+/- 1 standard deviation); the RVEF was less than 0.45 in 8 patients. With exercise the RVEF increased in 9 patients and either failed to increase or decreased in 15 (including all 8 patients with resting values less than 0.45). The weight-adjusted work load performed was a first predictor of RV exercise response (sensitivity 87%, specificity 92%); patients whose RVEF increased did more work. The mean resting left (pulmonary) ventricular (LV) EF was 0.58 +/- 0.09; the LVEF was less than 0.50 in 3 patients. With exercise the LVEF increased in 14 patients and did not increase in 10 (including all 3 with resting values less than 0.50). The presence of complex ventricular arrhythmia documented on Holter monitoring was a first predictor of failure of the LVEF to increase with exercise (sensitivity 84%, specificity 71%). The patient's age, operative age, postoperative interval, residual arterial desaturation, preoperative large ventricular septal defect or pulmonary stenosis, postoperative pulmonary stenosis or superior vena caval obstruction, or performance of a second open-heart procedure was predictive of the rest or exercise EF of either ventricle.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0002-9149
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
15
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pubmed:volume |
51
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
1520-6
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pubmed:dateRevised |
2008-11-21
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pubmed:meshHeading |
pubmed-meshheading:6846187-Adolescent,
pubmed-meshheading:6846187-Adult,
pubmed-meshheading:6846187-Cardiac Output,
pubmed-meshheading:6846187-Child,
pubmed-meshheading:6846187-Female,
pubmed-meshheading:6846187-Heart,
pubmed-meshheading:6846187-Heart Function Tests,
pubmed-meshheading:6846187-Heart Rate,
pubmed-meshheading:6846187-Humans,
pubmed-meshheading:6846187-Male,
pubmed-meshheading:6846187-Monitoring, Physiologic,
pubmed-meshheading:6846187-Physical Exertion,
pubmed-meshheading:6846187-Stroke Volume,
pubmed-meshheading:6846187-Transposition of Great Vessels
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pubmed:year |
1983
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pubmed:articleTitle |
Rest and exercise right and left ventricular function late after the Mustard operation: assessment by radionuclide ventriculography.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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