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    ARTICLE

    Right ventricular contractile reserve in tetralogy of Fallot patients with pulmonary regurgitation

    Clotilde Kingsley1, Saad Ahmad2, John Pappachan1, Sujata Khambekar1, Thomas Smith1, Diane Gardiner1, James Shambrook1, Shankar Baskar3, Ryan Moore3, Gruschen Veldtman3

    Congenital Heart Disease, Vol.13, No.2, pp. 288-294, 2018, DOI:10.1111/chd.12569

    Abstract Background: The right ventricular (RV) contractile reserve is a measure of the dynamic function of the RV and is a sensitive indicator of volume load. This can be measured noninvasively using the tricuspid annular plane systolic excursion (TAPSE) during exercise. We studied the RV contractile reserve of patients after tetralogy of Fallot (TOF) repair with varying degree of RV dilation and pulmonary regurgitation (PR), and compared them to a control group.
    Methods: Twenty-six patients who had undergone TOF repair (mean age 29 ± 10 years) were identified and stratified into three group based on the presence and severity of RV… More >

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