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. 2016 Sep 23;5(9):e003887. doi: 10.1161/JAHA.116.003887

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© 2016 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.

This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

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Diastolic wall strain (DWS) is lower in Fontan (FON) than control (CON) patients even at similar levels of ejection fraction (EF). The relationship between EF and DWS in Fontan and control patients and the results of multivariable linear regression analysis comparing DWS between groups while adjusting for the covariate (EF) are shown. DWS is lower (greater myocardial stiffness) in Fontan patients, even adjusting for EF. This figure demonstrates that over a range of overlapping EF, DWS was still lower in Fontan than control patients.