Table 2. Main Study Outcomes at Fontan 1 and Fontan 3*.
Characteristic†† | N | Fontan 1 | Fontan 3 | Change | P Value†† |
---|---|---|---|---|---|
Age at enrollment, years | 373 | 11.7 ± 3.4 | 21.2 ± 3.5 | 9.5 | ------ |
Exercise Outcomes | |||||
Percent predicted VO2 at anaerobic threshold | 196 | 80 ± 25 | 72 ± 25 | −7.9 | <0.001 |
Percent predicted maximum VO2 † | 95 | 69 ± 14 | 61 ± 16 | −7.1 | <0.001 |
Percent predicted maximum work rate† | 95 | 69 ± 15 | 56 ± 16 | −13.1 | <0.001 |
Percent predicted maximum oxygen pulse† | 95 | 91 ± 23 | 80 ± 21 | −11.3 | <0.001 |
Chronotropic index‡ | 79 | 0.7 ± 0.1 | 0.7 ± 0.2 | −0.1 | 0.64 |
Oxygen saturation (%) | 267 | 92 ± 5 | 93 ± 5 | 1.1 | 0.23 |
Echo outcomes | |||||
Total echo end diastolic volume z score | 259 | −0.7 ± 1.7 | −0.3 ± 2.2 | 0.4 | <0.001 |
Total echo end systolic volume z score | 259 | 0.2 ± 2.2 | 1.0 ± 3.7 | 0.8 | <0.001 |
Total echo ventricular mass z score | 257 | 0.9 ± 2.0 | 1.0 ± 2.6 | 0.1 | 0.42 |
Total echo stroke volume z score | 259 | −1.1 ± 1.7 | −1.0 ± 1.6 | 0.1 | 0.31 |
Total echo ejection fraction z score | 259 | −1.0 ± 2.0 | −1.5 ± 1.9 | −0.5 | 0.001 |
Total ejection fraction | 259 | 58 ± 11 | 55 ± 10 | −2.5 | <0.001 |
Echo mass:volume ratio z score | 257 | 2.6 ± 3.2 | 2.4 ± 3.0 | −0.2 | 0.45 |
BNP, pg/mL median (IQR) | 340 | 13(7,25) | 18(9,36) | 3.9 | <0.001 |
Log BNP | 340 | 2.6 ± 0.9 | 2.9 ± 1.1 | 0.3 | <0.001 |
Sinus rhythm (%) | 355 | 67 | 70 | 3 | 0.30 |
Paced rhythm (%) | 355 | 7 | 14 | 7 | <0.001 |
Subjects were included if the outcome was measured at both Fontan 1 and 3. Values are mean±SD, %, or median (interquartile range). BNP= B-type natriuretic peptide; VO2=oxygen uptake.
Limited to those subjects with maximal effort at both time points.
Limited to non-paced subjects with maximal effort at both time points.
Paired T-test for means. Wilcoxon signed rank test for BNP. Mcnemar’s test for rhythm.