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. 2018 Jul 3;5(1):e000812. doi: 10.1136/openhrt-2018-000812

Table 2.

Late outcome and variables of cardiopulmonary exercise testing at baseline

Author/study Number of deaths/transplantations Morbidity type reported HRR Peak heart rate Peak VO2 (mL/kg/min) Peak VO2
Per cent of predicted
VE/VCO2 RER
Diller et al 22 22 deaths
6 transplantations
41% hospitalisation
(heart failure, arrhythmia and complications characteristic of the Fontan circulation).
63±25 146±28 22.8±7.4 51.7±15.4
Fernandes et al 23 16 deaths 37% combined end point
(mortality or a new morbidity: hospitalisation, CHF, thrombosis and protein-losing enteropathy).
21.2±6.2 57.1±14.1 >1.05
Ohuchi et al 24 24 deaths 19% hospitalisations
(arrhythmias, heart failure, hemostatic complications, catheterisation and/or surgical intervention and sudden death).
56±24 145±25 27.1±7.4 61±15 40±7.7 1.12±0.07
Nathan et al 26 21 deaths
3 transplantations
26% combined outcome
(death, transplantation, hospitalisation for cardiac or Fontan-related events).
74.7±14
% of predicted
23.5±6.9 59.7±14.3 36.8±6.9 1.13
±0.11
Egbe et al 25 22 deaths
45 cardiac surgery
(1 transplantation)
135±31 22.7±5.4 63±11 3 5±4 >1.10
Atz et al 27 31 deaths
23 transplantations
Additional cardiac surgery (32%), catheter intervention (62%), arrhythmia treatment (32%), thrombosis (12%) and protein-losing enteropathy (8%).* 61±16 >1.10
Cunningham et al 28 13 deaths
2 transplantations
24% combined outcome
(death, transplantation or non-elective hospitalisation for heart failure).
38% combined outcome
(death, transplantation or hospitalisation for any cardiovascular or Fontan-related cause).
79.3±13.0
% of predicted
22.0±5.7 60.9±13.7 33.0±6.7 1.20

*Cumulative complications since the Fontan procedure.

HHR, heart rate reserve; RER, respiratory exchange ratio; VO2, oxygen uptake; VE/VCO2, minute ventilation/carbon dioxide production; CHF, congestive heart failure.