Table 1.
All Fontan Participants (n=28) | Normal Skeletal Muscle Mass (n=9) | Skeletal Muscle Deficit (n=19) | P Valuea | |
---|---|---|---|---|
Sex (female/male), n/n | 15/13 | 7/2 | 8/11 | 0.11 |
Age, y | 26±7 | 24±7 | 27±6 | 0.33 |
BMI, kg/m2 | 22.4 [20.4–27.3] | 27.2±5.7 | 22.1±3.4 | 0.03 |
BMI Z score | 0.38±1.32 | 1.32±1.28 | −0.06 ±1.11 | 0.007 |
Height, m | 1.67±0.12 | 1.65±0.09 | 1.68±0.12 | 0.55 |
Weight, kg | 62.7 [54.5–72.3] | 68.1 [60.4–91.9] | 60.2 [51.2–71.6] | 0.09 |
BSA, m2 | 1.7±0.2 | 1.8±0.2 | 1.7±0.2 | 0.21 |
Predominant ventricular morphology, n (%) | 1.00b | |||
Left | 16 (57) | 6 (67) | 10 (53) | |
Right | 8 (29) | 2 (22) | 6 (32) | |
Univentricle | 2 (7) | 1 (11) | 1 (5) | |
Indeterminate | 2 (7) | 0 (0) | 2 (11) | |
Type of Fontan, n (%) | 0.23c | |||
Extracardiac | 14 (50) | 4 (44) | 10 (53) | |
Intracardiac | 11 (39) | 3 (33) | 8 (42) | |
Atriopulmonary | 3 (11) | 2 (22) | 1 (5) | |
Fenestration | 9 (32) | 3 (33) | 6 (32) | 1.00 |
Systolic function, n (%) | 1.00d | |||
Normal | 22 (79) | 9 (100) | 13 (68) | |
Mildly impaired | 5 (18) | 0 (0) | 5 (26) | |
Moderately impaired | 1 (4) | 0 (0) | 1 (5) | |
Severely impaired | 0 (0) | 0 (0) | 0 (0) | |
AV valve regurgitation, n (%) | 0.14e | |||
None | 10 (36) | 4 (44) | 6 (32) | |
Mild | 13 (46) | 5 (56) | 8 (42) | |
Moderate | 4 (14) | 0 (0) | 4 (21) | |
Severe | 1 (4) | 0 (0) | 1 (5) | |
Systemic valve regurgitation, n (%) | 1.00f | |||
None | 23 (82) | 9 (100) | 14 (74) | |
Mild | 4 (14) | 0 (0) | 4 (21) | |
Moderate | 1 (4) | 0 (0) | 1 (5) | |
Severe | 0 (0) | 0 (0) | 0 (0) | |
Medications, n (%) | ||||
Antiplatelets | 16 (57) | 6 (67) | 10 (53) | 0.7 |
Warfarin/DOACs | 10 (36) | 3 (33) | 7 (37) | 1.00 |
ACEI/ARB | 6 (21) | 2 (22) | 4 (21) | 1.00 |
β‐Blocker | 2 (7) | 1 (11) | 1 (5) | 1.00 |
Digoxin | 1 (4) | 0 (0) | 1 (5) | 1.00 |
Diuretics | 5 (18) | 3 (33) | 2 (11) | 0.29 |
Antiarrhythmic | 4 (14) | 2 (22) | 2 (11) | 0.57 |
NYHA class, n (%) | 0.65g | |||
Class I | 21 (75) | 6 (67) | 15 (79) | |
Class II | 7 (25) | 3 (33) | 4 (21) | |
Pacemaker | 6 (21) | 2 (22) | 4 (21) | 1.00 |
Data shown are mean±SD or median [interquartile range] except as noted. ARB indicates angiotensin II receptor blocker; ACEI, angiotensin‐converting enzyme inhibitor; AV, atrioventricular; BMI, body mass index; BSA, body surface area; DOAC, direct‐acting anticoagulant; and NYHA, New York Heart Association.
P value for normal skeletal muscle mass compared with skeletal muscle mass deficit groups.
Right ventricle morphology vs left ventricle, univentricular and indeterminate ventricle morphology.
Extra‐ and intracardiac vs atriopulmonary connection.
Normal or mildly impaired systolic function vs moderate or severe systolic function.
No or mild AV valve regurgitation vs moderate or severe AV valve regurgitation.
No or mild systolic valve regurgitation vs moderate and severe systolic valve regurgitation.
NYHA class I vs NYHA class II.