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. Author manuscript; available in PMC: 2023 Jan 1.
Published in final edited form as: Am Heart J. 2021 Aug 19;243:43–53. doi: 10.1016/j.ahj.2021.08.003

Table 1.

Primary and Secondary Cardiac Outcomes

Primary Outcomes
 1. Worst-ever LVEF
 2. Worst-ever maximum z-score of the proximal LAD or RCA
Secondary Cardiac Outcomes
 1. Occurrence of a proximal LAD or RCA z-score of ≥2.5 on any echocardiogram
 2. Occurrence of aneurysms by Japanese Ministry of Health criteria
 3. Individual z-scores for the LMCA, RCA, and LAD
 4. Left ventricular size and function: LVEDV z-score, LVEF, LVSF
 5. Percentage of patients who had LVEF <55% on any echocardiogram
  a. LVEF 45–54% (mildly depressed systolic function)
  b. LVEF 35–44% (moderately depressed systolic function)
  c. LVEF <35% (severely depressed systolic function
 6. LV strain
  a. Global longitudinal strain from apical view
  b. Global circumferential strain from parasternal short-axis view
 7. Right ventricular systolic function (qualitative assessment)
  a. If possible, right ventricular global longitudinal strain
 8. Presence and degree of mitral and aortic valve insufficiency
 9. LV diastolic function, i.e., tissue Doppler imaging and mitral valve inflow
 10. Presence and size of pericardial effusion
 11. The occurrence of arrhythmias and conduction system disturbances
 12. Exercise testing (age and maturing permitting) at ~3 months in those who had at least moderate systolic dysfunction
 13. CMR outcomes
  a. LVEF and RVEF
  b. Valvar regurgitation
  c. Percent of participants with
   i. Myocardial late gadolinium enhancement, and its distribution
   ii. Abnormal LV T2-weighted imaging
   iii. Elevated LV T2
   iv. Elevated LV native T1
   v. Elevated LV extracellular volume fraction
   vi. Coronary artery dilation
   vii. Final interpretation of CMR as abnormal, equivocal, or normal

LVEF=Left ventricular ejection fraction; LAD=Left anterior descending; RCA=Right coronary artery; LMCA=Left main coronary artery; LVEDV=Left ventricular end-diastolic volume; LVSF=Left ventricular shortening fraction; CMR=Cardiac magnetic resonance imaging; RVEF=Right ventricular ejection fraction