Table 4.
Univariable Predictors of the Need for PVR (N=119/292 Patients) During Follow‐Up
Parameter | HR | 95% CI | P value |
---|---|---|---|
Diagnosis (TOF/PA vs TOF) | 0.75 | 0.40–1.39 | 0.36 |
Age at CMR (y) | 0.98 | 0.96–1.01 | 0.17 |
Age at corrective surgery (y) | 0.96 | 0.91–1.02 | 0.16 |
Type of repair (TAP vs no TAP) | 0.61 | 0.41–0.89 | 0.01* |
Time from repair (y) | 0.99 | 0.96–1.02 | 0.40 |
Initial palliation (yes/no) | 1.58 | 1.03–2.43 | 0.04* |
Previous PVR (yes/no) | 1.09 | 0.72–1.66 | 0.69 |
NYHA class >I (yes/no) | 1.74 | 1.20–2.51 | 0.003* |
QRS (ms) | 1.01 | 1.00–1.02 | 0.01* |
Peak VO2 at VAT, mL/min per kg | 0.98 | 0.96–1.01 | 0.18 |
Peak VO2, mL/min per kg | 0.98 | 0.96–1.00 | 0.08 |
Peak heart rate (/min) | 0.99 | 0.98–1.00 | 0.02* |
RVOT gradient, mm Hg | 1.02 | 1.01–1.03 | 0.002* |
Tricuspid valve regurgitation>moderate (yes/no) | 1.31 | 0.70–2.46 | 0.41 |
RVEDVi, mL/m2 | 1.01 | 1.00–1.03 | <0.001* |
RVESVi, mL/m2 | 1.03 | 1.02–1.03 | <0.001* |
RVSVI, mL/m2 | 1.02 | 1.01–1.04 | <0.001* |
RVEF, % | 0.96 | 0.95–0.98 | <0.001* |
PR, % | 1.04 | 1.03–1.05 | <0.001* |
RV mass, g/m2 | 1.02 | 1.01–1.04 | <0.001* |
RV mass/volume ratio | 0.46 | 0.08–2.79 | 0.40 |
LVEDVi, mL/m2 | 1.00 | 0.99–1.01 | 0.86 |
LVESVi, mL/m2 | 1.01 | 1.00–1.02 | 0.09 |
LVSVI, mL/m2 | 0.98 | 0.96–1.00 | 0.06 |
LVEF, % | 0.98 | 0.96–1.00 | 0.02* |
LV mass, g/m2 | 1.00 | 0.98–1.01 | 0.68 |
LV mass/volume ratio | 0.70 | 0.22–2.17 | 0.53 |
CMR indicates cardiovascular magnetic resonance; HR, hazard ratio; LV, left ventricular; LVEDVi, indexed left ventricular end‐diastolic volume; LVEF, LV ejection fraction; LVESVi, indexed left ventricular end‐systolic volume; LVSVi, indexed left ventricular stroke volume; NYHA, New York Heart Association; PA, pulmonary atresia; PR, pulmonary regurgitation; PVR, pulmonary valve replacement; RV, right ventricular; RVEDVi, indexed right ventricular end‐diastolic volume; RVESVi, indexed right ventricular end‐systolic volume; RVSVi, indexed right ventricular stroke volume; RVEF, RV ejection fraction; RVOT, RV outflow tract; TAP, transannular patch; TOF, tetralogy of Fallot; VAT, ventilator anaerobic threshold; and VO2, oxygen uptake.
indicates statistical significance (P<0.05).