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J Am Coll Cardiol, 2010; 55:1041-1047, doi:10.1016/j.jacc.2010.01.016
© 2010 by the American College of Cardiology Foundation
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Long-Term Pulmonary Regurgitation Following Balloon Valvuloplasty for Pulmonary Stenosis

Risk Factors and Relationship to Exercise Capacity and Ventricular Volume and Function

David M. Harrild, MD, PhD*, Andrew J. Powell, MD, Trang X. Trang, MPH, BS, Tal Geva, MD, James E. Lock, MD, Jonathan Rhodes, MD and Doff B. McElhinney, MD

Departments of Cardiology, Children's Hospital Boston, and Pediatrics, Harvard Medical School, Boston, Massachusetts


Figure 1
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Figure 1 Factors at Catheterization and PR Fraction

(A) Balloon:annulus ratio and (B) ln (age at catheterization) versus pulmonary regurgitation (PR) fraction. PR fraction ≤15% is shaded. In the regression equations, PR% is expressed as a fraction.

 

Figure 2
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Figure 2 Prevalence of RV Dilation

Distribution of right ventricular (RV) end-diastolic volume z-score.

 

Figure 3
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Figure 3 PR Fraction and RV Parameters on CMR Imaging

PR fraction versus (A) RV end diastolic volume (indexed) (RVEDVi) and (B) RV ejection fraction (EF). In the regression equations, PR% is expressed as a fraction. CMR = cardiac magnetic resonance; other abbreviations as in Figures 1 and 2.

 

Figure 4
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Figure 4 PR Fraction and Exercise Parameters

Pulmonary regurgitation (PR) fraction versus percent predicted values of (A) peak oxygen consumption (VO 2) and (B) peak work. Subnormal ranges for exercise parameters, as defined in the text, are shaded.

 




 
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