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01-03-2008 | Original Article

Health-Related Quality of Life and Right Ventricular Function in the Midterm Follow-up Assessment After Tetralogy of Fallot Repair

Authors: C. B. Pilla, C. A. Pereira, A. V. Fin, F. V. Aquino, A. Botta, L. DalleMulle, C. P. Ricachinevsky, A. J. Nogueira, F. A. Lucchese, L. E. Rohde

Published in: Pediatric Cardiology | Issue 2/2008

Abstract

Background

Few data are available on quality of life after surgical repair of tetralogy of Fallot (ToF), and on its relationship to right ventricle function.

Methods

Patients with at least 1 year of follow-up evaluation after surgery were studied. Right ventricle function was evaluated by the Doppler-derived myocardial performance index (MPI), and health-related quality of life (HRQL) was assessed by the Child Health Questionnaire, Parent Form-50. Findings were compared with those for an age- and sex-matched group of healthy children.

Results

The study enrolled 35 successfully repaired ToF patients with 4.9 years (range, 3–7 years) of follow-up evaluation after surgery and 36 healthy children. The MPI demonstrated right ventricle dysfunction in patients compared with controls (0.34; range, 0.26–0.49 vs 0.2; range, 0.13–0.27; p < 0.01), although HRQL for the psychosocial domain was similar between patients and healthy children (summary score, 47.9; range, 45–52 vs 47.5; range, 44.5–50; p = 0.17). A trend for poorer physical area results was observed in patients (summary score, 44; range, 31–52 vs 48.5; range, 45.7–51.7; p = 0.06). Neither physical nor psychosocial summary scores for HRQL had any correlation with right ventricle MPI.

Conclusions

Right ventricle dysfunction is present in postoperative ToF patients. The psychosocial domain of HRQL is preserved after surgery. A trend for worse results was observed in the physical domain. The right ventricle function is not related to quality of life after surgical repair of ToF.

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Title: Health-Related Quality of Life and Right Ventricular Function in the Midterm Follow-up Assessment After Tetralogy of Fallot Repair
Authors: C. B. Pilla
C. A. Pereira
A. V. Fin
F. V. Aquino
A. Botta
L. DalleMulle
C. P. Ricachinevsky
A. J. Nogueira
F. A. Lucchese
L. E. Rohde
Publication date: 01-03-2008
Publisher: Springer-Verlag
Published in: Pediatric Cardiology / Issue 2/2008
Print ISSN: 0172-0643
Electronic ISSN: 1432-1971
DOI: https://doi.org/10.1007/s00246-007-9145-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Health-Related Quality of Life and Right Ventricular Function in the Midterm Follow-up Assessment After Tetralogy of Fallot Repair

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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