Evidence map›Paper›PMID 32749250›Full record

ArticleAnatolian journal of cardiology2020

Systemic right ventricle in elderly patients with congenitally corrected transposition of the great arteries: Clinical profile, cardiac biomarkers, and echocardiographic parameters.

Ewa Kowalik, Anna Kwiatek-Wrzosek, Anna Klisiewicz, Anna Lutynska, Elzbieta Katarzyna Biernacka, Miroslaw Kowalski, Piotr Hoffman

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Article in Anatolian journal of cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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2 citing papers in PubMed, 2 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Ewa KowalikDepartment of Congenital Heart Disease, National Institute of Cardiology; Warsaw-Poland.
Anna Kwiatek-WrzosekDepartment of Congenital Heart Disease, National Institute of Cardiology; Warsaw-Poland.
Anna KlisiewiczDepartment of Congenital Heart Disease, National Institute of Cardiology; Warsaw-Poland.
Anna LutynskaDepartment of Medical Biology, National Institute of Cardiology; Warsaw-Poland.
Elzbieta Katarzyna BiernackaDepartment of Congenital Heart Disease, National Institute of Cardiology; Warsaw-Poland.
Miroslaw KowalskiDepartment of Congenital Heart Disease, National Institute of Cardiology; Warsaw-Poland.
Piotr HoffmanDepartment of Congenital Heart Disease, National Institute of Cardiology; Warsaw-Poland.
Institute of Cardiology · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe number of patients with congenitally corrected transposition of the great arteries (ccTGA) surviving to old age is increasing. This study therefore sought to characterize 'geriatric' systemic right ventricle (sRV) in terms of clinical profile, cardiac biomarkers, and echocardiography-derived function when compared with findings in younger patients.

methodsA single-center cross-sectional study of adults with ccTGA was performed. Patients underwent clinical assessment; transthoracic echocardiography; and venous blood sampling including N-terminal pro-B-type natriuretic peptide (NTproBNP), galectin-3, and soluble suppression of tumorgenicity 2 (sST2) measurements. In the echocardiographic study, the sRV function was assessed using fractional area change (FAC), tricuspid annular plane systolic excursion (TAPSE), systolic pulsed-wave Doppler velocity (s'), and longitudinal strain (LS).

resultsTen patients with ccTGA aged 60 years or older and 53 patients younger than 60 years of age were included. There were significantly more individuals with hypertension (40% vs. 5.7%), dyslipidaemia (50% vs. 5.7%), and atrial fibrillation (70% vs. 20.7%) in the older group; similarly, we found higher NTproBNP (2706 pg/mL vs. 784.7 pg/mL; p<0.001), and galectin-3 (10.15 ng/mL vs. 7.24 ng/mL; p=0.007) concentrations in elderly ccTGA individuals, while sST2 content did not vary significantly according to age. Upon echocardiographic assessment, lower sRV FAC (28.6% vs. 36.1%; p=0.028) and LS (-12% vs. -15.5%; p=0.017) values were observed in patients aged 60 years or older. TAPSE and s' did not differ between the age groups.

conclusionCareful screening for acquired comorbidities, particularly atrial fibrillation, in elderly ccTGA patients is warranted. Examining selected cardiac biomarkers and echocardiography-derived parameters are useful in the assessment of the aging sRV.

Indexed as

Congenitally Corrected Transposition of the Great ArteriesAdultAgedAge FactorsBiomarkersCross-Sectional StudiesEchocardiographyFemaleHumansMaleMiddle AgedVentricular Dysfunction, RightBiomarkers

Identifiers

PMID32749250
PMCPMC7460688
OpenAlexW3017127568

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