1. Adolescents and adults with Fontan circulation: insights from the PREpArE-Fontan registry
- Author
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Céline Faure, Alfred Hager, Yuli Y. Kim, Daniel W. Rosenberg, Paul Clift, Lars Søndergaard, Jamil Aboulhosn, Wayne J Franklin, Markus Schwerzmann, Erwan Muros-Le Rouzic, and Yves d'Udekem
- Subjects
Adult ,Endothelin Receptor Antagonists ,Heart Defects, Congenital ,Male ,medicine.medical_specialty ,Adolescent ,Renal function ,610 Medicine & health ,030204 cardiovascular system & hematology ,Fontan Procedure ,univentricular heart ,Fontan circulation ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Interquartile range ,Internal medicine ,medicine ,Humans ,Registries ,cardiovascular diseases ,030212 general & internal medicine ,Aged ,Retrospective Studies ,Macitentan ,Endothelin receptor antagonist ,business.industry ,General Medicine ,Clinical trial ,Cross-Sectional Studies ,Treatment Outcome ,chemistry ,Creatinine ,Fontan physiology ,Pediatrics, Perinatology and Child Health ,Cohort ,cardiovascular system ,Female ,Observational study ,Cardiology and Cardiovascular Medicine ,business ,Congenital heart disease surgery - Abstract
The Patient Registry for Adolescents and Adults with Stable Fontan Circulation aims to describe a contemporary cohort of Fontan patients who could be eligible for a clinical trial investigating macitentan, an endothelin receptor antagonist. This international, non-interventional, multicentre, cross-sectional, observational registry enrolled patients with “stable” Fontan circulation ≥10 years following extra-cardiac conduit or lateral tunnel procedure. Main exclusion criteria were NYHA functional class IV, reoperation of Fontan circulation, or signs of disease worsening. Patient characteristics at enrolment are described; available data were collected during a single registration visit. Of the 266 screened patients, 254 were included in this analysis. At enrolment, median (interquartile range) age was 24 (20;30) years, 37%/63% of patients were from the USA/Europe, 54% were male, 54%/47% had undergone extra-cardiac conduit/lateral tunnel procedures, and 95% were in NYHA functional class I or II. History of arrhythmia was more common in older patients and patients with lateral tunnel; overall prevalence was 19%. Most laboratory values were within the normal range but mean creatinine clearance was abnormally low (87.7 ml/min). Angiotensin-converting enzyme inhibitors were used by 48% of patients and their use was associated with creatinine clearance
- Published
- 2021