From: Myocardial disease and ventricular arrhythmia in Marfan syndrome: a prospective study
Ā | Control subjects | Patients with Marfan syndrome | p value | p value | |
---|---|---|---|---|---|
Nā=ā40 | No surgery | Surgery | Control versus MFS-1 | MFS-1 versus MFS-2 | |
No valvular disease | Valvular disease | ||||
Nā=ā55 (MFS-1) | Nā=ā31 (MFS-2) | ||||
Female (%) | 22 (55) | 31 (56.4) | 17 (54.8) | 0.895 | 0.891 |
Age (%) | 37.9āĀ±ā14.4 | 35.1āĀ±ā14.7 | 38.5āĀ±ā13.7 | 0.370 | 0.295 |
Height (cm) | 173āĀ±ā10 | 183.2āĀ±ā11 | 183.9āĀ±ā9.5 | ā<ā0.001 | 0.771 |
Weight (kg) | 68.3āĀ±ā9.2 | 74.2āĀ±ā17.9 | 74.1āĀ±ā18.3 | 0.041 | 0.987 |
BSA (m2) | 1.8āĀ±ā0.1 | 1.9āĀ±ā0.2 | 1.9āĀ±ā0.2 | 0.001 | 0.923 |
SBP (mmHg) | 121.1āĀ±ā12.7 | 121āĀ±ā12.6 | 127.3āĀ±ā15.9 | 0.899 | 0.049 |
DBP (mmHg) | 73.7āĀ±ā9.6 | 71.6āĀ±ā70 | 67āĀ±ā10.1 | 0.361 | 0.067 |
BB Use (%)a | 0 (0) | 32 (58.2) | 25 (80.6) | n.a | 0.034 |
Ao sinus (mm) | 30.5āĀ±ā2.9 | 39.8āĀ±ā5.1 | 41.1āĀ±ā6.6b | ā<ā0.001 | 0.498 |
z-score sinus | āāā0.8āĀ±ā0.7 | 2.5āĀ±ā1.4 | 3.3āĀ±ā1.1b | ā<ā0.001 | 0.094 |
LVEDDi (mm/m2) | 24.7āĀ±ā2.4 | 24.8āĀ±ā3.4 | 26.7āĀ±ā3.5 | 0.795 | 0.020 |
LVEDDiāā„ā30Ā mm/m2 (%) | 0 (0) | 5 (9.1) | 4 (12.9) | 0.050 | 0.717 |
iLVM | 86.9āĀ±ā20.2 | 81āĀ±ā34.7 | 86.2āĀ±ā23.04 | 0.331 | 0.486 |
LVEF (%) | 68.3āĀ±ā7.2 | 66āĀ±ā7.2 | 62.5āĀ±ā7.6 | 0.131 | 0.034 |
LVEFā<ā55% | 0 (0) | 2 (3.6) | 5 (16.1) | 0.507 | 0.093 |
mw-FS (%) | 21āĀ±ā7 | 21āĀ±ā5 | 16āĀ±ā6 | 0.778 | 0.004 |
RWT | 0.45 (0.40ā0.50) | 0.37 (0.32ā0.45) | 0.33 (0.29ā0.40) | ā<ā0.001 | 0.060 |
E/A | 1.5 (1.2ā2) | 1.6 (1.3ā2) | 1.6 (1.2ā2.1) | 0.351 | 0.975 |
E/Eā | 6.4 (5.1ā7.6) | 7.8 (6.6ā9.3) | 8.6 (7ā12.8) | ā<ā0.001 | 0.051 |
LAVi (ml/m2) | 21.2āĀ±ā5.5 | 21.4āĀ±ā1.3 | 26.4āĀ±ā11.3 | 0.945 | 0.038 |
MVP (%)c | 1 (2.5) | 8 (14.5) | 8 (26.7) | 0.045 | 0.185 |
TAPSE (mm) | 24.5āĀ±ā2.8 | 22.1āĀ±ā4.3 | 19.5āĀ±ā3.8 | 0.003 | 0.010 |
TAPSEāā¤ā16Ā mm (%) | 0 (0) | 3 (6.4) | 6 (20.7) | 0.250 | 0.077 |
NT-ProBNP (pg/ml) | 30 (19ā44.5) | 53.5 (30ā74.2) | 129 (82ā235.2) | 0.001 | ā<ā0.001 |
Min HR (bpm) | 50.5 (44ā55.5) | 45 (41.5ā49) | 48 (44ā55) | 0.004 | 0.026 |
Average HR (bpm) | 74.2āĀ±ā8.3 | 64 (56.5ā71.5) | 67 (58.5ā73) | ā<ā0.001 | 0.205 |
QRS width (ms) | 80 (80ā90) | 96 (86ā104) | 98 (86ā106) | ā<ā0.001 | 0.639 |
QTc (ms) | 380.2āĀ±ā24.5 | 414 (388ā433.5) | 426 (407ā445) | ā<ā0.001 | 0.028 |
QTcā>ā460Ā ms (%) | 0 (0) | 0 (0) | 4 (12.9) | n.a | n.a |
SVES/24Ā h | 2 (0.25ā4.7) | 7 (2ā37.5) | 17 (1ā56) | ā<ā0.001 | 0.560 |
Atrial runs (%) | 2 (5) | 14 (26.4) | 12 (41.4) | 0.015 | 0.318 |
VES/24Ā h | 0 (0ā5.7) | 6 (1ā69.5) | 14 (1.5ā373.5) | ā<ā0.001 | 0.312 |
VE (%) | 5 (12.5) | 14 (26.4) | 13 (41.9) | 0.099 | 0.090 |
Vent couplets (%) | 2 (5) | 9 (17) | 8 (25.8) | 0.077 | 0.270 |
NSVT (%) | 0 (0) | 5 (9.1) | 5 (17.2) | 0.050 | 0.273 |
SDNN (ms) | 147 (116ā185.2) | 185 (156.2ā219.2) | 132 (95.4ā191) | 0.001 | 0.003 |
RMSDD (ms) | 53 (36.2ā84) | 82.5 (66.2ā82.5) | 59.3 (42.7ā112) | ā<ā0.001 | 0.040 |