{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T14:06:19Z","timestamp":1756994779435},"reference-count":13,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2009,2,4]],"date-time":"2009-02-04T00:00:00Z","timestamp":1233705600000},"content-version":"vor","delay-in-days":7461,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[1988,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>To determine the long\u2010term functional impact of the Blalock\u2010Taussig (BT) shunt, we studied handgrip strength in 56 patients (10\u201328 years) following total repair of tetralogy of Fallot. Of the 56, 16 (29%) had a previous right BT shunt, 5 of 56 (9%) had a previous left BT shunt, and the remaining 35 patients either had a Potts shunt or primary total repair. The mean age at the time of right BT was 2.8 \u00b11.6 (SD) years, left BT 1.7\u00b11.2 years, and total repair for all patients was 7.1 \u00b12.2 years. Mean age at the time of study was 26\u00b19 years. Right\u2010and left\u2010handgrip strength were measured with a Jamar dynamometer, averaging the results of grip position 2,3, and 4 to accomodate variation in hand size. Since absolute values of hand strength were strongly associated with sex (p=0.006) and body surface area (p=0.016), we calculated the ratio of right\u2010hand to left\u2010handgrip strength (RL ratio). The RL ratios were: 0.98\u00b10.13 (right BT), 1.21 \u00b10.11 (left BT), and 1.13\u00b10.16 (no BT): (p=0.004 right BT vs. no BT, p=0.07 left BT vs. no BT, Wilcoxon rank sum test). Thus, although frequently clinically inapparent, handgrip strength tested many years post\u2010BT shunt is reduced on the side of the shunt.<\/jats:p>","DOI":"10.1002\/clc.4960110907","type":"journal-article","created":{"date-parts":[[2009,2,4]],"date-time":"2009-02-04T23:43:41Z","timestamp":1233791021000},"page":"627-629","source":"Crossref","is-referenced-by-count":11,"title":["Handgrip strength afterthe blalock\u2010taussig shunt: 14 to 34 year follow\u2010up"],"prefix":"10.1002","volume":"11","author":[{"given":"K. G.","family":"Zahka","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T. A.","family":"Manolio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. J. F.","family":"Rykiel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. L.","family":"Abel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. A.","family":"Neill","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Kidd","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,2,4]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197207062870108"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-194403000-00013"},{"key":"e_1_2_1_4_2","first-page":"243","article-title":"Long\u2010time observations on the Blalock\u2010Taussig operation. I. Results of first operation","volume":"129","author":"Taussig HB","year":"1971","journal-title":"Johns Hopkins Med J"},{"key":"e_1_2_1_5_2","first-page":"1","article-title":"Late results of the subclavian flap procedure in infants with coarctation of the thoracic aorta","volume":"58","author":"Pierce WS","year":"1978","journal-title":"Circulation"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(65)80370-5"},{"key":"e_1_2_1_7_2","first-page":"131","article-title":"Changes in muscle blood flow and development of the arm following the Blalock\u2010Taussig anastomosis","volume":"61","author":"Skovranek J","year":"1975","journal-title":"Cardiology"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.26.2.266"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(84)80146-X"},{"key":"e_1_2_1_10_2","first-page":"69","article-title":"Grip and pinch strength: Normative data for adults","volume":"66","author":"Mathiowetz V","year":"1985","journal-title":"Arch Phys Med Rehabil"},{"key":"e_1_2_1_11_2","volume-title":"SAS User's Guide: Basics, Version","author":"SAS Institute Inc","year":"1985"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(86)80314-X"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)61231-3"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)37501-4"}],"container-title":["Clinical Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fclc.4960110907","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/clc.4960110907","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,21]],"date-time":"2023-10-21T15:23:07Z","timestamp":1697901787000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/clc.4960110907"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1988,9]]},"references-count":13,"journal-issue":{"issue":"9","published-print":{"date-parts":[[1988,9]]}},"alternative-id":["10.1002\/clc.4960110907"],"URL":"https:\/\/doi.org\/10.1002\/clc.4960110907","archive":["Portico"],"relation":{},"ISSN":["0160-9289","1932-8737"],"issn-type":[{"value":"0160-9289","type":"print"},{"value":"1932-8737","type":"electronic"}],"subject":[],"published":{"date-parts":[[1988,9]]}}}