{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T17:11:43Z","timestamp":1788628303302,"version":"build-2803163510"},"reference-count":28,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2018,8,13]],"date-time":"2018-08-13T00:00:00Z","timestamp":1534118400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["T32 HL007915"],"award-info":[{"award-number":["T32 HL007915"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K01HL125521"],"award-info":[{"award-number":["K01HL125521"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100002291","name":"Pulmonary Hypertension Association","doi-asserted-by":"publisher","award":["K01"],"award-info":[{"award-number":["K01"]}],"id":[{"id":"10.13039\/100002291","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Right ventricular (RV) systolic dysfunction has been associated with adverse outcomes in tetralogy of Fallot (TOF). However, the role and etiology of diastolic dysfunction remain incompletely defined. We assessed the association between traditional echocardiographic measures of diastolic function with catheter\u2010based RV end\u2010diastolic pressure (RVEDP) and identified clinical characteristics independently associated with diastolic dysfunction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Single\u2010center, retrospective cohort study of surgically repaired TOF patients undergoing cardiac catheterization with echocardiograms within 3\u00a0months prior to the catheterization. Tricuspid inflow and tissue Doppler measurements (E\/A, E\/e\u2032, and deceleration time) defined diastolic dysfunction, graded as impaired relaxation, pseudonormal, or restrictive physiology. Regression analyses tested associations between echocardiographic parameters, RVEDP, and clinical characteristics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ninety\u2010four subjects were included. Catheterization age was 8.9\u00a0years (interquartile range 4.4, 15.9). RVEDP was 9.5\u00a0\u00b1\u00a02.5\u00a0mm\u00a0Hg. Sixty\u2010one (65%) subjects had echocardiographic evidence of diastolic dysfunction. RVEDP was not associated with echocardiographic parameters of diastolic function (grade of dysfunction, E\/e\u2032, or E\/A). Higher RVEDP was associated with larger right atrial and RV end\u2010diastolic area, independently of weight and degree of pulmonary or tricuspid regurgitation, though was not associated with indexed right atrial or RV end\u2010diastolic area. Greater number of interim procedures was associated with higher RVEDP, E\/e\u2032, and the presence of diastolic dysfunction by echocardiography.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Diastolic dysfunction, as determined by echocardiography\u2010derived and catheter\u2010based (RVEDP) measures, is prevalent in this TOF population. These measures are not associated with each other; therefore, echocardiographic parameters of diastolic function are not reflective of RVEDP. The development of noninvasive parameters that correlate with filling pressures is required.<\/jats:p><\/jats:sec>","DOI":"10.1111\/echo.14113","type":"journal-article","created":{"date-parts":[[2018,8,14]],"date-time":"2018-08-14T00:19:37Z","timestamp":1534205977000},"page":"1641-1648","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Diastolic dysfunction in tetralogy of Fallot: Comparison of echocardiography with catheterization"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2230-684X","authenticated-orcid":false,"given":"Michael","family":"DiLorenzo","sequence":"first","affiliation":[{"name":"Division of Pediatric Cardiology Department of Pediatrics NewYork Presbyterian\/Morgan Stanley Children's Hospital Columbia University Irving Medical Center  New York New York"},{"name":"Division of Cardiology Department of Pediatrics The Children's Hospital of Philadelphia  Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei\u2010Ting","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Epidemiology The University of Pennsylvania  Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Goldmuntz","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Pediatrics The Children's Hospital of Philadelphia  Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bonnie","family":"Ky","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Epidemiology The University of Pennsylvania  Philadelphia Pennsylvania"},{"name":"Department of Medicine Penn Cardiovascular Institute Perelman School of Medicine  Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Mercer\u2010Rosa","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Pediatrics The Children's Hospital of Philadelphia  Philadelphia 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