congenital heart disease pulmonary valve dysfunction
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Grown-up congenital heart disease patients with pulmonary insufficiency and/or stenosis and an indication for pulmonary valve replacement or percutaneous pulmonary valve insertion according to local GUCH team advise (based on current ESC GUCH guidelines). Also subjects who do not meet the indication criteria for valve replacement are eligible to participate in the study. They will form a conservative cohort.
Exclusion criteria
Exclusion criteria: - Individual is younger than 18 years of age. - Individual has an estimated glomerular filtration rate (eGFR) of
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cardiac magnetic resonance parameters including T1, T1 rho relaxation time and LGE (late gadolinium enhancement) for fibrosis. Histopathologiy: percentage of of fibrosis. | — |
Secondary
| Measure | Time frame |
|---|---|
| Echocardiograpic parameters including strain and strainrate. Cardiopulmonary excercise testing. Electrocardiograpy and Holter testing. Laboratory tests (BNP, ANP, hs-troponine, hs-CRP, cystatine C, PICP, TIMP-1). Quality of life questionnaires (SF-36 and TAAQOL). | — |
Countries
Netherlands