Table 2

Late outcome and variables of cardiopulmonary exercise testing at baseline

Author/studyNumber of deaths/transplantationsMorbidity type reportedHRRPeak heart ratePeak VO2 (mL/kg/min)Peak VO2
Per cent of predicted
VE/VCO2 RER
Diller et al 22 22 deaths
6 transplantations
41% hospitalisation
(heart failure, arrhythmia and complications characteristic of the Fontan circulation).
63±25146±2822.8±7.451.7±15.4
Fernandes et al 23 16 deaths37% combined end point
(mortality or a new morbidity: hospitalisation, CHF, thrombosis and protein-losing enteropathy).
21.2±6.257.1±14.1>1.05
Ohuchi et al 24 24 deaths19% hospitalisations
(arrhythmias, heart failure, hemostatic complications, catheterisation and/or surgical intervention and sudden death).
56±24145±2527.1±7.461±1540±7.71.12±0.07
Nathan et al 26 21 deaths
3 transplantations
26% combined outcome
(death, transplantation, hospitalisation for cardiac or Fontan-related events).
74.7±14
% of predicted
23.5±6.959.7±14.336.8±6.91.13
±0.11
Egbe et al 25 22 deaths
45 cardiac surgery
(1 transplantation)
135±3122.7±5.463±113 5±4>1.10
Atz et al 27 31 deaths
23 transplantations
Additional cardiac surgery (32%), catheter intervention (62%), arrhythmia treatment (32%), thrombosis (12%) and protein-losing enteropathy (8%).*61±16>1.10
Cunningham et al 28 13 deaths
2 transplantations
24% combined outcome
(death, transplantation or non-elective hospitalisation for heart failure).
38% combined outcome
(death, transplantation or hospitalisation for any cardiovascular or Fontan-related cause).
79.3±13.0
% of predicted
22.0±5.760.9±13.733.0±6.71.20
  • *Cumulative complications since the Fontan procedure.

  • HHR, heart rate reserve; RER, respiratory exchange ratio; VO2, oxygen uptake; VE/VCO2, minute ventilation/carbon dioxide production; CHF, congestive heart failure.