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Editorial
. 2022 Jul 1;43(25):2385-2387.
doi: 10.1093/eurheartj/ehac010.

You can only change what you measure: an argument for more detailed characterization in the Fontan circulation

Jack Rychik  1   2
Affiliations
Editorial

You can only change what you measure: an argument for more detailed characterization in the Fontan circulation

Jack Rychik. Eur Heart J. .
No abstract available

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Figures

Graphical Abstract
Graphical Abstract
A framework for depicting the factors that influence outcomes in the Fontan circulation. Four domains of Fontan-associated challenges are proposed: (i) systemic fibrogenesis; (ii) lymphatic insufficiency; (iii) sarcopenia and exercise; and (iv) behaviour and mental health. Fontan circulation haemodynamics underlie all of these domains; however, additional factors probably influence these outcomes including: (i) variability in foetal organ development impacting substrate presenting for care at birth; (ii) social factors; (iii) genetic influences on stressors as either promoting complication or providing resilience; and (iv) potential injury accrued during the course of medical and surgical treatment.
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References

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