Relationship between the Amount of Menstrual Flow and Cardiac Status in Women with Fontan Circulation Article Swipe
K Matsushita
,
Aya Miyazaki
,
Makoto Miyake
,
Chisato Izumi
,
Hayato Matsutani
,
Rie Abe
,
Hiraku Doi
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1536/ihj.22-071
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1536/ihj.22-071
A high prevalence of heavy menstrual bleeding (HMB) has been reported in women with Fontan circulation. Cyanosis has been reported to contribute to HMB, and menstruation has been suggested to affect cardiac status in women with congenital heart disease. This study aimed to evaluate the relationship between the amount of menstrual flow and cardiac status in women with Fontan circulation.Twenty women who had undergone the Fontan procedure were prospectively investigated and the amount of their menstrual flow was evaluated using a questionnaire. Participants were divided into two groups-small and large menstrual bleeding groups-and their clinical data, including the results of hematological tests and echocardiographic findings, were evaluated.One (5%) woman showed primary amenorrhea. Eight of the remaining 19 (42%) women were included in the large menstrual bleeding group. Women with large menstrual bleeding showed a significantly higher hematocrit level (47.1% [36.2%-50.3%] versus 42.1% [35.3%-44.9%], P = 0.006) and longer QRS duration (106 [92-172] ms versus 88 [78-140] ms, P = 0.008), as well as a lower fractional area change (37.4% [35.6%-47.2%] versus 47.0% [38.2%-55.7%], P = 0.010) and global longitudinal strain (-10.5% [-14.9% to -6.6%] versus -13.9% [-20.5% to -7.8%], P = 0.041) of the dominant ventricle on echocardiography, than women with small bleeding.Erythrocytosis, longer QRS duration, and reduced ventricular function were related to increased menstrual bleeding in women with Fontan circulation. These functions may be interrelated with the amount of menstrual flow in such women.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1536/ihj.22-071
- https://www.jstage.jst.go.jp/article/ihj/63/5/63_22-071/_pdf
- OA Status
- diamond
- Cited By
- 3
- References
- 32
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4297983791
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4297983791Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1536/ihj.22-071Digital Object Identifier
- Title
-
Relationship between the Amount of Menstrual Flow and Cardiac Status in Women with Fontan CirculationWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-09-29Full publication date if available
- Authors
-
K Matsushita, Aya Miyazaki, Makoto Miyake, Chisato Izumi, Hayato Matsutani, Rie Abe, Hiraku DoiList of authors in order
- Landing page
-
https://doi.org/10.1536/ihj.22-071Publisher landing page
- PDF URL
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https://www.jstage.jst.go.jp/article/ihj/63/5/63_22-071/_pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
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https://www.jstage.jst.go.jp/article/ihj/63/5/63_22-071/_pdfDirect OA link when available
- Concepts
-
Medicine, Ventricle, Cardiology, Internal medicine, Menstruation, Amenorrhea, Hematocrit, Fontan procedure, Cardiac function curve, Heart failure, Pregnancy, Biology, GeneticsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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3Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1, 2023: 2Per-year citation counts (last 5 years)
- References (count)
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32Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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