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The following handle holds various files of this Leiden University dissertation:

http://hdl.handle.net/1887/68280

Author: Kamphuis, V.P.

Title: Multidimensional evaluation of cardiac hemodynamics and electrophysiology in

patients with congenital and acquired heart disease

(2)

Vivian P. Kamphuis Stellingen behorend bij het proefschrift:

Multidimensional evaluation of cardiac hemodynamics and electrophysiology in patients with congenital and acquired heart disease

1. The vectorcardiographic ventricular gradient and QRS-T angle change dynamically during growth. (This thesis)

2. Both right ventricular pressure overload as well as volume overload have an effect on the vectorcardiographic ventricular gradient. (This thesis)

3. Automated valve tracking reduces analysis time and improves reliability of valvular flow quantification by 4D Flow MRI in patients with acquired or congenital heart disease and in healthy volunteers. (This thesis)

4. Fontan patients show disproportionate intraventricular viscous energy loss relative to kinetic energy and elevated viscous energy loss compared to healthy volunteers. (This thesis) 5. 4D flow MRI-derived vorticity is related to kinetic energy and viscous energy loss in healthy

subjects and Fontan patients. (This thesis)

6. Dobutamine-stress induces an increase in intracardiac kinetic energy, energy loss and vorticity in Fontan patients, which is inversely related to VO2 max. (This thesis)

7. The ventricular gradient measures the three-dimensional integral of the gradients in the ventricular action potential durations. (Burger H.C. Am Heart J 1957)

8. An unnatural asymmetry of the blood flow in the human left ventricle, as given by cardiac diseases or valvular replacement, could reduce the efficiency of the heart pump by over 10%, thus augmenting the work required by the cardiac muscle. (Pedrizzetti G., et al. phys rev lett 2005)

9. Inflow through the open mitral valve gives rise to recirculating flows beneath the valve leaflets, the dominant direction being under the free edge of the anterior mitral leaflet. (Kilner P.J., et al. Nature 2000)

10. During stress the complex dynamic flow patterns in the heart might change in order to achieve redirection of momentum through the curved paths of flow. (Kilner P.J., et al. Heart vessels 1997)

11. Madness, in a higher sense, is the beginning of all wisdom. (Der Steppenwolf, Herman Hesse 1927) To succeed in science you have to be so determined that it is almost madness. 12. Let us read, and let us dance; these two amusements will never do any harm to the world.

(Voltaire 1694 – 1778) Reading and dancing can make you forget the busy PhD life. 13. The whole point of taking pictures is so you don’t have to explain things with words. (Elliott

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