1. Right Atrial Pressure During Exercise Predicts Survival in Patients With Pulmonary Hypertension
- Author
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Mona Lichtblau, Patrick R. Bader, Stéphanie Saxer, Charlotte Berlier, Esther I. Schwarz, Elisabeth D. Hasler, Michael Furian, Ekkehard Grünig, Konrad E. Bloch, and Silvia Ulrich
- Subjects
exercise ,hemodynamics ,mortality ,pulmonary arterial hypertension ,right heart catheterization ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Background We investigated changes in right atrial pressure (RAP) during exercise and their prognostic significance in patients assessed for pulmonary hypertension (PH). Methods and Results Consecutive right heart catheterization data, including RAP recorded during supine, stepwise cycle exercise in 270 patients evaluated for PH, were analyzed retrospectively and compared among groups of patients with PH (mean pulmonary artery pressure [mPAP] ≥25 mm Hg), exercise‐induced PH (exPH; resting mPAP 30 mm Hg, and mPAP/cardiac output >3 Wood Units (WU)), and without PH (noPH). We investigated RAP changes during exercise and survival over a median (quartiles) observation period of 3.7 (2.8–5.6) years. In 152 patients with PH, 58 with exPH, and 60 with noPH, median (quartiles) resting RAP was 8 (6–11), 6 (4–8), and 6 (4–8) mm Hg (P
- Published
- 2020
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