Table 3.
Better prognosis | Determinants of prognosis | Worse prognosis |
---|---|---|
No | Clinical evidence of RV failure | Yes |
Slow | Rare of progression of symptoms | Rapid |
I, II | WHO functional class | IV |
Longer | 6-min walking distance | Shorter |
Peak oxygen consumption > 15 mL/min/kg | Cardiopulmonary exercise testing | Peak oxygen consumption < 12 mL/min/kg |
Normal or near-normal | BNP/NT-pro-BNP plasma levels | Very elevated |
No pericardial effusion | Echocardiographic findings | Pericardial effusion |
RAP < 8 mmHg and CI ≥ 2.5 L/min/m2 | Hemodynamics | RAP > 15 mmHg or CI < 2.0 L/min/m2 |
RV, right ventricular; BNP/NT-pro-BNP, brain natriuretic peptide/N-terminal fragment of pro-BNP; RAP, right atrial pressure; CI, cardiac index.