Table 2.
Better prognosis | Determinants of prognosis | Worse prognosis |
---|---|---|
No | Clinical evidence of RV failure | Yes |
Slow | Rate of progression of symptoms | Rapid |
Classes I, II | WHO functional class | Class IV |
Longer | 6-minute walking distance | Shorter |
Peak oxygen consumption >15 mL/minute/kg | Cardiopulmonary exercise testing | Peak oxygen consumption <12 mL/minute/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/minute/m2 | Hemodynamics | RAP >15 mmHg or CI ≤2.0 L/minute/m2 |
Abbreviations: RV, right ventricular; WHO, World Health Organization; BNP/NT-pro-BNP, brain natriuretic peptide/N-terminal fragment of pro-BNP; RAP, right atrial pressure; CI, cardiac index.