Table 4.
REVEAL registry PAH risk score calculator
Group 1, subgroup | Associated with CTD: +1 | Associated with portal hypertension: +2 | Heritable: +2 |
Demographics and comorbidities | Renal insufficiency: +1 | Males, age >60 years: +2 | |
WHO functional class | Class 1: -2 | Class III: +1 | Class IV: +2 |
Vital signs | Systolic BP <110 mmHg: +1 | Heart rate <92 bpm: +1 | |
6-minute walking distance | ≥440 m: -1 | <165 m: +1 | |
BNP | <50 pg/mL: -2 | >180 pg/mL: +1 | |
Echocardiogram | Pericardial effusion: +1 | ||
Pulmonary function test | DLCO ≥80% pred: -1 | DLCO ≤32% pred: +1 | |
RHC | mRAP >20 mmHg within 1 year: +1 | PVR >32 Wood units: +2 | |
Sum of above +6 = total risk score |
Note: Calculated risk scores range from 0 (lowest risk) to 22 (highest risk).
Abbreviations: REVEAL, Registry to Evaluate Early and Long-Term PAH Disease Management; PAH, pulmonary arterial hypertension; CTD, connective tissue diseases; WHO, World Health Organization; BP, blood pressure; BNP, brain natriuretic peptide; DLCO, pulmonary diffusing capacity for carbon monoxide; pred, predicted; RHC, right heart catheterization; mRAP, mean right atrial pressure; PVR, pulmonary vascular resistance.