Table 4.
Parameter | Group 1 (N=128) | Group 2 (N=120) | Group 3 (N=149) | P-value |
---|---|---|---|---|
Electrocardiography | ||||
| ||||
PR interval, ms | 166.6±29.6 | 174.2±29.8 | 183.3±53.5 | 0.007 |
QRS duration, ms | 93.8±21.0 | 91.3±13.6 | 112.7±33.3 | <0.001 |
QTc interval, ms | 450.6±35.2 | 449.8±34.0 | 464.6±48.9 | 0.005 |
QRS axis, degrees | 10.7±39.0 | 20.4±38.4 | −4.2±60.7 | <0.001 |
QRS-T angle, degrees | 42.6±41.7 | 53.4±44.0 | 86.6±54.0 | <0.001 |
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Echocardiography | ||||
| ||||
LV end-diastolic volume, ml | 81.2±23.4 | 84.2±24.0 | 84.6±32.3 | 0.56 |
LV end-systolic volume, ml | 31.6±12.1 | 33.1±12.1 | 35.4±19.2 | 0.12 |
Relative wall thickness | 0.47±0.11 | 0.49±0.09 | 0.56±0.20 | <0.001 |
LV mass index, g/m2 | 89.1±22.6 | 96.4±26.3 | 122.0±47.3 | <0.001 |
Left atrial volume index, ml/m2 | 29.1±11.1 | 31.5±10.6 | 40.9±16.7 | <0.001 |
LV ejection fraction, % | 61.8±5.6 | 61.2±6.5 | 60.0±7.1 | 0.05 |
Stroke volume, ml | 84.8±22.9 | 88.6±32.0 | 80.7±31.3 | 0.09 |
Cardiac output, L/min/m2 | 6.5±2.0 | 6.6±2.5 | 5.8±2.6 | 0.006 |
Pulmonary artery systolic pressure, mmHg | 35.3±9.7 | 43.5±14.6 | 51.2±16.3 | <0.001 |
Right atrial pressure, mmHg | 6.0±2.7 | 6.9±3.5 | 9.8±4.7 | <0.001 |
E velocity, cm/s | 93.2±28.6 | 103.2±34.5 | 118.2±40.9 | <0.001 |
A velocity, cm/s | 82.8±22.5 | 93.1±26.3 | 81.6±38.7 | 0.01 |
E/A ratio | 1.2±0.5 | 1.1±0.4 | 1.7±1.0 | <0.001 |
Tissue Doppler e′ velocity, cm/s | 9.3±3.2 | 7.5±2.1 | 7.9±3.4 | <0.001 |
E/e′ ratio | 11.2±3.7 | 15.2±6.4 | 18.6±10.6 | <0.001 |
Diastolic dysfunction grade, n (%) | <0.001 | |||
Normal diastolic function | 21 (16) | 9 (8) | 2 (1) | |
Grade I (mild) diastolic dysfunction | 15 (12) | 16 (13) | 12 (8) | |
Grade II (moderate) diastolic dysfunction | 60 (47) | 56 (47) | 43 (29) | |
Grade III (severe) diastolic dysfunction | 23 (18) | 31 (26) | 83 (56) | |
Indeterminate diastolic function | 9 (7) | 8 (7) | 9 (6) | |
RV basal diameter, cm | 3.6±0.6 | 3.8±0.5 | 4.2±0.8 | <0.001 |
RV end-diastolic area index, cm/m2 | 12.4±2.1 | 12.7±2.4 | 16.2±4.7 | <0.001 |
RV end-systolic area index, cm/m2 | 6.7±1.5 | 7.2±1.5 | 9.9±3.4 | <0.001 |
RV wall thickness, cm | 0.46±0.03 | 0.50±0.07 | 0.56±0.11 | <0.001 |
RV fractional area change | 0.46±0.06 | 0.43±0.05 | 0.40±0.08 | <0.001 |
TAPSE, cm | 2.2±0.6 | 2.1±0.6 | 1.7±0.6 | <0.001 |
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Invasive hemodynamics (N=216) | ||||
| ||||
Right atrial pressure, mmHg | 10.5±4.6 | 15.3±6.5 | 14.6±6.8 | <0.001 |
Pulmonary artery systolic pressure, mmHg | 42.4±12.0 | 55.9±15.4 | 56.7±19.7 | <0.001 |
Pulmonary artery diastolic pressure, mmHg | 21.7±6.3 | 28.2±7.7 | 26.5±9.1 | <0.001 |
Mean pulmonary artery pressure, mmHg | 28.8±7.7 | 35.9±9.9 | 36.6±11.7 | <0.001 |
Pulmonary capillary wedge pressure, mmHg | 19.9±6.3 | 24.6±8.3 | 23.7±9.7 | 0.002 |
Pulmonary vascular resistance, Wood units | 1.2±2.5 | 2.8±4.6 | 2.3±3.7 | 0.043 |
Cardiac output, L/min | 6.1±2.1 | 6.5±2.1 | 5.8±2.3 | 0.15 |
Continuous variables are presented as mean±SD; LV=left ventricular; RV=right ventricular; TAPSE = tricuspid annular plane systolic excursion