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. 2018 Nov 8;19:216. doi: 10.1186/s12931-018-0913-x

Table 2.

Comparison of patients with small and large right heart size

n RA area ≤ 16 cm2 n RA area > 16 cm2 p-value n RV area ≤ 20 cm2 n RV area > 20 cm2 p-value
Demographics Age (years) 33 53.6 ± 14.4 21 52.1 ± 15.3 0.71 30 51.4 ± 13.7 24 55.1 ± 15.8 0.354
BMI (kg/m 2 ) 33 28.3 ± 6.5 21 27.3 ± 4.3 0.537 30 27.5 ± 5.5 24 28.4 ± 6.1 0.591
6-MWD (m) 32 429 ± 124 21 414 ± 97 0.655 30 436 ± 127 23 406 ± 92 0.350
PAH-targeted medication ERA 24 (72.7%) 16 (76.2%) 1.0 22 (73.3%) 18 (75%) 1.0
PDE5-I 22 (66.7%) 16 (76.2%) 0.549 21 (70%) 17 (70.8%) 1.0
sGC stimulator 3 (9.1%) 5 (23.8%) 0.238 3 (10%) 5 (20.8%) 0.443
Prostanoids 3 (9.1%) 3 (14.3%) 0.667 2 (6.7%) 4 (16.7%) 0.389
Calcium channel blockers 2 (6.1%) 0 0.516 2 (6.7%) 0 0.497
Combination therapy Mono n (%) 13 (39.4%) 5 (23.8%) 0.102 11 (36.7%) 7 (29.2%) 0.414
Double n (%) 17 (51.5%) 14 (66.7%) 17 (56.7%) 14 (58.3%)
Triple n (%) 3 (9.1%) 2 (9.5%) 2 (6.6%) 3 (12.5%)
Echocardiography RV area (cm 2 ) 33 17.3 ± 3.9 21 24.6 ± 4.9 < 0.0001 * 30 16.3 ± 3.1 24 25.0 ± 4.0 < 0.0001 *
RA area (cm 2 ) 33 13.2 ± 2.7 21 22.4 ± 7.1 < 0.0001 * 30 13.3 ± 3.2 24 21.1 ± 7.2 < 0.0001 *
sPAP (mmHg) 33 42 ± 16 21 57 ± 17 0.003 * 30 42 ± 12 24 56 20 0.006 *
TAPSE (cm) 33 2.4 ± 0.4 21 2.3 ± 0.4 0.362 30 2.4 ± 0.4 24 2.3 ± 0.4 0.204
Cardiopulmonary Exercise Testing peak V’O2 (ml/min) 33 1155 ± 495 21 1080 ± 302 0.536 30 1144 ± 435 24 1103 ± 429 0.730
peak V’O2/kg (ml/min/kg) 33 14.5 ± 4.1 21 13.4 ± 3.7 0.321 30 14.7 ± 3.6 24 13.2 ± 4.2 0.166
Laboratory analysis NT-proBNP (pg/ml) 33 191 ± 231 20 931 ± 1266 0.018 * 30 145 ± 125 23 895 ± 1191 0.006 *
Pulmonary function test DLCOc SB (% Soll) 30 58.6 ± 18.6 18 58.6 ± 15.2 0.988 27 60.5 ± 15.3 21 56.2 ± 19.6 0.398
DLCOc VA (% Soll) 30 69.0 ± 21.2 18 72.8 ± 18.1 0.522 27 70.1 ± 19.3 21 70.8 ± 21.3 0.906
RHC Rest mPAP (mmHg) 33 32 ± 10 21 41 ± 13 0.012 * 30 32 ± 9 24 40 ± 13 0.014 *
sPAP (mmHg) 33 51 ± 17 21 68 ± 22 0.002 * 30 51 ± 16 24 66 ± 24 0.013 *
dPAP (mmHg) 33 21 ± 6 21 26 ± 9 0.032 * 30 21 ± 6 24 26 ± 9 0.018 *
PAWP (mmHg) 33 10 ± 3 21 10 ± 4 0.514 30 10 ± 3 24 10 ± 4 0.852
PVR (dyn*sec*cm − 5 ) 33 335 ± 201 21 486 ± 259 0.03 * 30 311 ± 149 24 496 ± 282 0.006 *
CI (l/min/m 2 ) 33 3.08 ± 0.63 21 2.93 ± 0.88 0.470 30 3.19 ± 0.67 24 2.82 ± 0.77 0.062
HR (1/min) 33 74 ± 12 21 76 ± 12 0.480 30 75 ± 10 24 75 ± 13 0.927
SV (ml) 33 79.4 ± 21.2 21 77.1 ± 25.4 0.716 30 80.1 ± 19.0 24 76.4 ± 27.0 0.556
SVI (ml/m 2 ) 33 42.2 ± 8.4 21 39.3 ± 12.6 0.317 30 42.9 ± 8.4 24 38.8 ± 11.9 0.142
25 W ∆ CI (l/min/m 2 ) 31 1.4 ± 0.7 20 0.9 ± 0.5 0.008 * 28 1.3 ± 0.7 23 1.0 ± 0.6 0.114
HR (1/min) 31 91 ± 18 20 93 ± 12 0.572 28 91 ± 18 23 93 ± 13 0.623
∆ SV (ml) 31 14.6 ± 20.4 20 6.2 ± 12.3 0.105 28 15.0 ± 21.5 23 6.9 ± 11.5 0.112
50 W ∆ CI (l/min/m 2 ) 31 2.2 ± 1.0 18 1.6 ± 0.7 0.027 * 28 2.28 ± 0.91 21 1.51 ± 0.76 0.003 *
HR (1/min) 31 103 ± 17 18 105 ± 17 0.639 28 102 ± 18 21 106 ± 15 0.345
∆ SV (ml) 31 18.0 ± 22.7 18 7.2 ± 13.1 0.041 * 28 21.0 ± 22.5 21 4.7 ± 12.0 0.002 *
75 W ∆ CI (l/min/m 2 ) 18 2.9 ± 1.2 9 2.0 ± 0.6 0.043 * 16 2.93 ± 1.17 11 2.09 ± 0.96 0.060
HR (1/min) 18 113 ± 16 9 112 ± 12 0.813 16 111 ± 17 11 115 ± 10 0.541
∆ SV (ml) 18 22.2 ± 18.1 9 7.4 ± 18.1 0.045 * 16 25.0 ± 14.2 11 6.0 ± 18.2 0.005 *
Peak mPAP (mmHg) 33 54 ± 15 21 61 ± 17 0.115 30 54 ± 15 24 60 ± 17 0.124
sPAP (mmHg) 33 84 ± 26 21 100 ± 30 0.049 * 30 85 ± 25 24 97 ± 31 0.144
dPAP (mmHg) 33 35 ± 12 21 38 ± 11 0.254 30 34 ± 12 24 39 ± 10 0.111
CI (l/min/m 2 ) 33 5.62 ± 1.57 21 4.80 ± 1.52 0.049 * 30 5.92 ± 1.43 24 4.52 ± 1.45 0.001 *
∆ CI (l/min/m 2 ) 33 2.54 ± 1.42 21 1.86 ± 0.83 0.033 * 30 2.73 ± 1.34 24 1.7 ± 0.88 0.002 *
SV (ml) 33 93.3 ± 26.7 21 86.0 ± 33.8 0.383 30 0.1 ± 0.027 24 0.08 ± 0.029 0.007 *
PAC (ml/mmHg) 33 39.0 ± 13.7 21 33.1 ± 12.4 0.108 30 39.5 ± 11.2 24 33.2 ± 15.3 0.027 *
SVI (l/m2) 33 49.4 ± 11.5 21 43.7 ± 16.6 0.141 30 53.1 ± 11.1 24 39.8 ± 13.7 < 0.001 *

ERA = Endothelin receptor antagonist, PDE5-I = Phosphodiesterase-5-inhibitors, sGC stimulator = Soluble guanylate cyclase-stimulator, RHC = right heart catheter, BMI = Body Mass Index, RV = right ventricular, RA = right atrial, TAPSE = tricuspid annular plane systolic excursion, VO’2 = oxygen consumption, NT-proBNP = N-terminal pro brain natriuretic peptide, DLCOc SB = diffusion capacity transfer factor, DLCOc / VA = diffusion capacity transfer coefficient, mPAP = mean pulmonary arterial pressure, sPAP = systolic PAP, dPAP = diastolic PAP, PAWP = pulmonary arterial wedge pressure, PVR = pulmonary vascular resistance, CI = Cardiac Index, SVI = stroke volume index, HR = heart rate, SV = stroke volume,  = difference

* = significant at level 0.05.; values are given as mean ± standard deviation or n (%)