Table 3. Clinical characteristics.
Patient 1 | Patient 2 | Patient 3 | Patient 4 | Patient 5 | Patient 6 | Patient 7 | Patient 8 | |
---|---|---|---|---|---|---|---|---|
PAH-onset | Adult | Adult | Adult | Adult | Adult | Child | Child | Child |
Initial Diagnosis | Familial | Familial | Idiopathic | Idiopathic | Idiopathic | CHD | Idiopathic | Idiopathic |
Gender | Female | Female | Female | Male | Male | Male | Female | Female |
Follow-up, years | 11 | 4 | 9 | 2.1 | 5 | 16 | 8 | 1.5 |
Final status | Alive | Alive | Transplant | Death | Alive | Alive | Alive | Alive |
Radiological Diagnosis | ILD | PAH | PVOD | PVOD | PAH | PAH | PAH | ILD |
Skeletal Disorder | Absent | Absent | Absent | Absent | Absent | Arthritis | Growth delay | Absent |
CHD | Absent | Absent | Absent | Absent | Absent | OS ASD | Absent | PDA, PFO |
Neurologic/ psychomotor deficits | Absent | Absent | Absent | Absent | Absent | Absent | Developmental delay Nystagmus | Hearing loss |
DLCO, % predicted | 34 | 29 | 55 | 32 | 61 | 49 | NA | NA |
VFC, % predicted | 56 | 98 | 86 | 115 | 58 | 70 | NA | NA |
FEV1, % predicted | 53 | 82 | 66 | 104 | 140 | 70 | NA | NA |
mPAP, mmHg | 50 | 49 | 75 | 38 | 49 | 61 | 36 | 39 |
PCWP, mmHg | 8 | 7 | 24 | 9 | 7 | 10 | 12 | 11 |
CO, l/min | 3.8 | 2.8 | 3.5 | 3.45 | 6.3 | 3.1 | 2.9 | 1.6 |
CI, l/min/m2 | 2.3 | 1.99 | 2.02 | 1.95 | 3.4 | 1.5 | 4.9 | 4.7 |
PVR, WU | 11 | 15 | 15 | 8.4 | 6.7 | 16.5 | 4.9* | 6* |
AVT | Negative | Negative | Negative | Negative | Positive | NA | Positive | Positive |
Treatment | ERA + PDE5i + syst PC | ERA + PDE5i + Syst PC | ERA + PDE5i + syst PC | ERA + PDE5i | CCB + ERA | ERA + PDE5i + syst PC | ERA + PDE5i + CCB | PDE5i + syst PC |
DLCO: Diffusing Capacity of the Lung for Carbon Monoxide; VFC: Vital Forced Capacity; FE1V: Forced Expiratory Volume in 1 second; mPAP: mean Pulmonary Artery Pressure; PCWP: Pulmonary Capillary Wedge Pressure; CO: Cardiac Output; CI: Cardiac Index; PVR: Pulmonary Vascular Resistance; WU: Wood Units; AVT: Acute Vasoreactivity Testing; ERA: Endothelin Receptor Antagonist; PDE-5i: Phosphodiesterase Type 5 Inhibito; CCB: Calcium Channel Blocker; PAH: Pulmonary Artery Hypertension; PVOD: Pulmonary Venooclusive Disease; CHD: Congenital Heart Disease; Syst PC: systemic prostacyclin; PDA: Patent Ductus Arteriosus; PFO: Patent Foramen Ovale; ILD: Interstitial Lung Disease
* Indexed PVR, UW.m2