Table 2.
Algorithm Clinical Variables | French Score | COMPERA | REVEAL 2.0 |
---|---|---|---|
BNP/NT-proBNP, pg/ml | × | +1 if <300 | −2 if <300 |
+2 if ≤1,400 | +2 if ≥1,100 | ||
+3 if >1,400 | |||
NYHA class | +1 if ≤II | +1 if <III | −1 if I |
+2 if =III | +1 if III | ||
+3 if >III | +2 if IV | ||
6-minute-walk distance, m | +1 if >440 | +1 if >440 | −2 if ≥440 |
+2 if ≥165 | −1 if >320 | ||
+3 <165 | +1 if <165 | ||
Right atrial pressure, mm Hg | +1 if <8 | +1 if <8 | +1 if >20 |
+2 if ≤14 | |||
+3 if >14 | |||
Sex | × | × | +2 if male and >60 yr |
Age, yr | × | × | +2 if male and >60 |
Etiology | × | × | +1 if connective, +3 if portal, +2 if familial |
Systolic blood pressure, mm Hg | × | × | +1 if <110 |
Heart rate, bpm | × | × | +1 if >96 |
Pulmonary vascular resistance, Wood units | × | × | −1 if <5 |
Renal function, ml/min/1.73 m2 | × | × | +1 if <60 |
Recent hospitalizations | × | × | +1 if within 6 mo |
Diffusing lung capacity, %DlCO | × | × | +1 if <40% |
Pericardial effusion | × | × | +1 if present |
Mixed venous oxygen saturation, % | × | +1 if >65 | × |
+2 if ≥60 | |||
+3 if <60 | |||
Cardiac index, L/min/m2 | +1 if ≥ 2.5 | +1 if ≥2.5 | × |
+2 if ≥2 | |||
+3 if <2 | |||
Final score | Sum total | Average of total available measurements | Sum total + 6 |
Definition of abbreviations: BNP = B-type natriuretic peptide; bpm = beats per minute; COMPERA = Comparative, Prospective Registry of Newly Initiated Therapies for Pulmonary Hypertension; NT-proBNP = N-terminal-proB-type natriuretic peptide; NYHA = New York Heart Association; REVEAL = Registry to Evaluate Early and Long-Term Pulmonary Arterial Hypertension Disease Management.
Clinical variables not included in the algorithm are marked with ×; clinical variables that were not available in any trial are underlined.