Table 3.
Invasive hemodynamics stratified by physical examination findings predictive of different congestion patterns
| No exam findings of congestion n=79 |
Left-sided congestion (HJR or Orthopnea or Bendopnea) n=38 |
Right-sided congestion (JVD only) n=7 |
Left- and right-sided congestion (JVD and HJR or Orthopnea or Bendopnea) n=32 |
p-value across groups | |
|---|---|---|---|---|---|
| RAP, mmHg | 4 (2, 6) | 6 (3, 8)* | 15 (10, 18)† | 15 (12, 18) † | <0.0001 |
| PCWP, mmHg | 13 (8, 17) | 18 (10, 24)‡ | 24 (18, 32)† | 24 (20, 30)† | <0.0001 |
| Mean PAP, mmHg | 23 (18, 30) | 30 (17, 36)‡ | 39 (32, 44) † | 38 (31, 45) † | <0.0001 |
| CI by TD, L/min/m2 | 2.2 (1.8, 2.7) | 2.2 (1.8, 2.7) | 2.2 (1.8, 2.7) | 1.9 (1.6, 2.2) | 0.11 |
| CI by indirect Fick, L/min/m2 | 2.3 (1.9, 2.7) | 2.2 (2.0, 2.6) | 2.1 (1.5, 2.5) | 2.1 (1.8, 2.4) | 0.10 |
| PVR by TD, wood units | 2.2 (1.3, 3.0) | 2.8 (1.6, 4.0) | 2.9 (1.7, 5.1) | 3.1 (1.8, 4.1) | 0.03 |
| PVR by indirect Fick, wood units | 2.2 (1.2, 3.0) | 2.8 (1.5, 3.6) | 2.8 (2.5, 5.6) | 3.0 (2.0, 3.7) † | 0.02 |
Data are presented as median (IQR).
P < 0.05 vs JVD only, and JVD with either HJR, orthopnea, or bendopnea.
P<0.05 vs no congestion.
P<0.05 vs. JVD with either HJR, orthopnea, or bendopnea. CI = cardiac index; JVD = jugular venous distension; HJR = hepatojugular reflux; PAP = pulmonary artery pressure; PCWP = pulmonary capillary wedge pressure; RAP = right atrial pressure; TD = thermodilution