TABLE 1.
Patient characteristics
Variable | Control | PAH low Eed | PAH high Eed | p-value |
Subjects, n | 31 | 47 | 47 | |
Age, years | 43±14 | 55±18* | 59±18* | <0.001 |
Female, n (%) | 20 (65%) | 29 (62%) | 32 (68%) | 0.81 |
NYHA 1/2/3/4 | 16/11/4/0 | 3/19/22/3* | 1/14/28/4* | <0.001 |
NTproBNP, pg·mL−1 (n=121) | 38 (19.5–58.5) | 443 (233–1366)* | 2052 (1100–3281)*,# | <0.001 |
Catheterisation | ||||
Heart rate, bpm | 75±12 | 79±13 | 81±14 | 0.15 |
mPAP, mmHg | 15±4 | 46±11* | 56±16*,# | <0.001 |
PAWP, mmHg | 8±3 | 9±3 | 9±3 | 0.33 |
Cardiac index, L·min−1·m−2 | 3.6±1.0 | 2.7±0.8* | 2.4±0.9* | <0.001 |
PVR, mmHg·L−1·min−1 | 1.0 (0.7–1.5) | 7.5 (4.9–9.7)* | 11.1 (7.2–15.4)*,# | <0.001 |
mRAP, mmHg | 4 (3–6) | 6 (4–9)* | 8 (4–11)* | 0.001 |
RVEDP, mmHg | 8±4 | 14±6* | 18±8*,# | < 0.001 |
SvO2, % | 76±5 | 65±8* | 60±12*,# | <0.001 |
CMR | ||||
RVEDV index, mL·m−2 | 66±13 | 82±21* | 83±23* | <0.001 |
RVESV index, mL·m−2 | 27±7 | 50±22* | 57±20* | <0.001 |
SV index, mL·m−2 | 39±8 | 32±8* | 27±9*,# | <0.001 |
RVEF, % | 60±6 | 41±13* | 33±10*,# | <0.001 |
RV mass index, g·m−2 | 21±5 | 46±14* | 53±17*,# | <0.001 |
RA maximum volume index, mL·m−2 | 48 (43–56) | 68 (57–89)* | 78 (62–95)* | <0.001 |
TR volume, mL No/<30 mL/30–59 mL/>59 mL |
24/7/0/0 | 27/19/1/0 | 26/20/1/0 | 0.38 |
Pressure-volume analysis | ||||
Ees, mmHg·mL−1 (n=119) | NA | 0.45 (0.34–0.74)* | 0.52 (0.38–0.83)* | <0.001 |
Ea, mmHg·mL−1 (n=123) | NA | 1.23 (0.94–1.70)* | 1.85 (1.40–2.40)*,# | <0.001 |
Ees/Ea (n=119) | NA | 0.42 (0.26–0.61)* | 0.30 (0.23–0.42)* | <0.001 |
Eed, mmHg·mL−1 (n=119) | 0.20 (0.15–0.24) | 0.39 (0.24–0.52)* | 0.93 (0.78–1.14)*,# | <0.001 |
Data presented as mean±sd or median (interquartile range) when data were not normally distributed. PAH: pulmonary arterial hypertension; Eed: end-diastolic elastance; NYHA: New York Heart Association; NT-proBNP: N-terminal pro-brain natriuretic peptide; mPAP: mean pulmonary artery pressure; PAWP: pulmonary arterial wedge pressure; PVR: pulmonary vascular resistance; mRAP: mean right atrial pressure; RVEDP: right ventricular end-diastolic pressure; SvO2: mixed venous oxygen saturation; CMR: cardiac magnetic resonance; RVEDV: right ventricular end-diastolic volume; RVESV: right ventricular end-systolic volume; SV: stroke volume; RVEF: right ventricular ejection fraction; TR: tricuspid regurgitation; Ees: end-systolic elastance; Ea: arterial elastance. *: p<0.05 versus control; #: p<0.05 versus low Eed.