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. 2012 Mar;21(123):40–47. doi: 10.1183/09059180.00009011

Table 2. Variables with established importance for assessing disease severity, stability and prognosis in pulmonary arterial hypertension.

Determinants of prognosis Better prognosis Worse prognosis
Clinical evidence of RV failure No Yes
Rate of progression of symptoms Slow Rapid
Syncope No Yes
WHO-FC I, II IV
6MWD Longer (>500 m) Shorter (<300 m)
Cardiopulmonary exercise testing Peak O2 consumption >15 mL·min−1·kg−1 Peak O2 consumption <12 mL·min−1·kg−1
BNP/NT-proBNP plasma levels Normal or near-normal Very elevated and rising
Echocardiographic findings# No pericardial effusion TAPSE >2.0 cm Pericardial effusion TAPSE <1.5 cm
Haemodynamics Pra <8 mmHg and CI ≥2.5 L·min−1·m−2 Pra >15 mmHg or CI ≤2.0 L·min−1·m−2

RV: right ventricular; WHO-FC: World Health Organization functional class; 6MWD: 6-min walk distance; BNP: brain natriuretic peptide; NT-proBNP: N-terminal proBNP; TAPSE: tricuspid annular plane systolic excursion; Pra: right atrial pressure; CI: cardiac index. #: TAPSE and pericardial effusion have been selected because they can be measured in the majority of patients; : depending on age. Reprinted from [46] with permission from the publisher.