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. 2011 Dec;20(122):254–261. doi: 10.1183/09059180.00007011

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

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

NYHA/WHO FC: New York Heart Association/World Health Organization functional class; 6MWT: 6-min walk test; BNP: brain natriuretic peptide; NT-proBNP: N-terminal pro-B-type natriuretic peptide; TAPSE: tricuspid annular plane systolic excursion; Pra: right atrial pressure; CI: cardiac index. #: depending on age; : TAPSE and pericardial effusion have been selected as they can be measured in the majority of patients. Reproduced from [13] with permission from the publisher.