Table 2.
Etiology of Disease: Risk Factors Reported
PH Overall (n = 750) |
Comparator Overall (n = 347) |
|||
---|---|---|---|---|
Group 1 Risk Factors | Primary G1 (n = 353) | G1 Risk Factors (n = 83) | Primary G1 Comparator (n = 58) | G1 Risk Factors (n = 72) |
| ||||
Idiopathic PAH | 158 | 19 | 0 | 2 |
Connective tissue disease | 93 | 54 | 41 | 31 |
Systemic sclerosis | 42 | 23 | 21 | 16 |
Mixed connective tissue disease | 16 | 7 | 5 | 3 |
Rheumatoid arthritis | 7 | 10 | 9 | 9 |
Systemic lupus erythematosus | 16 | 12 | 5 | 7 |
Other connective tissue disease (Sjögren’s, antisynthetase syndrome, undifferentiated) | 15 | 5 | 8 | 8 |
Congenital heart disease | 36 | 2 | 6 | 9 |
Shunt repaired | 15 | 1 | 3 | 6 |
Familial PAH | 27 | 3 | 1 | 0 |
HHT | 4 | 2 | 0 | 0 |
HIV | 10 | 4 | 0 | 2 |
Drug- and toxin-induced PAH | 16 | 1 | 1 | 1 |
Portal hypertension | 18 | 2 | 0 | 1 |
Mild PH (mPAP 21-<25 mm Hg) | 0 | 0 | 10 | 27 |
ePAH (exercise mPAP ≤30 mm Hg, flow <10 L/min, and mPAP-Q slope >3) (mm Hg·min/L) | 0 | 0 | 9 | 9 |
Connective tissue disease with mild (mPAP 21-<25 mm Hg) or no PH | 0 | 0 | 43 | 27 |
Othera | 10 | 0 | 0 | 0 |
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Group 2 Risk Factors | Primary G2 (n = 136) | G2 Risk Factors (n = 105) | Primary G2 Comparator (n = 140) | G2 Risk Factors (n = 46) |
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Heart failure with preserved ejection fraction | 100 | 83 | 76 | 28 |
Heart failure with reduced ejection fraction | 26 | 13 | 19 | 2 |
Valvular heart disease | 35 | 13 | 28 | 5 |
Stenotic | 19 | 4 | 13 | 2 |
Regurgitant | 29 | 12 | 19 | 3 |
Cardiomyopathy | 14 | 2 | 28 | 2 |
Hypertrophic | 7 | 1 | 6 | 0 |
Restrictive | 6 | 0 | 2 | 0 |
Mild PVD risk associated with left heart disease (left heart disease with mPAP <25 mm Hg) | 0 | 0 | 56 | 14 |
Moderate PVD risk associated with left heart disease | 0 | 0 | 77 | 15 |
Isolated postcapillary pulmonary hypertension mPAP ≥25 mm Hg, PVR <3, DPG <7 (mm Hg) | 0 | 0 | 56 | 8 |
Provocable mPCW >18 with V waves <5 mm Hg after challenge, significant change from resting hemodynamics | 0 | 0 | 23 | 9 |
Provocable mPCW >15 with V waves >5 mm Hg after challenge, significant change from resting hemodynamics | 0 | 0 | 45 | 6 |
Othera | 3 | 2 | 3 | 0 |
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Group 3 Risk Factors | Primary G3 (n = 172) | 3 Risk Factors (n = 218) | Primary G3 Comparator (n = 119) | G3 Risk Factors (n = 116) |
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Obstructive sleep apnea/obesity hypoventilation | 58 | 127 | 43 | 82 |
COPD | 66 | 56 | 35 | 16 |
Mild to no PVD risk (mPAP <21 mm Hg) and COPD | 0 | 0 | 7 | 3 |
Moderate PVD risk (mPAP 21-<25 mm Hg) and COPD | 0 | 0 | 12 | 2 |
Idiopathic pulmonary fibrosis | 15 | 7 | 13 | 1 |
Other ILD (including CPFE, other ILD, SSc-ILD, hypersensitivity pneumonitis) | 75 | 49 | 35 | 14 |
Mild to no PVD risk (mPAP <21 mm Hg) and other ILD, including CPFE and SSc-ILD | 0 | 0 | 12 | 3 |
Moderate PVD risk (mPAP 21-<25 mm Hg) and other ILD, including CPFE and SSc-ILD | 0 | 0 | 6 | 5 |
Nonparenchymal restrictive lung disease/thoracic cage abnormality | 8 | 9 | 8 | 7 |
Cystic fibrosis | 3 | 0 | 3 | 0 |
Othera | 2 | 2 | 1 | 3 |
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Group 4 Risk Factors | Primary G4 (n = 57) | G4 Risk Factors (n = 14) | Primary G4 Comparator (n = 23) | G4 Risk Factors (n = 10) |
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Chronic thromboembolic pulmonary hypertension | 57 | 14 | 0 | 0 |
Pulmonary thromboendarterectomy | 18 | 0 | 5 | 3 |
Balloon pulmonary angioplasty | 4 | 0 | 0 | 1 |
Chronic PE with mild to no PVD (mPAP <25 mm Hg) | 0 | 0 | 21 | 6 |
Othera | 0 | 0 | 2 | 1 |
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Group 5 Risk Factors | Primary G5 (n = 32) | G5 Risk Factors (n = 9) | Primary G5 Comparator (n = 7) | G5 Risk Factors (n = 14) |
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Sarcoidosis | 19 | 3 | 3 | 8 |
Myeloproliferative disease | 3 | 3 | 1 | 5 |
Hemoglobinopathy | 8 | 2 | 2 | 2 |
Sickle cell | 7 | 1 | 2 | 2 |
Thalassemia | 1 | 2 | 0 | 0 |
Othera | 2 | 0 | 1 | 0 |
Values are n within group.
Other = schistosomiasis, pulmonary capillary hemangiomatosis, pulmonary veno-occlusive disease, or other conditions not otherwise listed.
CPFE = combined pulmonary fibrosis and emphysema; DPG = diastolic pressuregradient; G = group; ILD = interstitial lung disease; mPAP = mean pulmonary artery pressure; mPCW = mean pulmonary capillary wedge pressure; PAH = pulmonary arterial hypertension; PE = pulmonary embolism; PH = pulmonary hypertension; PVD = pulmonary vascular disease; PVR = pulmonary vascular resistance; SSc-ILD = scleroderma-associated interstitial lung disease.