Pulmonary vascular disease & thromboembolism

Association of Pulmonary Artery Compliance and Adverse Cardiac Events

JACC AdvPublished Retrospective cohort study

Authors' conclusion

Among patients undergoing right heart catheterization, lower PAC is associated with adverse outcomes irrespective of PH status.

Study context

Population
Ambulatory and hospitalised patients undergoing right heart catheterization, single centre, 2005–2016
Participants
7,966 participants
Exposure
Higher vs lower pulmonary artery compliance
Outcome
HF hospitalization and mortality
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

PAC (per 1-SD higher)Hazard ratio (95% CI)
Mortality
0.59(0.56–0.63)
HF hospitalization
0.56(0.52–0.59)

Per 1-SD higher, as printed

Median pulmonary artery compliance (PAC)
3.29 mL/mm Hg (Q1-Q3: 2.19-4.70 mL/mm Hg)

Observational data: associations, not effects.

Further findings

Mortality and heart failure (HF) hospitalization, by pulmonary hypertension (PH) status (subgroup)

HR (95% CI)
PACWith PH: mortality0.69 (0.64–0.74)
PACWith PH: HF hospitalization0.65 (0.61–0.70)
PACWithout PH: mortality0.74 (0.66–0.84)
PACWithout PH: HF hospitalization0.72 (0.61–0.85)

Mortality, by PH subtype (subgroup)

HR (95% CI)
PACPrecapillary PH0.56 (0.48–0.65)
PACCombined PH0.75 (0.66–0.86)
PACPostcapillary PH0.88 (0.79–0.98)

Original publication

Association of Pulmonary Artery Compliance and Adverse Cardiac Events. JACC Adv. Published 27 November 2025. doi:10.1016/j.jacadv.2025.102357

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