Heart failure & cardiomyopathies

Comparison of Supine and Sitting Pulmonary Pressures in Ambulatory Heart Failure Patients Using the Novel Cordella Pulmonary Pressure System

ESC Heart FailPublished Secondary analysis of the SIRONA 2 and PROACTIVE-HF trials

Authors' conclusion

This study presents the largest paired comparison of supine and sitting PAP and demonstrates a high degree of correlation between seated and supine measures of PAP.

Study context

Population
NYHA class III heart failure (HF) patients with the Cordella pulmonary artery pressure (PAP) sensor40,115 paired measurements
Participants
504 patients
Comparison
Supine vs seated PAP
Primary endpoint
Relationship between supine and seated PAP measurements
Methodological detailspaired measurements
  • Paired measurements

Primary result

As reported in the abstract

mPAP, sPAP, dPAP

Difference

7.1 ± 6.5 mmHg

P < 0.001

mPAP; correlation = 0.85

Difference

9.0 ± 8.5 mmHg

P < 0.001

sPAP; correlation = 0.88

Difference

5.2 ± 5.6 mmHg

P < 0.001

dPAP; correlation = 0.82

Supine

mPAP
29.1 ± 11.6
sPAP
44.4 ± 16.6
dPAP
19.1 ± 9.5

Seated

mPAP
22.1 ± 12.2
sPAP
35.4 ± 17.8
dPAP
13.9 ± 9.5

mPAP

Supine29.1 ± 11.6
Seated22.1 ± 12.2

sPAP

Supine44.4 ± 16.6
Seated35.4 ± 17.8

dPAP

Supine19.1 ± 9.5
Seated13.9 ± 9.5

Further findings

Supine-seated difference by mPAP quartile

Differences larger at lower mPAP, narrowed at higher pressures
P < 0.001

Seated mPAP trends before HF hospitalization

Modest increases prior to HF hospitalization

Original publication

Comparison of Supine and Sitting Pulmonary Pressures in Ambulatory Heart Failure Patients Using the Novel Cordella Pulmonary Pressure System. ESC Heart Fail. Published 17 July 2025. doi:10.1002/ehf2.15374

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