Pulmonary vascular disease & thromboembolism

Differential biventricular adaption to pulmonary vascular disease in patients with idiopathic/heritable and congenital heart disease: a prospective cardiac magnetic resonance and invasive study

Eur Heart J Cardiovasc ImagingPublished Prospective cohort study

Authors' conclusion

Despite comparable haemodynamic profiles, patients with post-operative PAH had less functional limitation than their IPAH/HPAH counterparts.

Study context

Population
Children with IPAH/HPAH or post-operative PAH
Participants
64 children
Exposure
Post-operative PAH vs IPAH/HPAH
Outcome
Clinical status, haemodynamics and biventricular adaptation (cardiac magnetic resonance (CMR))
Methodological detailsconsecutive patients, age- and sex-matched healthy controls
  • Consecutive patients
  • Age- and sex-matched healthy controls

Main finding

As reported in the abstract

OutcomeIPAH/HPAHPost-operative PAHP value
Clinical status, haemodynamics and biventricular adaptation (CMR)239 (SD 156) m320 (SD 193) m
Functional class I/II26.3%61.5%P = 0.02
  • Post-operative PAH vs IPAH/HPAH: P = 0.008 — 6-min walk distance
  • Post-operative PAH vs IPAH/HPAH: P < 0.05 — higher LV volumes and better RV function

Observational data: associations, not effects.

Original publication

Differential biventricular adaption to pulmonary vascular disease in patients with idiopathic/heritable and congenital heart disease: a prospective cardiac magnetic resonance and invasive study. Eur Heart J Cardiovasc Imaging. Published 18 May 2023. doi:10.1093/ehjci/jead106

Composed by AI from the published abstract and checked against it. How Briefs are made →

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