Pulmonary vascular disease & thromboembolism

Do we have our FACTTs straight about cor pulmonale in acute respiratory distress syndrome?

Eur Heart J Acute Cardiovasc CarePublished Secondary analysis of the FACTT randomised trial

Authors' conclusion

While the FACTT data demonstrate neither a clear nor a consistent relationship between right ventricular-pulmonary arterial function and traditional risk factors, this does not indicate their unimportance.

Study context

Population
Patients with acute respiratory distress syndrome
Primary endpoint
Association of traditional cor pulmonale risk factors (pH, PaO2:FiO2, PaCO2, driving pressure) and PEEP with cor pulmonale parameters (Cpa, PVRi, PAPi, Ea)

Primary result

As reported in the abstract

Cor pulmonale parameters and their associations with risk factors · Day 1

Median (IQR) compliance (Cpa), mL/mmHg

4.28

3.14, 6.08

Median (IQR) elastance (Ea), mmHg/mL

0.48

0.36, 0.66

Median (IQR) pulmonary artery pulsatility index (PAPi)

1.58

1.13, 2.38

Median (IQR) pulmonary vascular resistance index (PVRi), WU*m²

3.86

2.45, 4.79

Original publication

Do we have our FACTTs straight about cor pulmonale in acute respiratory distress syndrome? Eur Heart J Acute Cardiovasc Care. Published 12 September 2024. doi:10.1093/ehjacc/zuae105

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

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