Pulmonary vascular disease & thromboembolism

Right ventricular strain related to pulmonary artery pressure predicts clinical outcome in patients with pulmonary arterial hypertension

Eur Heart J Cardiovasc ImagingPublished Retrospective cohort study

Main finding · Death or heart/lung transplantationResult — go to the resultHazard ratio 8.3 95% CI 3.2–21.6

Authors' conclusion

RVFW LS/sPAP ratio significantly predicts all-cause mortality and heart-lung transplantation, and was superior to other well-established parameters, in patients with pre-capillary PAH.

Study context

Population
Patients with pre-capillary pulmonary arterial hypertension (PAH)45 females
Participants
65 patients
Exposure
RVFW longitudinal strain (LS)/sPAP ratio vs other echocardiographic parameters for prognosis
Outcome
Death or heart/lung transplantation

Main finding

As reported in the abstract

Hazard ratio

8.3

95% CI 3.2–21.6

P < 0.001

RVFW LS/sPAP ratiovs other echocardiographic parameters for prognosis
HR 8.3 (95% CI 3.2–21.6); P < 0.001
RVFW LS/sPAP (cut-off 0.19) sensitivity
92%
RVFW LS/sPAP (cut-off 0.19) specificity
82.5%

Observational data: associations, not effects.

Further findings

Characteristics of patients reaching the endpoint

Worse NYHA functional capacity, reduced right ventricle (RV) function and higher sPAP in patients reaching the endpoint
LV function similar in both groups

Original publication

Right ventricular strain related to pulmonary artery pressure predicts clinical outcome in patients with pulmonary arterial hypertension. Eur Heart J Cardiovasc Imaging. Published 19 July 2022. doi:10.1093/ehjci/jeac136

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