Research article

Seated Pulmonary Artery Pressure Monitoring in Patients With Heart Failure

JACC Heart FailPublished

  • Single-arm clinical trial
  • open-label
  • multicentre
  • 75 centres in the US and Europe
  • changed from randomised to single-arm
  • performance goal

Patients implanted between February 7, 2020, and March 31, 2023

Authors' conclusion

Remote management of seated mPAP is safe and results in a low rate of HF hospitalizations and mortality.

Study context

Population
Chronic heart failure (HF), NYHA class III irrespective of EF, with recent HF hospitalization and/or elevated natriuretic peptidesmodified ITT cohort
Participants
456 participants
Comparison
Seated mean pulmonary artery pressure (mPAP)-guided management vs performance goal of 0.43 events/patient
  • Cordella Pulmonary Artery sensorn = 456
Outcome
HF hospitalization or all-cause mortality rate, compared with a performance goal of 0.43 events/patient
Follow-up
6 months

Main finding

As reported in the abstract

HF hospitalization or all-cause mortality rate (events/patient)

6-month event rate

0.15 (95% CI: 0.12-0.20)

Significantly lower than performance goal (0.15 vs 0.43)

P < 0.0001

Safety

Freedom from device- or system-related complications; freedom from sensor failure · through 6 months

Freedom from device- or system-related complications
99.2%
Freedom from sensor failure
99.8%

Original publication

Seated Pulmonary Artery Pressure Monitoring in Patients With Heart Failure. JACC Heart Fail. Published 14 August 2024. doi:10.1016/j.jchf.2024.05.017

Summarised from the published abstract; every number is checked against it