TY - JOUR
T1 - Noninvasively assessed pulmonary artery stiffness predicts mortality in pulmonary arterial hypertension .
AU - Gan, C.T.
AU - Lankhaar, J.W.
AU - Westerhof, N.
AU - Marcus, J.T.
AU - Becker, A.
AU - Twisk, J.W.R.
AU - Boonstra, A.
AU - Postmus, P.E.
AU - Vonk Noordegraaf, A.
N1 - Dec.
PY - 2007
Y1 - 2007
N2 - Aims: Decreased total compliance of the pulmonary vascular bed is associated with increased mortality in patients with pulmonary arterial hypertension (PAH). We investigated whether proximal pulmonary artery stiffness, in terms of area distensibility and noninvasively assessed relative area change (RAC), calculated as relative cross-sectional area change, predicts mortality in patients with PAH. Methods and results: Eighty-six subjects underwent right-heart catheterization and MRI to assess area distensibility and RAC. Patients were followed up to 48 months. Kaplan-Meier plot and Cox proportional hazards regression analyses assessed the predictive value of area distensibility and RAC. In 70 patients, the diagnosis PAH was confirmed, and 16 subjects served as control subjects. In comparison with control subjects, proximal pulmonary arteries of patients were distended (685 ± 214 mm
AB - Aims: Decreased total compliance of the pulmonary vascular bed is associated with increased mortality in patients with pulmonary arterial hypertension (PAH). We investigated whether proximal pulmonary artery stiffness, in terms of area distensibility and noninvasively assessed relative area change (RAC), calculated as relative cross-sectional area change, predicts mortality in patients with PAH. Methods and results: Eighty-six subjects underwent right-heart catheterization and MRI to assess area distensibility and RAC. Patients were followed up to 48 months. Kaplan-Meier plot and Cox proportional hazards regression analyses assessed the predictive value of area distensibility and RAC. In 70 patients, the diagnosis PAH was confirmed, and 16 subjects served as control subjects. In comparison with control subjects, proximal pulmonary arteries of patients were distended (685 ± 214 mm
U2 - 10.1378/chest.07-1246
DO - 10.1378/chest.07-1246
M3 - Article
SN - 0012-3692
VL - 132
SP - 1906
EP - 1912
JO - Chest
JF - Chest
ER -