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Table 1 Echocardiographic, right heart catheterization and arterial blood gas analysis characteristics

From: Journey of a patient with chronic thromboembolic pulmonary hypertension

 

Oct - 07

Mar - 08 initiation

Apr - 09

Apr - 12

Oct - 12

Aug - 13

Echocardiography

      

 LVEDD (mm)

39

38

39

37

39

39

 IVSd (mm)

8

8

8

8

8

8

 CI (L/min,Teich)

3.16

2.71

2.46

2.31

1.61

1.86

 LAD (mm)

27

29

28

28

32

30

 RVD (mm)

37

46

48

51

53

48

 RVd (mm)

6

7

7

7

7

7

 RAA (cm2)

13

23

26

30

30

20

 LV EF (%)

69

69

68

85

73

72

 RV FAC (%)

46

24

20

18

18

21

 MAPSE_septal (mm)

9

6

5

7

7

8

 MAPSE_lateral (mm)

10

8

8

9

9

10

 TAPSE (mm)

18

15

13

13

12

13

 LV diastolic function

abnormal relaxation

abnormal relaxation

-

abnormal relaxation

-

abnormal relaxation

 TR maxV (m/s)

2.5

3.8

3.8

4.2

3.0

2.2

 TR maxPG (mmHg)

25

59

58

71

36

19

 VTIRVOT (cm)

-

-

9.1

12.0

-

10.7

 Estimated PVR (Woods units)

-

-

4.02

3.34

-

1.90

 RAP (mmHg)

5

10

15

15

15

10

 SPAP (mmHg)

30

69

73

86

51

29

 RVOT diameter (mm)

-

37

39

41

-

40

 Main PA diameter (mm)

-

24

24

25

-

30

 Pericardial effusion (mm)

0

5

3

0

4

3

 Pleural effusion

-

yes

-

-

yes

-

Right heart catheterization

     

 PA mean pressure (mmHg)

-

38

42

-

45

-

 PA systolic pressure (mmHg)

-

71

75

-

81

-

 RA mean pressure (mmHg)

-

4

6

-

14

-

 RV systolic pressure (mmHg)

-

67

75

-

84

-

 PA O2 (%)

-

47

53

-

51

-

Arterial blood gas analysis

    

 PO2 (mmHg)

-

64

56

59

50

58

 PCO2 (mmHg)

-

30

33

35

43

41

 O2 saturation (%)

-

94

91

93

89

93

6MWD (m)

-

-

200

190

-

200

  1. Initiation represents the first hospitalization of this patient in our hospital because of progressive dyspnea. LVEDD: end-diastolic left ventricular dimension; IVSd: end-diastolic interventricular septal thickness; LAD: end-systolic left atrial diameter; RVD: end-diastolic basal right ventricular dimension; RVd: end-diastolic right ventricular free wall thickness; RAA: end-systolic right atrial area; LV: left ventricle; EF: ejection fraction; RV: right ventricle; FAC: fractional area change; MAPSE: mitral annular plane systolic excursion; TAPSE: tricuspid annular plane systolic excursion; TR: tricuspid regurgitation; maxV: maximal velocity; maxPG: maximal pressure gradient; RVOT: right ventricular outflow tract; VTI: velocity-time integral; PVR: pulmonary vascular resistance, estimated PVR by echocardiography formula: 10 × (TR maxV/VTIRVOT) − 0.16; CI: cardiac output indexed to body surface area; Woods units: mmHgmin/L; RAP: estimated right atrial pressure; PA: pulmonary artery; RA: right atrium; 6MWD: 6-min walk distance test.