Value of right heart haemodynamics for risk stratification of patients with pulmonary arterial hypertension at follow-up - PubMed
2 days ago
- #Pulmonary Arterial Hypertension
- #Haemodynamics
- #Risk Stratification
- ESC/ERS guidelines recommend noninvasive parameters for risk stratification in pulmonary arterial hypertension (PAH) patients, with invasive haemodynamic parameters used at clinician's discretion.
- Study evaluates the role of invasive haemodynamic parameters in predicting death risk and clinical worsening (CW) in PAH patients categorized by the noninvasive ESC/ERS 4-strata risk model.
- Patients were stratified into good or poor haemodynamic profiles based on stroke volume index and right atrial pressure at follow-up.
- Findings show a good haemodynamic profile predicts better survival in intermediate-risk patients and lower CW rates in low-risk patients.
- High-risk patients rarely exhibited a good haemodynamic profile, underscoring the prognostic value of haemodynamic assessment in PAH management.