A clinical and echocardiographic score to differentiate pulmonary hypertension due to heart failure with preserved ejection fraction from idiopathic pulmonary hypertension: the PH-HFPEF score

نویسندگان

چکیده

Abstract Background One of the most challenging differential diagnoses in pulmonary hypertension clinical practice, is discrimination between idiopathic arterial (IPAH) and due to heart failure with preserved ejection fraction (PH-HFpEF). Aim We elaborate a score (considering patient history, demographics, echocardiographic characteristics) that can predict, noninvasively, PH-HFpEF vs IPAH diagnosis. Methods Data were prospectively collected on 466 consecutive patients final diagnosis or referred single tertiary vascular disease centre. included parameters an electrocardiogram transthoracic echocardiogram. A multivariate regression model was developed predict diagnosis, integer risk generated using adjusted coefficients logistic analysis. Results At high ratio left right ventricular dimensions, history atrial fibrillation (AF), body mass index (BMI), reduced mitral deceleration time E-wave at trans-mitral doppler, advanced age fractional area change (FAC) predictors PH-HFpEF. The derived PH-HFPEF shown Table 1 and, cut-point ≥11, it yielded specificity/sensitivity, respectively, for PH-HFpEF, 100%/49% AUC 0.987. Conclusions IPAH. may be used potentially avoid invasive diagnostic testing almost half patients. Funding Acknowledgement Type funding sources: None.

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ژورنال

عنوان ژورنال: European Heart Journal

سال: 2022

ISSN: ['2634-3916']

DOI: https://doi.org/10.1093/eurheartj/ehac544.768