The diastolic pulmonary gradient does not predict survival in patients with pulmonary hypertension due to left heart disease

JACC: Heart Failure

Volumn 3, Issue 1, 2015, Pages 9-16

  Tampakakis, Emmanouil ^a   Leary, Peter J ^b   Selby, Van N ^c   De Marco, Teresa ^c   Cappola, Thomas P ^d   Felker, G Michael ^e   Russell, Stuart D ^a   Kasper, Edward K ^a   Tedford, Ryan J ^a  

^a DEPARTMENT OF PATHOLOGY   (United States)

^b UNIVERSITY OF WASHINGTON   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

^d UNIVERSITY OF PENNSYLVANIA   (United States)

^e DUKE UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

Diastolic pulmonary gradient; Left heart disease; Pulmonary hypertension; Survival

Indexed keywords

ADULT; ARTICLE; CARDIOVASCULAR MORTALITY; CLINICAL EVALUATION; COHORT ANALYSIS; CONGESTIVE CARDIOMYOPATHY; DIASTOLIC PULMONARY GRADIENT; DISEASE MARKER; FEMALE; HEART CATHETERIZATION; HEART DISEASE; HEART FAILURE; HEART TRANSPLANTATION; HEMODYNAMIC PARAMETERS; HUMAN; LUNG HEMODYNAMICS; LUNG VASCULAR RESISTANCE; MAJOR CLINICAL STUDY; MALE; MORTALITY; PREDICTION; PROGNOSIS; PULMONARY HYPERTENSION; PULMONARY HYPERTENSION DUE TO LEFT HEART DISEASE; RETROSPECTIVE STUDY; SURVIVOR; TRANSPULMONARY GRADIENT; COMPLICATION; DIASTOLE; EPIDEMIOLOGY; FOLLOW UP; HEART LEFT VENTRICLE FUNCTION; HYPERTENSION, PULMONARY; KAPLAN MEIER METHOD; LUNG WEDGE PRESSURE; MIDDLE AGED; PATHOPHYSIOLOGY; PHYSIOLOGY; SURVIVAL RATE; TRENDS; UNITED STATES; VASCULAR RESISTANCE;

ADULT; CARDIAC CATHETERIZATION; DIASTOLE; FEMALE; FOLLOW-UP STUDIES; HUMANS; HYPERTENSION, PULMONARY; KAPLAN-MEIER ESTIMATE; MALE; MIDDLE AGED; PROGNOSIS; PULMONARY WEDGE PRESSURE; RETROSPECTIVE STUDIES; SURVIVAL RATE; UNITED STATES; VASCULAR RESISTANCE; VENTRICULAR DYSFUNCTION, LEFT;

EID: 84920264488     PISSN: 22131779     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jchf.2014.07.010     Document Type: Article

References (25)

1. Guazzi M., Borlaug B.A. Pulmonary hypertension due to left heart disease. Circulation 2012, 126:975-990.
2. Mehra M.R., Jessup M., Gronda E., Costanzo M.R. Rationale and process: International Society for Heart and Lung Transplantation guidelines for the care of cardiac transplant candidates-2006. JHeart Lung Transplant 2006, 25:1001-1002.
3. Naeije R., Vachiery J.L., Yerly P., Vanderpool R. The transpulmonary pressure gradient for the diagnosis of pulmonary vascular disease. Eur Respir J 2013, 41:217-223.
4. Tedford R.J., Hassoun P.M., Mathai S.C., et al. Pulmonary capillary wedge pressure augments right ventricular pulsatile loading. Circulation 2012, 125:289-297.
5. Cappola T.P., Felker G.M., Kao W.H., Hare J.M., Baughman K.L., Kasper E.K. Pulmonary hypertension and risk of death in cardiomyopathy: patients with myocarditis are at higher risk. Circulation 2002, 105:1663-1668.
6. Khush K.K., Tasissa G., Butler J., McGlothlin D., De M.T. Effect of pulmonary hypertension on clinical outcomes in advanced heart failure: analysis of the Evaluation Study of Congestive Heart Failure and Pulmonary Artery Catheterization Effectiveness (ESCAPE) database. Am Heart J 2009, 157:1026-1034.
7. Miller W.L., Grill D.E., Borlaug B.A. Clinical features, hemodynamics, and outcomes of pulmonary hypertension due to chronic heart failure with reduced ejection fraction. JAm Coll Cardiol HF 2013, 1:290-299.
8. Vachiery J.L., Adir Y., Barbera J.A., et al. Pulmonary hypertension due to left heart diseases. JAm Coll Cardiol 2013, 62:D100-D108.
9. Gerges C., Gerges M., Lang M.B., et al. Diastolic pulmonary vascular pressure gradient: a predictor of prognosis in "out-of-proportion" pulmonary hypertension. Chest 2013, 143:758-766.
10. Tedford R.J., Beaty C.A., Mathai S.C., et al. Prognostic value of the pre-transplant diastolic pulmonary artery pressure to pulmonary capillary wedge pressure gradient (DPG) in cardiac transplant recipients with pulmonary hypertension. JHeart Lung Transplant 2014, 33:289-297.
11. Felker G.M., Thompson R.E., Hare J.M., et al. Underlying causes and long-term survival in patients with initially unexplained cardiomyopathy. NEngl J Med 2000, 342:1077-1084.
12. Boyle C.A., Decoufle P. National sources of vitalstatus information: extent of coverage and possible selectivity in reporting. Am J Epidemiol 1990, 131:160-168.
13. Aronson D., Eitan A., Dragu R., Burger A.J. Relationship between reactive pulmonary hypertension and mortality in patients with acute decompensated heart failure. Circ Heart Fail 2011, 4:644-650.
14. Guazzi M., Arena R. Pulmonary hypertension with left-sided heart disease. Nat Rev Cardiol 2010, 7:648-659.
15. Wilson R.F., Beckman S.B., Tyburski J.G., Scholten D.J. Pulmonary artery diastolic and wedge pressure relationships in critically ill and injured patients. Arch Surg 1988, 123:933-936.
16. Heinonen J., Salmenpera M., Takkunen O. Increased pulmonary artery diastolic-pulmonary wedge pressure gradient after cardiopulmonary bypass. Can Anaesth Soc J 1985, 32:165-170.
17. Harvey R.M., Enson Y., Ferrer M.I. A reconsideration of the origins of pulmonary hypertension. Chest 1971, 59:82-94.
18. Ryan J.J., Rich J.D., Thiruvoipati T., Swamy R., Kim G.H., Rich S. Current practice for determining pulmonary capillary wedge pressure predisposes to serious errors in the classification of patients with pulmonary hypertension. Am Heart J 2012, 163:589-594.
19. Ghio S., Gavazzi A., Campana C., et al. Independent and additive prognostic value of right ventricular systolic function and pulmonary artery pressure in patients with chronic heart failure. JAm Coll Cardiol 2001, 37:183-188.
20. Sibbald W.J., Paterson N.A., Holliday R.L., Anderson R.A., Lobb T.R., Duff J.H. Pulmonary hypertension in sepsis: measurement by the pulmonary arterial diastolic-pulmonary wedge pressure gradient and the influence of passive and active factors. Chest 1978, 73:583-591.
21. Zapol W.M., Snider M.T. Pulmonary hypertension in severe acute respiratory failure. NEngl J Med 1977, 296:476-480.
22. Her C., Mandy S., Bairamian M. Increased pulmonary venous resistance contributes to increased pulmonary artery diastolic-pulmonary wedge pressure gradient in acute respiratory distress syndrome. Anesthesiology 2005, 102:574-580.
23. Marland A.M., Glauser F.L. Significance of the pulmonary artery diastolic-pulmonary wedge pressure gradient in sepsis. Crit Care Med 1982, 10:658-661.
24. Enson Y., Wood J.A., Mantaras N.B., Harvey R.M. The influence of heart rate on pulmonary arterial-left ventricular pressure relationships at end-diastole. Circulation 1977, 56:533-539.
25. Adir Y., Humbert M., Sitbon O., et al. Out-of-proportion pulmonary hypertension and heart failure with preserved ejection fraction. Respiration 2013, 85:471-477.