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Table 1 Baseline characteristics according to the primary combined endpoint

From: Prognostic value of mean velocity at the pulmonary artery estimated by cardiovascular magnetic resonance as a prognostic predictor in a cohort of patients with new-onset heart failure with reduced ejection fraction

 

No event

n = 119

Primary combined endpoint

n = 91

Total sample

n = 210

p-value

Age (years)

62.9 ± 12.1

65.5 ± 13.3

64.1 ± 12.6

0.146

Sex, male(n,%)

84(70.6%)

63(69.2%)

147(70%)

0.832

Arterial hypertension(n,%)

76(63.9%)

60(67.4%)

136(65.4%)

0.594

Diabetes mellitus(n,%)

42(35.3%)

44(49.4%)

86(41.3%)

0.040

Dyslipidemia(n,%)

55(46.2%)

47(52.8%)

102(49%)

0.347

Atrial fibrillation(n,%)

32(26.9%)

30(33.0%)

62(29.5%)

0.339

Left bundle branch block(n,%)

31(26.5%)

18(21.2%)

49(24.3%)

0.384

Implanted cardiodefibrillator,(n,%)

20(17.1%)

24(27.6%)

44(21.6%)

0.302

Cardiac resynchronization therapy, (n,%)

8(6.7%)

2(2.2%)

10(4.8%)

0.114

Previous coronary artery disease(n,%)

25(21.0%)

28(31.1%)

53(25.4%)

0.096

eGFR (ml/min/1.73m2)

76.2 ± 16.1

69.2 ± 19.7

73.7 ± 17.9

0.012

Stage 3–4 Renal Failure (eGFR< 50 ml/min/1.73m2)

9(8.5%)

13(17.1%)

22(12.1%)

0.079

Sodium (mEq/L)

138.1 ± 2.7

137.3 ± 4.1

137.7 ± 3.3

0.128

Nt-proBNP (pg/mL)

5888 ± 4703

6043 ± 5041

5953 ± 4821

0.881

NYHA Functional Class

   

<  0.001

 I

26(21.8%)

7(7.7%)

33(15.7%)

 

 II

73(61.3%)

44(48.4%)

117(55.7%)

 

 III

16(13.4%)

31(34.1%)

47(22.4%)

 

 IV

4(3.4%)

9(9.9%)

13(6.2%)

 

Etiology of left ventricular dysfunction (n,%)

   

0.006

 Ischemic

33 (27.7%)

41 (46.1%)

74(35.6%)

 

 Non-ischemic

86 (72.3%)

48 (53.9%)

134(64.4%)

 

Idiopathic

38(31.9%)

18(20.2%)

56(26.9%)

 

Tachycardiomyopathy

18(15.1%)

7(7.7%)

25(11.9%)

 

LBBB

10(8.4%)

6(6.7%)

16(7.7%)

 

Alcoholic cardiomyopathy

8(6.7%)

6(6.6%)

14(6.7%)

 

Cardiotoxicity

5(4.2%)

3(3.3%)

8(3.8%)

 

Infiltrative cardiomyopathy

2(1.7%)

5(5.5%)

7(3.3%)

 

Non-compacted cardiomyopathy

4(3.4%)

2(2.2%)

6(2.9%)

 

Myocarditis

1(1%)

1(1%)

2(1%)

 

Echocardiography

 LVEF (%)

27.9 ± 9.3

27.5 ± 9.9

27.8 ± 9.6

0.712

 LVEDD (mm)

59.6 ± 7.6

58.9 ± 7.4

59.3 ± 7.5

0.632

 LVESD (mm)

46.8 ± 8.9

48.4 ± 9.2

47.6 ± 9.1

0.292

 RV diameter (mm)

23.3 ± 5.9

24.7 ± 8.2

23.9 ± 6.9

0.270

 SPAP (mmHg)a

46.8 ± 14.7

49.7 ± 14.3

48.1 ± 14.5

0.244

 TAPSE (mm)

17.2 ± 3.8

16.4 ± 5.9

16.9 ± 4.7

0.370

 TAPSE/SPAP ratio (mm/mmHg)a

0.42 ± 0.19

0.35 ± 0.25

0.39 ± 0.22

0.129

CMR

 LVEF(%)

27.5 ± 10.4

25.9 ± 9.5

26.9 ± 10.0

0.265

 LVEDVI (mL/m2)

123.8 ± 39.1

137.3 ± 47.3

129.7 ± 43.2

0.025

 LVESVI (mL/m2)

91.6 ± 37.7

103.3 ± 46.1

96.7 ± 41.8

0.050

 RVEF(%)

42.4 ± 15.5

44.0 ± 15.9

43.1 ± 15.7

0.450

 RVEDVI (mL/m2)

76.3 ± 31.5

78.0 ± 33.9

77.1 ± 32.5

0.705

 RVESVI (mL/m2)

45.6 ± 26.0

46.2 ± 30.3

45.9 ± 27.9

0.863

 LGE ischemic-pattern (n,%)

27(26.5%)

28(41.8%)

55(32.5%)

0.038

 LGE non-ischemic pattern (n,%)

46(45.5%)

22(33.3%)

68(40.7%)

0.166

MvPA (cm/s)

10.9 ± 4.2

8.9 ± 3.2

10.1 ± 3.9

<  0.001

PVR (WU)

5.1 ± 2.4

5.8 ± 2.4

5.5 ± 2.4

<  0.036

RV-PA unit parameters

Maximal PA-area (cm2)

8.2 ± 2.4

9.1 ± 2.2

8.6 ± 2.4

0.013

Minimal PA-area (cm2)

6.2 ± 2.4

7.1 ± 1.9

6.6 ± 2.1

0.010

PA pulsatility (%)

0.35 ± 0.20

0.30 ± 0.14

0.33 ± 0.18

0.102

RV Emax/Ea

0.89 ± 0.60

0.93 ± 0.62

0.91 ± 0.61

0.622

Right heart catheterisation parameters

 

No event

n = 35

Primary combined endpoint

n = 20

Total sample

n = 55

p-value

MPAP (mmHg)

29.5 ± 10.7

34.8 ± 9.7

31.4 ± 10.5

0.077

PCWP (mmHg)

20.9 ± 8.2

20.6 ± 7.6

20.8 ± 7.8

0.904

RA pressure (mmHg)

11.9 ± 6.9

12.8 ± 5.7

12.3 ± 6.4

0.694

Cardiac output(l/min)

3.9 ± 1.5

3.1 ± 1.2

3.6 ± 1.4

0.090

PVR (WU)

2.7 ± 1.9

4.6 ± 2.8

3.4 ± 2.4

0.013

TPG (mmHg)

8.6 ± 6.0

13.8 ± 8.6

10.6 ± 7.4

0.013

Pulse pressure (mmHg)

23.7 ± 10.0

28.3 ± 15.2

25.4 ± 12.2

0.206

PA Compliance (mm3/mmHg)

1.87 ± 0.91

1.41 ± 0.84

1.67 ± 0.90

0.099

  1. a Measures available for 139 patients
  2. CMR cardiovascular magnetic resonance. CRT cardiac resynchronization therapy. Ea effective elastance. Emax right ventricular maximal end-systolic elastance. eGFR estimated glomerular filtration rate. ICD implanted cardiodefibrillator. LGE late gadolinium enhancement. LVEF left ventricular ejection fraction. LVEDD left ventricular end-diastolic diameter. LVESD left ventricular end-systolic diameter. mPAP mean pulmonary artery pressure. mvPA mean velocity at the pulmonary artery. Nt-proBNP N-terminal brain natriuretic type peptide. NYHA New York Heart Association. sPAP systolic pulmonary artery pressure. PA pulmonary artery. PCWP pulmonary capillary wedge pressure. PVR pulmonary vascular resistance. RA right atrium. RVEF right ventricular ejection fraction. TAPSE tricuspid annular plane excursion. TPG transpulmonary gradient. WU wood units