Group comparison of computed tomography-derived vessel parameters in patients with mild to moderate PH (mPAP 21–34 mmHg) versus patients with severe PH (mPAP ≥35 mmHg) in PH-COPD/emphysema and PH-ILD
COPD/emphysema | ILD | |||
Mild–moderate PH | Severe PH | Mild–moderate PH | Severe PH | |
Subjects n | 20 | 24 | 30 | 16 |
Demographics | ||||
Age years | 65±13 | 67±11 | 64±12 | 69±16 |
Sex % | 60% female | 50% male | 63% female | 56% male |
WHO functional class (I/II/III/IV) n | 0/3/16/1 | 0/0/18/6 | 1/4/23/1 | 0/0/10/6 |
Right heart catheter data | ||||
mRAP, mmHg | 6±4 | 12±6* | 6±3 | 11±11* |
mPAP, mmHg | 27±5 | 50±10** | 26±4 | 48±9** |
PAWP, mmHg | 11±3 | 15±7* | 11±3 | 11±5 |
Cardiac output, L·min−1 | 5.75±1.14 | 4.44±1.65* | 5.16±1.26 | 3.95±0.93* |
Cardiac index, L·min−1·m−2 | 3.30±0.74 | 2.36±0.70** | 2.81±0.73 | 2.09±0.53* |
PVR, mmHg | 233±90 | 709±405** | 257±143 | 777±242** |
SaO2, % | 95±2 | 93±4 | 97±2 | 93±3** |
SvO2, % | 74±6 | 62±9** | 70±4 | 63±10* |
ISWT - distance, m | 231±153 | 105±74** | 228±152 | 70±85** |
Pulmonary function tests | ||||
FEV1, % pred | 66±24 | 62±20 | 67±19 | 54±14* |
FVC, % pred | 94±21 | 81±18* | 68±20 | 55±17* |
FEV1/FVC ratio, % | 55±11 | 58±16 | 77±9 | 78±9 |
TLCO, % pred | 49.2±23.1 | 21.6±11.6 | 37.6±20.8 | 17.8±11.8* |
All vessel parameters | ||||
Pulmonary vessels <0.8 mm, mL·m−2 | 10.6±3.9 | 8.1±2.7* | 6.3±3.3 | 4.4±2.3* |
Pulmonary vessels <1.2 mm, mL·m−2 | 22.6±7.7 | 17.2±5.4* | 13.2±6.5 | 9.4±4.9* |
Pulmonary vessels <1.6 mm, mL·m−2 | 34.5±11 | 27±8* | 20.7±9.4 | 15±7.5* |
Lung volume, mL | 2884±643 | 2395±524* | 1841±559 | 1526±510 |
Total vessel volume, mL | 91±17 | 79±21* | 55±17 | 49±24 |
Data expressed as mean±sd unless otherwise indicated. PH: pulmonary hypertension; ILD: interstitial lung disease; mPAP: mean pulmonary arterial pressure; WHO: World Health Organization; mRAP: mean right atrial pressure; PAWP: pulmonary artery wedge pressure; PVR: pulmonary vascular resistance; SaO2: oxygen saturation; SvO2: mixed venous oxygen saturation; ISWT: incremental shuttle walk test; FEV1: forced expiratory volume in 1 s; FVC: forced vital capacity; TLCO: transfer capacity of the lung for the uptake of carbon monoxide (CO). *: significant change between mild to moderate PH and severe PH (p<0.05); **: significant change between mild to moderate PH and severe PH (p<0.01).