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Pulmonary Hypertension: Beyond the Swan Ganz Catheter

Pulmonary Hypertension: Beyond the Swan Ganz Catheter

Independent Predictor of

Independent Predictor of Mortality• CHFGrigioni et al. (2006). J Heart Lung Transp, 25(10), pp. 1241‐1246.• Presence of PHTN at initial evaluation = 2.3 RR (~MR)• Increases in mean PAP of >30% = 2.6 RR irrespective of other hemodynamicmeasurements• MI Moller, J. et al. (2005). American Journal of Cardiology, 96(2), pp. 199‐203• Hazard ratio for mortality 1.22 per 10 mm Hg (p or =16 had a higher risk of mortality (OR 4.93, 95% CI 1.84 to 13.17).• PAS independent predictor of mortality (OR 1.04, 95% CI 1.02 to 1.06)• PAS >50 mm Hg had a higher risk of death (OR 5.96, 95% CI 1.46 to 19.84 as comparedwith PAS < or =30 mm Hg).• Sickle Cell Gladwin et al. (2004). New England Journal of Medicine, 350(9), pp. 886‐895• TRV > 2.5 m/s strongly associated with increased risk of death (RR for death 10.1 with95% CI 2.2 to 47.0)

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