Pulmoner Arter Basınçları 21–24 mmHg Aralığında Olan Hastaların Uzun Vadeli Doğal Seyri: Tek Merkez Deneyimi
dc.authorscopusid | 57191909085 | |
dc.authorscopusid | 57202353075 | |
dc.authorscopusid | 23568467100 | |
dc.authorscopusid | 7004155093 | |
dc.authorscopusid | 6701848586 | |
dc.contributor.author | Yağmur, B. | |
dc.contributor.author | Kayıkçıoğlu, M. | |
dc.contributor.author | Şimşek, E. | |
dc.contributor.author | Nalbantgil, S. | |
dc.contributor.author | Kültürsay, H. | |
dc.date.accessioned | 2024-08-25T18:45:33Z | |
dc.date.available | 2024-08-25T18:45:33Z | |
dc.date.issued | 2023 | |
dc.department | Ege Üniversitesi | en_US |
dc.description.abstract | OBJECTIVE: Slightly elevated mean pulmonary artery pressure (mPAP) was previously termed as ''borderline pulmonary hypertension (PH)''. We examined the long-term prognosis of patients with mPAP values between 21 and 24 mmHg, who were referred with the suspicion of pulmonary hypertension. METHODS: Our retrospective study included patients with moderate-to-high echocardiographic risk who underwent right heart catheterization (RHC) between 2008 and 2021 and were followed for at least 1 year. Patients with mPAP <21 mmHg and mPAP 21-24 mmHg were compared. Demographic and clinical characteristics and prognoses of the groups were compared. All-cause mortality over a mean follow-up of 5 years (min 1-max 13 years) was evaluated. RESULTS: A total of 140 patients (mean age 53.1 ± 14.8 years, female 74.5%) with mPAP values <25 mmHg measured of the 395 diagnostic RHCs. Mean follow-up was 4.92 ± 3.13 years. NT-pro-BNP and 6-min walking distance were better in patients with mPAP <21 mmHg. Echocardiographic findings suggestive of PH were more common in mPAP 21-24 mmHg group (P < 0.05). Both the pulmonary artery wedge pressure and cardiac index values were significantly deteriorated in individuals with mPAP 21-24 mmHg (P = 0.001). All-cause mortality tended to be higher in the borderline PH group but did not reach to statistical significance. CONCLUSION: Our single-center observational study revealed that the individuals with an mPAP of 21-24 mmHg tended to have a worser prognosis than those with mPAP of <21 mmHg for up to 13-year follow-up. | en_US |
dc.identifier.doi | 10.5543/tkda.2023.65724 | |
dc.identifier.endpage | 485 | en_US |
dc.identifier.issn | 1308-4488 | |
dc.identifier.issue | 7 | en_US |
dc.identifier.pmid | 37861260 | en_US |
dc.identifier.scopus | 2-s2.0-85174865097 | en_US |
dc.identifier.scopusquality | Q4 | en_US |
dc.identifier.startpage | 478 | en_US |
dc.identifier.uri | https://doi.org/10.5543/tkda.2023.65724 | |
dc.identifier.uri | https://hdl.handle.net/11454/101607 | |
dc.identifier.volume | 51 | en_US |
dc.indekslendigikaynak | Scopus | en_US |
dc.indekslendigikaynak | PubMed | en_US |
dc.language.iso | en | en_US |
dc.relation.ispartof | Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.snmz | 20240825_G | en_US |
dc.subject | adult | en_US |
dc.subject | aged | en_US |
dc.subject | female | en_US |
dc.subject | heart catheterization | en_US |
dc.subject | hemodynamics | en_US |
dc.subject | human | en_US |
dc.subject | lung wedge pressure | en_US |
dc.subject | middle aged | en_US |
dc.subject | pulmonary artery | en_US |
dc.subject | pulmonary hypertension | en_US |
dc.subject | retrospective study | en_US |
dc.subject | Adult | en_US |
dc.subject | Aged | en_US |
dc.subject | Cardiac Catheterization | en_US |
dc.subject | Female | en_US |
dc.subject | Hemodynamics | en_US |
dc.subject | Humans | en_US |
dc.subject | Hypertension, Pulmonary | en_US |
dc.subject | Middle Aged | en_US |
dc.subject | Pulmonary Artery | en_US |
dc.subject | Pulmonary Wedge Pressure | en_US |
dc.subject | Retrospective Studies | en_US |
dc.title | Pulmoner Arter Basınçları 21–24 mmHg Aralığında Olan Hastaların Uzun Vadeli Doğal Seyri: Tek Merkez Deneyimi | en_US |
dc.title.alternative | Long-Term Natural Course of Patients with Pulmonary Artery Pressures in the Range of 21-24 mmHg: Insights from a Single-Center Study | en_US |
dc.type | Article | en_US |