Quality of Life is Related to Haemodynamics in Precapillary Pulmonary Hypertension.


Journal

Heart, lung & circulation
ISSN: 1444-2892
Titre abrégé: Heart Lung Circ
Pays: Australia
ID NLM: 100963739

Informations de publication

Date de publication:
Jan 2020
Historique:
received: 03 07 2018
accepted: 10 12 2018
pubmed: 29 1 2019
medline: 4 6 2020
entrez: 29 1 2019
Statut: ppublish

Résumé

Precapillary pulmonary hypertension (PH) is characterised by compromised functional capacity and impaired quality of life. Assessment of haemodynamics is routinely used for initial diagnosis, follow-up, and risk stratification in these patients. The purpose of this study was to investigate the relation of health-related quality of life (HRQoL) as assessed by emPHasis-10 score, a self-assessment questionnaire assessing breathlessness, fatigue, control, and confidence, to haemodynamic and neurohormonal indices in patients with precapillary PH. This was a prospective cross-sectional study which included stable patients with precapillary PH. All patients underwent right heart catheterisation, 6-minute walk test, N-terminal pro-brain natriuretic peptide (NT-proBNP) measurement, and assessment of HRQoL with the emPHasis-10 scale. Overall, 54 patients were included (32 women; mean age, 58.4 ± 14.6 yr). Mean emPHasis-10 score was 19.2 ± 12.0. EmPHasis-10 score correlated with World Health Organization functional class (r = 0.52, p < 0.001), 6-minute walk distance (r=-0.56, p < 0.001), and log Self-assessment of quality of life with the use of the emPHasis-10 score reflects functional capacity and is correlated with haemodynamic and neurohormonal indices of right heart dysfunction in patients with precapillary PH.

Sections du résumé

BACKGROUND BACKGROUND
Precapillary pulmonary hypertension (PH) is characterised by compromised functional capacity and impaired quality of life. Assessment of haemodynamics is routinely used for initial diagnosis, follow-up, and risk stratification in these patients. The purpose of this study was to investigate the relation of health-related quality of life (HRQoL) as assessed by emPHasis-10 score, a self-assessment questionnaire assessing breathlessness, fatigue, control, and confidence, to haemodynamic and neurohormonal indices in patients with precapillary PH.
METHOD METHODS
This was a prospective cross-sectional study which included stable patients with precapillary PH. All patients underwent right heart catheterisation, 6-minute walk test, N-terminal pro-brain natriuretic peptide (NT-proBNP) measurement, and assessment of HRQoL with the emPHasis-10 scale.
RESULTS RESULTS
Overall, 54 patients were included (32 women; mean age, 58.4 ± 14.6 yr). Mean emPHasis-10 score was 19.2 ± 12.0. EmPHasis-10 score correlated with World Health Organization functional class (r = 0.52, p < 0.001), 6-minute walk distance (r=-0.56, p < 0.001), and log
CONCLUSIONS CONCLUSIONS
Self-assessment of quality of life with the use of the emPHasis-10 score reflects functional capacity and is correlated with haemodynamic and neurohormonal indices of right heart dysfunction in patients with precapillary PH.

Identifiants

pubmed: 30686644
pii: S1443-9506(19)30025-3
doi: 10.1016/j.hlc.2018.12.005
pii:
doi:

Substances chimiques

Peptide Fragments 0
pro-brain natriuretic peptide (1-76) 0
Natriuretic Peptide, Brain 114471-18-0

Types de publication

Clinical Trial Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

142-148

Informations de copyright

Copyright © 2019 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.

Auteurs

Alexandra Arvanitaki (A)

Department of Cardiology, AHEPA University Hospital, Aristotle University of Thessaloniki, Greece.

Sophia Anastasia Mouratoglou (SA)

Department of Cardiology, AHEPA University Hospital, Aristotle University of Thessaloniki, Greece.

Alexandros Evangeliou (A)

Department of Cardiology, AHEPA University Hospital, Aristotle University of Thessaloniki, Greece.

Vasilios Grosomanidis (V)

Department of Anesthesiology and Intensive Care Medicine, AHEPA University Hospital, Thessaloniki, Greece.

Stavros Hadjimiltiades (S)

Department of Cardiology, AHEPA University Hospital, Aristotle University of Thessaloniki, Greece.

Lemonia Skoura (L)

Department of Microbiology, AHEPA University Hospital, Thessaloniki, Greece.

Christos Feloukidis (C)

Department of Cardiology, AHEPA University Hospital, Aristotle University of Thessaloniki, Greece.

Dimitrios Farmakis (D)

Department of Cardiology, AHEPA University Hospital, Aristotle University of Thessaloniki, Greece; Cardiology Department, Papageorgiou General Hospital, Thessaloniki, Greece.

Haralambos Karvounis (H)

Department of Cardiology, AHEPA University Hospital, Aristotle University of Thessaloniki, Greece.

George Giannakoulas (G)

Department of Cardiology, AHEPA University Hospital, Aristotle University of Thessaloniki, Greece. Electronic address: ggiannakoulas@auth.gr.

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Classifications MeSH