Change in R wave in lead V1 predicts survival of patients with pulmonary arterial hypertension.

Abstract:

:Clinical guidelines for pulmonary hypertension recommend evaluating treatment response through various methods; however, electrocardiography (ECG) is not included as one of the methods of choice. We aimed to identify ECG parameters that correlated with prognosis in patients with pulmonary arterial hypertension (PAH). A total of 112 consecutive patients with PAH were enrolled in this study. Among them, 83 with treatment escalation were studied for further analysis. Survival analyses were conducted using the Kaplan-Meier method with the log-rank test. Cox proportional hazards regression modeling was used to identify predictors of survival. Receiver operating characteristic analysis was used to determine cut-off values for selected variables. ECG parameters were changed from baseline to three months after treatment. Patients in whom the R wave amplitude in lead V1 decreased by ≥1 mm (0.1 mV) within three months demonstrated significantly better survival ( P = 0.017). Our results suggest that evaluation of ECG parameters can contribute to assessments of survival in patients with PAH.

journal_name

Pulm Circ

journal_title

Pulmonary circulation

authors

Sato S,Ogawa A,Matsubara H

doi

10.1177/2045894018776496

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

2045894018776496

issue

2

eissn

2045-8932

issn

2045-8940

journal_volume

8

pub_type

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