Elevated Pulmonary Artery Pressure (Part 2)
In the course of the analysis of the impact of LVH on survival in a cohort of predominantly black patients with a high prevalence of systemic hypertension, we noted the independent increased risk associated with pulmonary hypertension. The present study was therefore undertaken to assess more fully the predictive significance of increased pulmonary pressures. Clinical and hemodynamic data were recorded on 1,371 patients who were then followed up prospectively for mortality. The degree of pulmonary hypertension that persists after control for loss of systolic function has been taken as a proxy indicator of diastolic dysfunction of the left ventricle. The purpose of this report is to provide a descriptive analysis of the statistical relationship between the hemodynamics of the pulmonary circulation and prognosis in patients with and without CAD, and, in particular, to examine the relevance of increased pulmonary artery mean pressure (PAMP) as a predictor of survival. buy yasmin online
Information describing the clinical history, resting electrocardiogram, hemodynamics, and coronary arteriogram was prospectively collected in the Cook County Hospital (Chicago) Heart Disease Registry on 1,749 patients undergoing cardiac catheterization for presumed CAD between June 1982 and December 1987.