Description

Thenappan et al evaluated the NIH risk stratification equation (equation of D'Alonzo et al) in patients with pulmonary arterial hypertension (PAH). They developed an equation for predicting survival in PAH based on contemporary management. The authors are from the University of Chicago and Northwestern University.


Patient selection: pulmonary arterial hypertension

 

Outcome: survival at 1, 2 or 3 years

 

Parameters:

(1) mean pulmonary artery pressure (PAP) in mm Hg

(2) mean right atrial pressure (RAP) in mm Hg

(3) cardiac index (CI) in liters per minute per square meter

(4) coefficient for response to calcium channel blocking (CCB)drugs

 

Response to CCB Drug

Coefficient

responds

3.012

does not respond

1.270

 

X =

= (0.0402 * (mean RAP)) - (0.0148 * (mean PAP)) - (0.361 * (CI)) - (coefficient)

 

A =

= EXP(X)

 

probability for surviving N years =

= EXP((-1) * A * N)

 

where:

• N is 1, 2 or 3 years.


To read more or access our algorithms and calculators, please log in or register.