Saha et al identified risk factors associated with a poor prognosis in a patient with Eisenmenger syndrome. This can help identify a patient who may require more aggressive management and closer monitoring. The authors are from Sree Chitra Tirunal Institute of Medical Sciences and Technology in Trivandrum, India.
Parameters:
(1) history of syncope
(2) mean right atrial pressure (right-sided filling pressure)
(3) systemic arterial oxygen saturation
Parameter
Finding
Points
history of syncope
negative
0
positive
1
mean right atrial pressure
< 8 mm Hg
0
>= 8 mm Hg
1
systemic arterial oxygen saturation
>= 85%
0
< 85%
1
number of risk factors =
= SUM(points for all 3 parameters)
Interpretation:
• minimum number of risk factors: 0
• maximum number of risk factors: 3
• The presence of one or more risk factors is associated with a worse prognosis.
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