Physiological mechanisms behind respiratory variations in right atrial pressure in pulmonary hypertension

Impaired respiratory variation of right atrial pressure (RAP) in severe pulmonary hypertension (PH) suggests difficulty tolerating increased preload during inspiration. Our study explores whether this impairment links to specific factors: right ventricular (RV) diastolic function, elevated RV afterload, systolic RV function, or RV-pulmonary arterial (PA) coupling. We retrospectively evaluated respiratory RAP variation in all participants enrolled in the EXERTION study. Impaired respiratory variation was defined as end-expiratory RAP - end-inspiratory RAP 

  • Yogeswaran, A.
  • da Rocha, B. B.
  • Rako, Z. A.
  • Kaufmann, S. J.
  • Schäfer, S.
  • Kremer, N.
  • Ghofrani, H. A.
  • Seeger, W.
  • Tello, K.

Keywords

  • Humans
  • Female
  • Male
  • *Hypertension, Pulmonary/physiopathology
  • Middle Aged
  • *Atrial Pressure
  • Retrospective Studies
  • Aged
  • Ventricular Function, Right/physiology
  • Conductance catheterization
  • Diastolic dysfunction
  • End-diastolic elastance
  • Exercise haemodynamics
  • Prognosis
  • Pulmonary hypertension
  • Respiratory variation
  • Retrospective analysis
  • Right atrial pressure
  • Right ventricular dysfunction
Publication details
DOI: 10.1038/s41598-024-61825-6
Journal: Sci Rep
Pages: 12547
Number: 1
Work Type: Original
Access number: 38822042
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