Characteristics | Baseline | 3 weeks | 15 weeks | |||||||
Mean±sd | 95% CI | Mean±sd | Median | 95% CI | p-value | Mean±sd | Median | 95% CI | p-value | |
Subjects n | 183 | 183 | 103 | |||||||
6MWD by PH aetiology m | ||||||||||
All | 425±106 | 410–441 | 493±110 | 478–510 | <0.001 | 506±104 | 486–528 | <0.001 | ||
IPAH/HPAH (n=87/87/53) | 448±89 | 429–467 | 523±89 | 503–542 | <0.001 | 543±74 | 522–563 | <0.001 | ||
APAH (n=46/46/18) | 427±113 | 393–461 | 482±123 | 445–518 | <0.001 | 454±132 | 392–516 | <0.001 | ||
CTEPH (n=31/31/18) | 417±110 | 377–457 | 482±126 | 436–528 | <0.001 | 512±81 | 473–551 | 0.001 | ||
PH (n=19/19/11) | 327±100 | 279–375 | 403±86 | 362–444 | <0.001 | 407±118 | 328–486 | <0.001 | ||
Difference from baseline 6MWD by PH aetiology m | ||||||||||
All | 68±46 | 61–75 | <0.001 | 78±49.5 | 68–88 | <0.001 | ||||
IPAH/HPAH (n=87/53) | 75±43 | 69–92 | <0.001 | 85±48.9 | 71–98 | <0.001 | ||||
APAH (n=46/18) | 54±44 | 36–80 | <0.001 | 56±48.8 | 32–80 | <0.001 | ||||
CTEPH (n=31/18) | 65±48 | 52–100 | <0.001 | 85±49.8 | 60–110 | 0.001 | ||||
PH (n=19/11) | 76±55 | 44–118 | <0.001 | 72±48 | 41–105 | <0.001 | ||||
6MWD in WHO-FC subgroups m | ||||||||||
WHO-FC II (n=26/26/13) | 507±100 | 466–548 | 572±100 | 532–613 | <0.001 | 588±57 | 554–623 | <0.001 | ||
WHO-FC III (n=137/137/76) | 424±86 | 410–439 | 494±93 | 478–510 | <0.001 | 511±85 | 492–530 | <0.001 | ||
WHO-FC IV (n=18/18/10) | 239±95 | 190–291 | 298±90 | 253–342 | <0.001 | 287±108 | 209–364 | 0.010 | ||
Difference from baseline 6MWD in WHO-FC subgroups m | ||||||||||
All (n=183/103) | 68±46 | 61–75 | <0.001 | 78±50 | 68–88 | <0.001 | ||||
WHO-FC II (n=26/13) | 65±41 | 49–82 | <0.001 | 85±53 | 53–117 | <0.001 | ||||
WHO-FC III (n=137/76) | 70±46 | 62–78 | <0.001 | 79±48 | 68–90 | <0.001 | ||||
WHO-FC IV (n=18/10) | 59±51 | 33–84 | <0.001 | 63±61 | 19–107 | 0.010 | ||||
Improvement in 6MWD in WHO-FC subgroups % | ||||||||||
WHO-FC II (n=26/13) | 14.3±11.1 | 12.9 | 9.8–18.7 | <0.001 | 18.5±14.1 | 16.1 | 10.0–27.0 | <0.001 | ||
WHO-FC III (n=137/76) | 17.5±13.5 | 14.7 | 15.2–20.0 | <0.001 | 19.3±13.3 | 14.6 | 16.3–22.4 | <0.001 | ||
WHO-FC IV (n=18/10) | 25.0±27.0 | 17.4 | 11.5–38.4 | <0.001 | 26.3±30.1 | 17.8 | 4.8–47.8 | 0.010 | ||
Cardiopulmonary exercise testing | ||||||||||
Peak V′O2 per kg mL·min−1·kg−1 | 12.2±3.5 | 13.6±4 | <0.001 | 13.9±3.8 | <0.001 | |||||
Peak V′O2 mL·min−1 | 907±276 | 1006±308 | <0.001 | 1011±292 | <0.001 | |||||
EqCO2 at AT | 45.2±9.6 | 43.6±10.6 | 0.249 | 44.3±10.8 | 0.225 | |||||
V′O2 at AT mL·min−1 | 692±214 | 712±236 | 0.216 | 790±261 | 0.007 | |||||
Oxygen pulse | 7.5±2.1 | 7.9±2.4 | <0.001 | 7.7±2.4 | 0.001 | |||||
PASP rest mmHg | 59±20 | 57±20 | 0.028 | 56±20 | 0.016 | |||||
PASP maximum mmHg | 91±26 | 91±26 | 0.542 | 95±26 | 0.512 | |||||
Heart rate rest min−1 | 77±13 | 74±11 | <0.001 | 80±13 | 0.009 | |||||
Heart rate maximum min−1 | 122±19 | 127±22 | <0.001 | 133±20 | <0.001 | |||||
RRsys rest mmHg | 117±17 | 114±15 | 0.016 | 113±14 | 0.019 | |||||
RRdia rest mmHg | 78±14 | 75±9 | <0.001 | 77±9 | 0.128 | |||||
RRsys maximum mmHg | 150±26 | 151±24 | 0.615 | 150±24 | 0.719 | |||||
RRdia maximum mmHg | 86±14 | 86±12 | 0.617 | 87±12 | 0.667 | |||||
Borg scale | 15.6±2 | 15.6±2 | 0.896 | 15.7±2 | 0.100 | |||||
Workload maximum W | 64±24 | 77±28 | <0.001 | 80±27 | <0.001 |
6MWD: 6-min walk distance; IPAH: idiopathic pulmonary arterial hypertension; HPAH: heritable pulmonary arterial hypertension; APAH: associated pulmonary arterial hypertension; CTEPH: chronic thromboembolic pulmonary hypertension; PH: pulmonary hypertension; WHO: World Health Organization; FC: functional class; V′O2: oxygen uptake; EqCO2: respiratory equivalence for carbon dioxide; AT: anaerobic threshold; PASP: systolic pulmonary artery pressure; RRsys: systolic systemic blood pressure; RRdia: diastolic systemic blood pressure. p-values are the same for absolute values and differences in 6MWD; Kruskall Wallis test showed no significance in intergroup comparison, p=0.446 (3 weeks) and p=0.993 (15 weeks). p-values for 6MWD from two-sided t-test, for cardiopulmonary exercise testing from Wilcoxon test.