Table 3– Anthropometric characteristics, cardiovascular variables obtained during resting right heart catheterisation under pharmacotherapy, and resting pulmonary function testing in pulmonary arterial hypertension (PAH) patients who developed dynamic lung hyperinflation during exercise (PAH-H) and those who did not (PAH-NH), and in controls
PAH-HPAH-NHControls
Subjects n151010
Female/male n9/66/45/5
Age yrs40±1135±1339±16
Height cm167±8169±9171±9
Body mass index kg·m−225±322±323±4
Duration of disease months70±5979±78
NYHA functional class2±12±1
6MWD m523±84568±113
mPAP mmHg48±1350±22
Right atrial pressure mmHg5±37±4
Ppcw mmHg8±49±2
PVR Wood units6.1±2.57.3±3.5
CO L·min−16.7±1.25.9±1.1
CI L·min−1·m−23.7±0.63.5±0.7
Mixed venous oxygen saturation %72±671±6
Resting pulmonary function
 FEV1 L (% pred)2.8±0.7 (88±17)3.3±0.9 (95±14)+4.0±0.7 (116±11)
 FVC L (% pred)3.4±1.0 (91±17)3.9±1.0 (97±17)+4.7±0.8 (116±10)
 FEV1/VC# %113±11117±9110±5
 TLC L (% pred)5.2±1.1 (92±11)5.6±1.1 (96±10)6.4±0.9 (107±9)
 VC L (% pred)3.6±1.1 (93±18)4.0±1.0 (96±16)4.7±0.8 (113±10)
 FRC L (% pred)2.6±0.5 (89±10)§,¶3.1±0.6 (103±14)3.2±0.7 (104±16)
 IC L (% pred)2.6±0.8 (98±22)2.5±0.6 (90±17)3.2±0.4 (108±18)
 RV L (% pred)1.6±0.5 (93±24)1.6±0.4 (94±23)1.7±0.5 (95±17)
 ERV L (% pred)1.0±0.4§,¶ (83±31)§,¶1.5±0.6 (114±43)1.5±0.6 (115±34)
 FEF25% L·s−1 (% pred)6.5±1.7 (98±18)7.0±1.9 (102±11)7.6±1.8 (108±10)
 FEF50% L·s−1 (% pred)3.7±0.9 (85±20)4.5±1.4 (95±19)5.1±1.0 (109±18)
 FEF75% L·s−1 (% pred)1.1±0.4§,¶ (56±15)§,¶1.9±0.9 (89±25)2.2±0.7 (105±8)
  • Data are presented as mean±sd, unless otherwise stated. NYHA: New York Heart Association; 6MWD: 6-min walking distance; mPAP: mean pulmonary artery pressure; Ppcw: pulmonary capillary wedge pressure; PVR: pulmonary vascular resistance; CO: cardiac output; CI: cardiac index; FEV1: forced expiratory volume in 1 s; % pred: % predicted; FVC: forced vital capacity; VC: vital capacity; TLC: total lung capacity; FRC: functional residual capacity; IC: inspiratory capacity; RV: residual volume; ERV: expiratory reserve volume; FEF25%, 50% and 75%: forced expiratory flow at 25%, 50% and 75%, respectively, of the FVC. p<0.05 (one-way ANOVA): #: spirometric evidence of an obstructive ventilatory defect as defined by a reduced FEV1/VC ratio below the fifth percentile of the predicted value [15]; : PAH-H versus controls; +: PAH-NH versus controls; §: PAH-H versus PAH-NH.