TABLE 2

Right heart function measured with echocardiography

LowlandersHighlandersMean difference (95% CI)p-value
Subjects7697
sPAP mmHg#23±530±107 (5 to 10)<0.001
mPAP mmHg17±422±65 (3 to 7)<0.001
TTPG mmHg#20±526±86 (4 to 9)<0.001
TR Vmax m·s−1#2.2±0.32.5±0.40.3 (0.2 to 0.4)<0.001
RAP mmHg3±14±31.0 (0.1 to 1.5)0.033
AT RVOT m·s−1127±2193±14−33 (−39 to −28)<0.001
PCWP mmHg11±210±3−0.4 (−1.2 to 0.4)0.354
PVR WU1.5±1.12.9±1.81.4 (0.9 to 1.9)<0.001
PVR (haematocrit- adjusted) WU1.6±1.32.8±1.91.2 (0.6 to 1.7)<0.001
Cardiac output L·min−14.3±0.94.3±1.0−0.0 (−0.3 to 0.3)0.906
TAPSE cm2.1±0.32.0±0.3−0.1 (−0.2 to −0.0)0.039
TASV cm·s−113.4±2.412.5±2.1−0.9 (−1.6 to −0.2)0.008
RV FAC %42±639±8−3 (−6 to −1)0.003
RV end-systolic area cm29.4±2.312.1±3.72.7 (1.7 to 3.8)<0.001
RV end-diastolic area cm216.1±3.219.7±5.23.6 (2.1 to 5.0)<0.001
RV/LV ratio0.7±0.10.8±0.20.1 (0.4 to 0.1)<0.001
LV EI systolic1.0±0.11.1±0.10.1 (0.0 to 0.1)<0.001
LV EI diastolic1.0±0.01.0±0.10.0 (0.0 to 0.1)0.002
RV wall thickness cm0.38±0.080.43±0.110.05 (0.02 to 0.08)0.002
RA volume index mL·m−219.6±6.022.9±8.33.3 (0.9 to 5.6)0.006
RA diameter cm4.5±0.54.4±0.60 (0 to 0)0.386
RA area cm213.8±3.314.8±5.01.1 (−0.3 to 2.5)0.120
RVA cm·s−138.8±10.539.3±11.10.5 (−3.3 to 4.4)0.782
RVE cm·s−157±945±12−13 (−17 to −9)<0.001
RVE/A1.6±0.41.2±0.4−0.4 (−0.5 to −0.2)<0.001
RVa cm·s−113.1±3.913.1±3.9−0.1 (−1.3 to 1.1)0.903
RVe cm·s−111.8±2.611.0±3.3−0.7 (−1.6 to 0.2)0.116
RVE/e′5.1±1.44.2±1.4−0.9 (−1.4 to −0.4)0.001
TAPSE/sPAP mm·mmHg−11.0±0.30.7±0.2−0.3 (−0.4 to −0.2)<0.001

Data are presented as n or mean±sd, unless otherwise stated. sPAP: systolic pulmonary arterial pressure; mPAP: mean pulmonary arterial pressure; TTPG: transtricuspid pressure gradient; TR Vmax: maximal tricuspid regurgitation velocity; RAP: right atrial pressure; AT RVOT: acceleration time right ventricular outflow tract; PCWP: pulmonary capillary wedge pressure; PVR: pulmonary vascular resistance; WU: Woods units; TAPSE: tricuspid annular plane systolic excursion; TASV: tricuspid annular systolic velocity; RV: right ventricle; FAC: fractional area change; LV: left ventricle; EI: eccentricity index; RA: right atrium; RVA: pulsed wave Doppler A-wave for late diastolic active filling of the right ventricle; RVE: pulsed wave Doppler E-wave for early passive filling of the right ventricle; RVE/A: right ventricular ratio of the early to late ventricular filling velocities; RVe′: tissue Doppler of the early diastole; RVa: tissue Doppler of the atrial contraction. #: trans-tricuspid regurgitation was present in 64 (84%) out of 76 lowlanders and in 83 (85%) out of 97 highlanders.