Table 1—

Evolution of functional and haemodynamic characteristics

August 2007November 2007February 2008April 2008
PAH therapy at evaluationNoneBosentanBosentanBosentan + sildenafil
NYHA FCIIIIIIIVIV
Pra mmHg3134
pa mmHg444558
Ppcw mmHg564
CI L·min−1·m−24.083.453.17
TPRi86410431462
PVRi7659041363
Sv,O2 %736968
Acute vasodilator testingNegative
6MWD m3633903380
Borg scale 0–10229 (malaise)
DL,CO %4939
DLCO/VA %5748
Pa,O2 mmHg677155 (6 L O2)
BNP pg·mL−14656715
Modification of specific PAH therapyStart of bosentan therapyBosentan monotherapyAddition of sildenafilStop sildenafil Listed for urgent lung transplantation
  • PAH: pulmonary arterial hypertension; NYHA: New York Heart Association; FC: functional class ; Pra: right atrial pressure; pa: mean pulmonary arterial pressure; Ppcw: pulmonary capillary wedge pressure; CI: cardiac index; TPRi: total pulmonary resistance index; PVRi: pulmonary vascular resistance index; Sv,O2: mixed venous oxygen saturation; 6MWD: 6-min walk distance; DL,CO: diffusing capacity of the lung for carbon monoxide; VA: alveolar volume; Pa,O2: arterial oxygen tension; BNP: brain natriuretic peptide.