Invasive haemodynamic measurements at rest and during exercise according to regurgitated volume on cardiac MRI (CMRI)
Rest | Peak exercise | |||||
Regurgitant volume <60 mL | Regurgitant volume vol ≥60 mL | P value | Regurgitant volume <60 mL | Regurgitant volume ≥60 mL | P value | |
Watts at max. exercise | – | – | – | 111±46 | 129±36 | 0.17 |
Estimated VO2 (Fick), ml/kg | 2.8±0.8 | 2.6±0.6 | 0.51 | 18.7±6.7 | 18.8±4.3 | 0.67 |
Heart rate | 66±14 | 67±10 | 0.71 | 122±19 | 130±16 | 0.12 |
MAP, mm Hg | 89±9 | 91±9 | 0.57 | 106±14 | 112±18 | 0.23 |
Mean RAP, mm Hg | 6±3 | 7±4 | 0.52 | 11±6 | 10±4 | 0.97 |
PAP systolic, mm Hg | 27±6 | 32±9 | 0.04 | 57±12 | 63±13 | 0.11 |
PAP diastolic, mm Hg | 12±3 | 14±5 | 0.11 | 27±6 | 30±6 | 0.09 |
PAP mean, mm Hg | 18±4 | 21±7 | 0.04 | 41±8 | 45±8 | 0.09 |
PCWP, mm Hg | 11±3 | 14±4 | 0.002 | 27±7 | 28±7 | 0.44 |
CO, L/min | 4.9±1.2 | 5.3±1.2 | 0.32 | 13.2±4.0 | 14.2±2.9 | 0.34 |
CI, l/min/m2 | 2.6±0.5 | 2.6±0.5 | 0.85 | 6.8±1.4 | 7.1±1.3 | 0.41 |
LV stroke work, g*m | 138±31 | 186±34 | <0.001 | |||
RV stroke work, g*m | 7.4±3.9 | 7.2±5.8 | 0.89 | |||
PAPI | 3.0±1.4 | 3.4±2.2 | 0.39 | 3.1±1.4 | 3.1±1.1 | 0.94 |
SVO2 | 72±6 | 75±5 | 0.11 | 35±11 | 36±11 | 0.77 |
Lactate, mmol/L | 0.6±0.3 | 0.6±0.2 | 0.79 | 4.1±1.7 | 5.3±1.8 | 0.04 |
Data are mean±SD.
CI, Cardiac Index; CO, cardiac output; LV, left ventricular; MAP, mean arterial pressure; PAP, pulmonary artery pressure; PAPI, Pulmonary Pulsatility Index; PCWP, pulmonary capillary wedge pressure; RAP, right atrial pressure; RV, right ventricular; SVO2, mixed venous oxygen saturation; VO2, maximal oxygen consumption.