| All patients (n = 229) | mPAP (mmHg) at the baseline | ||
---|---|---|---|---|
≤ 20 (n = 79) | 21–24 (n = 26) | ≥ 25 (n = 124) | ||
Sex (male), n (%) | 30 (13.1) | 12 (15.2) | 4 (15.4) | 14 (11.3) |
Age (year), median (IQR) | 62.0 (51.0–70.0) | 64.0 (51.0–70.0) | 61.5 (54.0–72.0) | 62.0 (49.0–69.5) |
Height (cm), median (IQR)  - N missing | 154.6 (149.2–160.0) 20 (8.7) | 155.2 (149.1–161.5) 3 (3.8) | 154.4 (151.0–162.8) 1 (3.8) | 153.0 (149.0–158.1) 16 (12.9) |
Body weight (kg), median (IQR)  - N missing | 50.0 (44.0–58.9) 20 (8.7) | 50.2 (44.5–56.0) 3 (3.8) | 51.0 (47.9–57.0) 1 (3.8) | 49.0 (41.7–59.9) 16 (12.9) |
Diagnosis, n (%) | Â | Â | Â | Â |
- Systemic sclerosis | 186 (81.2) | 70 (88.6) | 19 (73.1) | 97 (78.2) |
- Mixed connective tissue disease | 22 (9.6) | 6 (7.6) | 5 (19.2) | 11 (8.9) |
- Systemic lupus erythematosus | 17 (7.4) | 1 (1.3) | 1 (3.8) | 15 (12.1) |
- Polymyositis/Dermatomyositis | 8 (3.5) | 2 (2.5) | 2 (7.7) | 4 (3.2) |
- Primary Sjögren’s syndrome | 7 (3.1) | 0 (0.0) | 0 (0.0) | 7 (5.6) |
Classification of PH, n (%) | Â | Â | Â | Â |
- Group 1, PAH | 143 (62.4) | - | 22 (84.6) | 121 (97.6) |
- Group 2, PH associated with left heart disease | 15 (6.6) | - | 4 (15.4) | 11 (8.9) |
- Group 3, PH associated with lung diseases and/or hypoxia | 50 (21.8) | - | 11 (42.3) | 39 (31.5) |
- Group 4, PH associated with chronic pulmonary artery obstruction | 5 (2.2) | - | 1 (3.8) | 4 (3.2) |
- Group 5, PH with unclear and/or multifactorial mechanisms | 0 (0) | - | 0 (0) | 0 (0) |
History of smoke, n (%) | 83 (36.2) | 37 (46.8) | 11 (42.3) | 35 (28.2) |
Comorbidities, n (%) | Â | Â | Â | Â |
- Interstitial lung disease | 104 (45.4) | 40 (50.6) | 19 (73.1) | 45 (36.3) |
- Chronic obstructive pulmonary disease | 3 (1.3) | 2 (2.5) | 0 (0) | 1 (0.8) |
- Bronchial asthma | 4 (1.7) | 1 (1.3) | 0 (0) | 3 (2.4) |
- Cardiac diseases | 19 (8.3) | 5 (6.3) | 3 (11.5) | 11 (8.9) |
- Hypertension | 48 (21.0) | 17 (21.5) | 6 (23.1) | 25 (20.2) |
- Chronic kidney disease | 4 (1.7) | 0 (0) | 0 (0) | 4 (3.2) |
- Hepatic diseases | 12 (5.2) | 5 (6.3) | 3 (11.5) | 4 (3.2) |
- Rheumatoid arthritis | 18 (7.9) | 7 (8.9) | 2 (7.7) | 9 (7.3) |
- Secondary Sjögren’s syndrome | 45 (19.7) | 20 (25.3) | 3 (11.5) | 22 (17.7) |
- Malignancy | 3 (1.3) | 2 (2.5) | 0 (0) | 1 (0.8) |
mRSS, median (IQR)  - N missing | 6.0 (2.0–12.0) 104 (45.4) | 10.0 (2.0–21.0) 35 (44.3) | 7.0 (0.0–10.0) 8 (30.8) | 4.0 (2.0–8.0) 61 (49.2) |
Skin ulcer (presence), n (%)  - N missing | 50 (25.4) 32 (14.0) | 22 (29.3) 4 (5.1) | 5 (20.8) 2 (7.7) | 23 (23.5) 26 (21.0) |
WHO functional class, n (%) - I - II - III - IV  - N missing | 26 (11.4) 61 (26.6) 46 (20.1) 14 (6.1) 82 (35.8) | 18 (22.8) 17 (21.5) 8 (10.1) 1 (1.3) 35 (44.3) | 3 (11.5) 8 (30.8) 5 (19.2) 0 (0) 10 (38.5) | 5 (4.0) 36 (29.0) 33 (26.6) 13 (10.5) 37 (29.8) |
emPHasis-10, median (IQR)  - N missing | 10.5 (2.5–27.5) 225 (98.2) | 10.0 (2.0–18.0) 77 (97.5) | - 26 (100) | 20.0 (3.0–37.0) 122 (98.4) |
6-minute walk test - Distance (m), median (IQR)  - N missing - SpO2 (%), median (IQR)  - N missing | 353.5 (251.3–430.0) 137 (59.8) 90.0 (85.0–95.0) 139 (60.7) | 380.0 (270.0–470.0) 46 (58.2) 95.0 (90.0–97.0) 46 (58.2) | 395.0 (240.0–430.0) 13 (50.0) 90.0 (87.0–95.0) 13 (50.0) | 334.5 (245.0–395.0) 78 (62.9) 86.0 (82.0–93.0) 80 (64.5) |
Blood test | Â | Â | Â | Â |
- Hemoglobin (g/dL)  - N missing | 12.3 (11.1–13.5) 13 (5.7) | 12.3 (11.0–13.2) 3 (3.8) | 12.2 (11.5–13.2) 0 (0) | 12.4 (11.1–13.9) 10 (8.1) |
- Uric acid (mg/dL)  - N missing | 5.1 (4.1–6.4) 22 (9.6) | 4.9 (3.9–5.6) 4 (5.1) | 4.5 (4.1–6.6) 1 (3.8) | 5.3 (4.3–7.0) 17 (13.7) |
- Haptoglobin (mg/dL)  - N missing | 101.0 (67.0–155.0) 199 (86.9) | 108.0 (81.0–155.0) 58 (73.4) | 107.0 (67.0–147.0) 24 (92.3) | 52.0 (34.0–163.0) 117 (94.4) |
- BNP (pg/mL)  - N missing | 58.2 (25.1–220.3) 87 (38.0) | 43.8 (15.2–80.8) 32 (40.5) | 36.8 (16.5–49.5) 9 (34.6) | 135.4 (39.5–427.2) 46 (37.1) |
- NT-proBNP (pg/mL)  - N missing | 200.0 (101.0–893.0) 134 (58.5) | 121.0 (67.1–190.0) 38 (48.1) | 198.0 (65.0–780.2) 13 (50.0) | 810.0 (298.0–4385.0) 83 (66.9) |
- KL-6 (U/mL)  - N missing | 524.0 (326.0–985.0) 96 (41.9) | 440.0 (256.0–1338.0) 26 (32.9) | 669.0 (453.0–1576.0) 9 (34.6) | 518.0 (340.0–910.0) 61 (49.2) |
Transthoracic echocardiography | Â | Â | Â | Â |
- LVDd (mm)  - N missing | 42.0 (38.0–45.3) 66 (28.8) | 42.5 (40.0–47.0) 15 (19.0) | 43.5 (41.0–48.6) 10 (38.5) | 40.0 (34.9–44.0) 41 (33.1) |
- LVDs (mm)  - N missing | 25.0 (23.0–28.0) 66 (28.8) | 25.0 (23.0–30.0) 15 (19.0) | 27.0 (25.0–28.0) 10 (38.5) | 24.0 (22.0–28.0) 41 (33.1) |
- LAD (mm)  - N missing | 34.0 (30.0–40.0) 69 (30.1) | 33.5 (28.0–38.0) 15 (19.0) | 36.0 (33.5–40.4) 10 (38.5) | 34.0 (30.0–40.3) 44 (35.5) |
- LVEF (%)  - N missing | 66.0 (61.0–70.6) 81.0 (35.4) | 66.5 (61.5–70.0) 19 (24.1) | 65.0 (61.0–70.1) 11 (42.3) | 66.0 (60.0–72.9) 51 (41.1) |
- RVDd (mm)  - N missing | 35.0 (29.0–39.0) 140 (61.1) | 33.0 (25.0–37.0) 49 (62.0) | 33.5 (29.0–36.0) 16 (61.5) | 37.0 (31.0–41.2) 75 (60.5) |
- RAD (mm)  - N missing | 40.0 (34.5–45.0) 153 (66.8) | 37.0 (34.0–41.0) 48 (60.8) | 37.0 (33.0–46.5) 16 (61.5) | 44.0 (39.0–46.0) 89 (71.8) |
- IVCd (mm)  - N missing | 13.0 (11.0–17.0) 73 (31.9) | 12.0 (10.0–14.0) 18 (22.8) | 14.0 (11.0–14.6) 9 (34.6) | 15.0 (12.0–19.0) 46 (37.1) |
- TAPSE (mm)  - N missing | 18.0 (15.0–22.0) 128 (55.9) | 22.0 (19.0–25.2) 51 (64.6) | 21.0 (17.8–23.5) 16 (61.5) | 15.3 (13.0–19.8) 61 (49.2) |
- TRV (m/sec)  - N missing | 3.4 (3.0–3.8) 196 (85.6) | 2.5 (2.4–3.0) 70 (88.6) | 3.3 (3.3–3.3) 25 (96.2) | 3.7 (3.4–4.0) 101 (81.5) |
- TRPG (mmHg)  - N missing | 43.2 (32.0–61.3) 99 (43.2) | 27.7 (22.0–36.0) 37 (46.8) | 38.0 (37.5–41.8) 17 (65.4) | 57.0 (46.0–77.0) 45 (36.3) |
Pulmonary function tests | Â | Â | Â | Â |
- VC (L)  - N missing | 2.2 (1.6–2.6) 91 (39.7) | 2.2 (1.9–2.8) 26 (32.9) | 1.9 (1.6–2.3) 9 (34.6) | 2.1 (1.4–2.5) 56 (45.2) |
- VC (% predicted)  - N missing | 82.1 (59.9–97.7) 91 (39.7) | 89.6 (73.0–100.7) 26 (32.9) | 77.0 (60.7–84.5) 9 (34.6) | 76.6 (55.8–97.1) 56 (45.2) |
- FVC (L)  - N missing | 2.1 (1.6–2.6) 89 (38.9) | 2.2 (1.8–2.8) 24 (30.4) | 1.8 (1.6–2.2) 9 (34.6) | 2.1 (1.4–2.5) 56 (45.2) |
- FVC (% predicted)  - N missing | 79.6 (71.8–85.5) 90 (39.3) | 80.2 (74.4–86.4) 24 (30.4) | 77.4 (68.9–83.2) 10 (38.5) | 78.6 (69.0–85.6) 56 (45.2) |
- FEV1/FVC (%)  - N missing | 82.1 (59.9–97.7) 91 (39.7) | 89.6 (73.0–100.7) 26 (32.9) | 77.0 (60.7–84.5) 9 (34.6) | 76.6 (55.8–97.1) 56 (45.2) |
- DLCO (% predicted)  - N missing | 49.9 (36.2–65.4) 116 (50.7) | 58.5 (47.6–80.3) 27 (34.2) | 49.8 (41.9–58.7) 11 (42.3) | 37.6 (26.8–52.5) 78 (62.9) |
- DLCO/VA (% predicted)  - N missing | 64.0 (50.1–77.2) 118 (51.5) | 68.2 (56.6–83.1) 29 (36.7) | 69.5 (62.6–82.2) 11 (42.3) | 51.5 (40.7–70.2) 78 (62.9) |
Treatment before the baseline | Â | Â | Â | Â |
- None | 189 (82.5) | 60 (75.9) | 21 (80.8) | 108 (87.1) |
- Glucocorticoid | 12 (5.2) | 4 (5.1) | 0 (0) | 8 (6.5) |
- IVCY | 18 (7.9) | 8 (10.1) | 2 (7.7) | 8 (6.5) |
- Tacrolimus | 9 (3.9) | 3 (3.8) | 4 (15.4) | 2 (1.6) |
- Methotrexate | 7 (3.1) | 6 (7.6) | 0 (0) | 1 (0.8) |
- Azathioprine | 3 (1.3) | 1 (1.3) | 1 (3.8) | 1 (0.8) |
- Cyclosporine A | 3 (1.3) | 1 (1.3) | 0 (0) | 2 (1.6) |
- Tocilizumab | 2 (0.9) | 0 (0) | 0 (0) | 2 (1.6) |
- Mycophenolate mofetil | 1 (0.4) | 1 (1.3) | 0 (0) | 0 (0) |
- Belimumab | 1 (0.4) | 1 (1.3) | 0 (0) | 0 (0) |
- Infliximab | 1 (0.4) | 0 (0) | 0 (0) | 1 (0.8) |
- Rituximab | 1 (0.4) | 0 (0) | 1 (3.8) | 0 (0) |
- Nintedanib | 2 (0.9) | 1 (1.3) | 0 (0) | 1 (0.8) |
- Alprostadil | 8 (3.5) | 2 (2.5) | 2 (7.7) | 4 (3.2) |