Research Article

Profile of Endothelin-1, Nitric Oxide, and Prostacyclin Levels in Pulmonary Arterial Hypertension Related to Uncorrected Atrial Septal Defect: Results from a Single Center Study in Indonesia

Table 1

Clinical, laboratory, echocardiography, and hemodynamics characteristics of all subjects.

The characteristicsAll subjects n = 44

Clinical and laboratory data
Age (years), mean ± SD39.5 ± 13.3
Sex, n (%)
 Male (%)4 (9.1)
 Female (%)40 (90.9)
SBP (mmHg), median (IQR)101 (95–120)
DBP (mmHg), median (IQR)70 (70–80)
Peripheral O2 saturation (%), median (IQR)96 (93–98)
W.H.O functional class, n (%)
 I7 (15.9)
 II35 (79.5)
 III2 (4.5)
Haemoglobin (g/dL), mean ± SD13.4 ± 1.6
Hematocrit (%), mean ± SD40.0 ± 4.8
Creatinine (g/dL), mean ± SD0.8 ± 0.2
Endothelin-1 (pg/dL), mean ± SD674.29 ± 405.28
Prostacyclin (pg/dL), median (IQR)413.51 (190.13–1280.89)
Nitric oxide (µmol/L), mean ± SD325.49 ± 77.56

Echocardiography data
Minimum ASD diameter (cm), mean ± SD2.5 ± 0.6
Maximum ASD diameter (cm), mean ± SD2.7 ± 0.9
Right atrial dimension (cm), mean ± SD4.8 ± 0.7
Right ventricle dimension (cm), mean ± SD4.7 ± 0.5
Left ventricle ejection fraction (%),mean ± SD71.2 ± 10.1
TAPSE (cm), mean ± SD2.5 ± 0.5
TVRG (mmHg), mean ± SD78.0 ± 28.5
RVSP (mmHg), mean ± SD85.4 ± 28.2
Left atrial dimension (cm), median (IQR)3.3 (2.9–3.7)
LVIDd (cm), median (IQR)3.5 (3.1–3.8)
Tricuspid valve regurgitation, n (%)
 Mild3 (6.8)
 Moderate24 (54.5)
 Severe17 (38.6)
Shunt direction, n (%)
 Left to right27 (61.4)
 Bidirectional17 (38.6)

Hemodynamics RHC data
Mean pressure (mmHg)
 Aorta, mean ± SD103.6 ± 15.0
 RV systolic, median (IQR)86.0 (64.0–103.0)
 Pulmonary artery, mean ± SD51.0 ± 15.2
Pulmonary artery wedge pressure (mmHg)8.0 ± 4.4
O2 saturation (%)
 Aorta, median (IQR)91.0 (85.0–94.0)
 Mixed vein, median (IQR)60.6 (55.0–64.0)
 Left atrium, median (IQR)90.5 (85.0–93.0)
 Right atrium, mean ± SD73.0 ± 9.4
 Pulmonary vein, median (IQR)95.5 (93.0–96.5)
 Pulmonary artery, mean ± SD77.0 ± 10.0
PVR (Woods unit), median (IQR)12.7 (3.9–21.3)
Flow ratio, median (IQR)1.7 (1.3–2.8)
PAH severity, n (%)10 (22.7)
 Mild13 (29.5%)
 Moderate22 (50.0%)
 Severe9 (20.5%)

IQR: interquartile range, SBP: systolic blood pressure, DBP: diastolic blood pressure, ASD: atrial septal defect, TAPSE: tricuspid annular plane systolic excursion, TVRG: tricuspid valve regurgitant gradient, RVSP: right ventricular systolic pressure, LVIDd: left ventricle internal diastolic diameter, RHC: right heart catheterization, PVR: pulmonary vascular resistance, mPAP: mean pulmonary artery pressure, PAH: pulmonary artery hypertension, and RV: right ventricle.