Insights Into Differences in Pulmonary Hemodynamics in Hispanic Patients With Pulmonary Arterial Hypertension

Overview

Journal Cardiol Res

Specialty Cardiology & Vascular Diseases

Date 2024 Apr 22

PMID 38645831

Authors

Kahtan Fadah

Kedzie Arrington

Seyed Khalafi

Michael Brockman

Hernando Garcia

Haider Alkhateeb

Debabrata Mukherjee

Nils P Nickel

Affiliations

Soon will be listed here.

Abstract

Background: Emerging data suggest that Hispanic patients with pulmonary arterial hypertension (PAH) exhibit improved survival rates compared to individuals of other ethnicities with similar baseline hemodynamics. However, the underlying reasons for this survival advantage remain unclear. This study focused on comparing pulmonary hemodynamics in Hispanic and non-Hispanic PAH patients and how these differences may contribute to varied clinical outcomes.

Methods: A retrospective analysis of right heart catheterization data was conducted on a treatment-naive PAH patient cohort from a single center.

Results: Over a 10-year period, a total of 226 PAH patients were identified, of which 138 (61%) were Hispanic and 88 (39%) were non-Hispanic. Hispanic patients presented with lower pulmonary artery pressures, lower pulmonary vascular resistance, and exhibited significantly higher pulmonary arterial compliance (PAc). Hispanic patients had better 5-year survival rates.

Conclusions: This study highlights the importance of exploring phenotypic differences in ethnically diverse PAH cohorts.

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