Immature reticulocyte fraction: A novel biomarker of hemodynamic severity in pulmonary arterial hypertension

Autor: Adam J. Brownstein, Jared D. Wilkinson, Lloyd L. Liang, Richard N. Channick, Rajan Saggar, Airie Kim
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Pulmonary Circulation, Vol 14, Iss 3, Pp n/a-n/a (2024)
Druh dokumentu: article
ISSN: 2045-8940
DOI: 10.1002/pul2.12421
Popis: Abstract Various erythropoietic abnormalities are highly prevalent among patients with pulmonary arterial hypertension (PAH) and associated with worse disease severity. Given the poorly understood yet important roles of dysregulated erythropoiesis and iron metabolism in PAH, we sought to further characterize the hematologic and iron profiles in PAH and their relationship to PAH severity. We recruited 67 patients with PAH and 13 healthy controls. Hemodynamics attained within 1 year of blood sample collection were available for 36 patients. Multiple hematologic, iron, and inflammatory parameters were evaluated for their association with hemodynamics. The subset with hemodynamic data consisted of 29 females (81%). The most common etiologies were idiopathic PAH (47%) and connective tissue disease‐related PAH (33%). 19 (53%) had functional class 3 or 4 symptomatology, and 12 (33%) were on triple pulmonary vasodilator therapy. Immature reticulocyte fraction (IRF) had significant positive correlations with mean pulmonary artery (PA) pressure (mPAP) (0.59, p
Databáze: Directory of Open Access Journals
Nepřihlášeným uživatelům se plný text nezobrazuje