Study and patient characteristics at baseline, before atrial septal defect (ASD) closure
First author [ref]. | Study design | Time period | Sample size n | Age years | Female | ASD diameter mm | NYHA class III–IV | PH assessment method | PH measure and cut-offs mmHg | Mean sPAP mmHg | PH prevalence |
Veldtman [31]# | Retrospective cohort | 1997–1999 | 40 | 38 (20–71) | 75 | 13±4 | 5 | TEE | sPAP >35 | NR | 62 |
De Lezo [32] | Case series | NR | 29 | 56±14 | 83 | 26±7 | 48 | TTE/TEE | sPAP ≥40 | 64±23 | 100 |
Bruch [33] | Case series | NR | 15 | 66 (48–77) | 66.6 | 22.7±7.0 (9–34) | 60 | TTE/RHC | mPAP >25 | 58.3±15 | 100 |
Balint [34]#,¶ | Case series | 1999−2004 | 54 | 59±15 | 76 | 18±7 | 41 | TTE/TEE | sPAP 40–49 (mild), 50–59 (moderate), ≥60 (severe) | 58±10 | 100 |
Yong [35]#,¶ | Prospective cohort | 1999−2006 | 215 | 54±16 | 73 | 19±6 | 19 | TTE | sPAP ≥40 | Median (IQR) 30.0 (25.0–36.0) | 50.2 |
Yalonetsky [36]# | Retrospective cohort | 1998−NR | 23 | NR | TTE | sPAP cut-off NR | NR | ||||
Age 40–60 years | 52±6 | 74 | 19±5 | 39±7.7 | |||||||
Age 60+ years | 67±5 | 70 | 18±5 | 53±16.2 | |||||||
Altindag [37] | Retrospective cohort | 1999–2008 | 47 | 58±13 (40–79) | 79 | NR | 43 | TTE/TEE | NR | NR | 62 |
Humenberger [38]#,¶ | Prospective cohort | NR | TTE/TEE | sPAP ≥40 | NR | ||||||
Age<40 years | 78 | 29±6.7 | 61.5 | Median (IQR) 23 (29–26) | 1.3 | 31±7 | |||||
Age 40–60 years | 84 | 50±5.6 | 65.5 | Median (IQR) 22 (17.5–26.5) | 3.8 | 37±10 | |||||
Age >60 years | 74 | 71±6.1 | 82.4 | Median (IQR) 22.5 (20–28) | 41.4 | 53±17 | |||||
Huang [39]¶ | Retrospective cohort | 2007–2010 | 15 | 32.3±12.8 | 73.3 | NR | NR | RHC | sPAP ≥60 (severe PAH) | 51.6±9.4 | 100 |
Kefer [40]# | Prospective cohort | 1999−2009 | 112 | 46±17 | 71 | PH: 22±5 no PH: 18±6 | 31 | TTE | sPAP >40 | 47±7 | 28 |
Nakagawa [41]¶# | Prospective cohort | 2005–2010 | 30 | 75.8±3.8 (70–85) | 66.6 | 20.3±6.4 | 35 | TEE | mPAP ≥25 | 35.6±11.8 | 53 |
Mangiafico [42]# | Prospective cohort | 2008–2011 | NR | NR | TTE | sPAP cut-off NR | NR | ||||
Age <40 years | 10 | 29±7.3 | 0 | 35.1±6.6 | |||||||
Age >40 years | 20 | 58±11 | 0 | 41.2±6.4 | |||||||
Akagi [9]¶ | Case series | 2006–2014 | RHC | ||||||||
PHM group 1 | 8 | 37±15 | 100 | 22±7 | 88 | sPAP ≥60 | 60±11 | 100 | |||
Non-PHM group 2 | 14 | 66±13 | 71 | 23±8 | 21 | mPAP ≥25 | 58±17 | ||||
Wang [43] | Retrospective cohort | 2000–2009 | 179 | Median (IQR) 53 (40–81) | 75.4 | NR | 8.9 | TEE | sPAP ≥40 | 44.8±22.2 | 24 |
Dalvi [44] | Case series | 2009–2014 | 6 | 29±8.89 | 83.3 | 28±2.09 | 0 | RHC | mPAP ≥25 | 102.6±11.5 | 100 |
Data are presented as mean (range), %, mean±sd or mean±sd (range), unless otherwise stated. NYHA: New York Heart Association; PH: pulmonary hypertension; sPAP: systolic pulmonary artery pressure; TEE: transoesophageal echocardiography; TTE: transthoracic echocardiography; RHC: right heart catheterisation; NR: not reported; mPAP: mean pulmonary artery pressure; PAH: pulmonary arterial hypertension; PHM: pulmonary hypertension medication. #: study-reported sPAP values derived from right ventricular systolic pressure; ¶: study-reported values for PAH.