Page 19 - Journal of Structural Heart Disease Volume 3, Issue 4
P. 19

Original Research Article
106
at elevations below 8200 ft, the e ect of Denver’s ele- vation (i.e., the elevation at which the majority of our moderate altitude patients were living) may be less signi cant than expected. Still, we feel that reporting these results is important for centers at moderate el- evation.
In conclusion, patients with ASDs living at moder- ate altitude (4500–6000 ft or 1372–1829 m) were more likely to have PH or a mPAp ≥ 25 mmHg than those living at low altitude, but there was no di erence be- tween groups in Qp:Qs or clinically relevant PVR (> 3 Wood-units × m2). That is, while living at moderate altitude can raise pulmonary pressures, even when controlling for age, this did not appear to contribute to the development of PAH in our cohort of patients with ASDs.
Acknowledgements
We thank Abbie Hageman, Leda Kloudas, and Vi- jayapraveena Paruchuri for data collection. We also would like to thank Amber Khanna for her assistance with manuscript editing.
Con ict of Interest
The authors have no con ict of interest relevant to this publication.
Comment on this Article or Ask a Question
References
1. Fyler DC. Atrial septal defect secundum. In: Keane JF, Lock JE, Fyler DC. Nadas’ Pediatric Cardiology. Philadelphia, PA: Hanley & Bel- fus; 1992, p. 513-524.
2. Pietra GG, Capron F, Stewart S, Leone O, Humbert M, Robbins IM, et al. Patho- logic assessment of vasculopathies in pulmonary hypertension. J Am Coll Car- dio. 2004;43:25S-32S. DOI: 10.1016/j. jacc.2004.02.033
3. Steele PM, Fuster V, Cohen M, Ritter DG, McGoon DC. Isolated atrial septal defect with pulmonary vascular obstructive dis- ease--long-term follow-up and prediction of outcome after surgical correction. Circu- lation. 1987;76:1037-1042. PMID: 3664992
4. Du els MGJ, Engelfriet PM, Berger RMF, van Loon RL, Hoendermis E, Vriend JW, et al. Pulmonary arterial hypertension in con- genital heart disease: An epidemiologic perspective from a Dutch registry. Int J Cardiol. 2007;120:198-204. DOI: 10.1016/j. ijcard.2006.09.017
5. Engelfriet P, Meijboom F, Boersma E, Tijs- sen J, Mulder B. Repaired and open atrial septal defects type II in adulthood: An epi- demiological study of a large European co-
hort. Int J Cardiol. 2008;126:379-385. DOI:
10.1016/j.ijcard.2007.04.044
6. Suchoń E, Tracz W, Podolec P, Sadowski J. Atrial septal defect in adults: The in uence of age and haemodynamic parameters on the results of surgical repair. Kardiol Pol. 2006;64:470-478. PMID: 16752329
7. Motiwala A, Fatimi SH, Akhtar N, Perveen S, Khan MZ, Atiq M. Patients with congenital atrial septal defects: E ect of age at repair and defect size on pulmonary artery pres- sures prior to repair. Thorac Cardiovasc Surg. 2011;59:281-286. DOI: 10.1055/s- 0030-1250491
8. Maignan M, Rivera-Ch M, Privat C, León-Velarde F, Richalet J-P, Pham I. Pul- monary pressure and cardiac function in chronic mountain sickness patients. Chest. 2009;135:499-504. DOI: 10.1378/ chest.08-1094
9. Stenmark KR, Fagan KA, Frid MG. Hypox- ia-induced pulmonary vascular remodel- ing: Cellular and molecular mechanisms. Circ Res. 2006;99:675-691. DOI: 10.1161/01. RES.0000243584.45145.3f
10. Harris PA, Taylor R, Thielke JP, Gonzalez N, Conde JG. Research electronic data
capture (REDCap) - A metadata-driven methodology and work ow process for providing translational research informat- ics support. J Biomed Inform. 2009;42:377- 381. DOI: 10.1016/j.jbi.2008.08.010
11. Lopes A, Tissot C, Ivy DD. Echocardio- graphic evaluation of pulmonary hyper- tension. In: Beghetti, M. Pediatric Pulmo- nary Hypertension. Munich: Elsevier Urban & Fischer; 2011, p.187-207.
12. León-Velarde F, Maggiorini M, Reeves JT, Aldashev A, Asmus I, Bernardi L, et al. Consensus statement on chronic and subacute high altitude diseases. High Alt Med Biol. 2005;6:147-157. DOI: 10.1089/ ham.2005.6.147
Journal of Structural Heart Disease, August 2017
Volume 3, Issue 4:102-106
Cite this article as: Nicolarsen J, Oestreich B, Patel SS, Aboulhosn J, Franklin WJ, Kay J. Moderate Altitude Is Not Associated with Pulmonary Arterial Hypertension in Adult Patients Referred for Transcatheter Device Closure of Atrial Septal Defects. Structural Heart Disease. 2017;3(4):102-106. DOI: https:// doi.org/10.12945/j.jshd.2017.003.17


































































































   17   18   19   20   21