Research Article

The Different Effects of Direct Bilirubin on Portopulmonary Hypertension and Idiopathic Pulmonary Arterial Hypertension

Table 1

Baseline demographics and clinical indices of portopulmonary hypertension and idiopathic pulmonary arterial hypertension.

ParametersPOPH (n = 30)IPAH (n = 180) value

Demographics
 Age at diagnosis (year)49.5 ± 13.139.1 ± 14.9<0.001
 Female : male22 : 8123 : 570.854
 Height (cm)162.7 ± 7.6161.9 ± 6.90.584
 Weight (kg)63.0 ± 12.958.5 ± 9.90.032
 Body surface area (m2)1.70 ± 0.291.62 ± 0.180.046
 Onset of symptoms (mo)23 (10–37)19 (9–44)0.856
 WHO FC (I : II : III : IV)1 : 12 : 14 : 32 : 61 : 107 : 100.571
Etiology of liver disease, n (%)
 Cryptogenic7 (23.3%)NA
 Hepatitis B19 (63.4%)NA
 Hepatitis C1 (3.3%)NA
 Alcohol1 (3.3%)NA
 PBC2 (6.7%)NA
Child-Pugh class, n (%)
 A13 (43.3%)NA
 B14 (46.7%)NA
 C3 (10.0%)NA
Hemodynamics
 mRAP (mmHg)4.74 ± 3.548.48 ± 5.49<0.001
 sPAP (mmHg)80.46 ± 21.7199.25 ± 24.81<0.001
 mPAP (mmHg)46.54 ± 11.9560.58 ± 15.03<0.001
 mPAWP (mmHg)8.23 ± 3.598.44 ± 3.160.755
 TPG (mmHg)38.24 ± 11.2152.38 ± 14.77<0.001
 Cardiac index (L/min/m2)4.02 ± 1.592.47 ± 0.81<0.001
 PVR (wood unit)7.08 ± 3.9514.89 ± 7.11<0.001
 SVR (wood unit)15.78 ± 7.3722.01 ± 8.230.001
 SvO2 (%)65.50 ± 9.7360.97 ± 10.000.004
Target therapy, n (%)
 ERAs3 (10.1%)29 (16.1%)0.389
 PDE-5is19 (63.2%)77 (42.7%)0.036
 Prostacyclin analogues1 (3.3%)14 (7.8%)0.382
 Combined therapies3 (10.1%)39 (21.7%)0.139
 No specific treatment4 (13.3%)21 (11.7%)0.794
Laboratory variables
 Uric acid (μmol/L)366.57 ± 156.03404.13 ± 125.950.149
 BUN (mmol/L)5.20 ± 1.815.51 ± 1.960.415
 Creatinine (μmol/L)61.57 ± 21.0067.23 ± 17.430.114
 D-dimer (ng/ml)399 (218, 1673)149 (106, 202)<0.001
 International normalized ratio1.31 ± 0.321.22 ± 0.430.315
 NT-proBNP (pg/ml)324 (81, 893)739 (262, 1904)0.004
 BNP (pg/ml)120 (80, 402)221 (55, 427)0.727
 Arterial blood gas
 PH7.45 ± 0.037.45 ± 0.030.522
 PO2 (mmHg)72.16 ± 13.7272.13 ± 18.260.994
 PCO2 (mmHg)33.96 ± 11.6828.43 ± 5.070.019
 SO2 (%)93.35 ± 5.1393.00 ± 5.620.780
 Blood cell counts (109/L)
  WBC4.18 ± 1.786.68 ± 2.09<0.001
  Neutrophils2.26 ± 1.403.88 ± 1.79<0.001
  RBC4.24 ± 0.854.92 ± 0.63<0.001
  PLT114.73 ± 85.67178.92 ± 72.54<0.001
 MELD scores11 (8–13)NA

POPH, portopulmonary hypertension; IPAH, idiopathic pulmonary arterial hypertension; WHO FC, World Health Organization functional classification; PBC, primary biliary cirrhosis; sPAP, systolic pulmonary artery pressure; mRAP, mean right atrial pressure; mPAP, mean pulmonary artery pressure; mPAWP, mean pulmonary artery wedge pressure; PVR, pulmonary vascular resistance; TPG, transpulmonary gradient; SVR, systemic vascular resistance; SvO2, mixed venous oxygen saturation; ERAs, endothelin receptor antagonists; PDE-5is, phosphodiesterase 5 inhibitors; BUN, blood urea nitrogen; NT-proBNP, N-terminal pro brain natriuretic peptide; BNP, brain natriuretic peptide; PH, power of hydrogen; PO2, partial pressure of oxygen; PCO2, partial pressure of carbon dioxide; SO2, oxygen content of arterial blood; WBC, white blood cell; RBC, red blood cell; PLT, platelet; MELD score, model for end-stage liver disease scores; NA, not applicable. Hemodynamics were measured via right heart catheterization.