From: Prevalence, one-year-incidence and predictors of carcinoid heart disease
Patient 4 | Patient 5 | Patient 6 | ||||
---|---|---|---|---|---|---|
Baseline | Follow-up | Baseline | Follow-up | Baseline | Follow-up | |
Duration from baseline to follow-up in months | 14 | 12 | 12 | |||
NYHA class | I | I | I | N. A | III | II |
NTproBNP, ng/l | N.A | N.A | N.A | 4053 | 544 | 643 |
Therapy | ||||||
Cardiac intervention or operation (months since diagnosis) | None | Surgical tricuspid valve replacement (63) | None | None | None | Transcatheter pulmonary valve implantation (38), surgical tricuspid valve replacement (41) |
Medication | Angiotensin II receptor blocker, beta blocker, calcium antagonist, diuretics | Diuretics | ACE inhibitor, beta blocker, diuretics | |||
LVEF, % | 55 | 51 | 62 | 60 | 53 | 59 |
RVOT-VTI, cm | N. A | 10 | 38 | 11 | 12 | N. A |
TAPSE, mm | 22 | 16 | 22 | 25 | 18 | 16 |
RV-Sʹ, cm/s | 13 | 9 | 15 | 15 | 10 | 7 |
MPEI | 0.63 | 0.51 | 0.32 | 0.76 | 0.55 | 0.34 |
Free wall RV strain, % | -26.2 | -23.0 | -31.6 | -37.0 | -17.1 | -19.7 |
Global RV strain, % | -19.5 | -19.5 | -25.7 | -30.7 | -14.3 | -17.8 |
RVD basal, mm | 39 | 46 | 36 | 32 | 32 | 29 |
RVD mid, mm | 40 | 38 | 29 | 27 | 32 | 25 |
RV apex-base, mm | 96 | 68 | 68 | 82 | 69 | 73 |
RVOT1, mm | 38 | 41 | 37 | 40 | 30 | 24 |
RVOT2, mm | 29 | 32 | 17 | 35 | 23 | 21 |
RA area, cm2 | 16 | 32 | 14 | 19 | 20 | 18 |
TR | mild | Nonea | mild | moderate | moderate | milda |
TS | none | nonea | none | none | none | nonea |
PR | none | moderate | none | none | moderate | severeb |
PS | none | none | none | none | none | noneb |