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REVEAL risk score for pulmonary arterial hypertension

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When to use
World Health Organization group 1 PAH subgroup
Associated PAH-connective tissue disease
Associated PAH-portopulmonary hypertension
Familial PAH
Other
Renal insufficiency
Yes
No
Male age > 60 years
Yes
No
New York Heart Association/World Health Organization functional class
I
II
III
IV
Systolic blood pressure, mmHg
≥ 110
< 110
Heart rate, bpm
≤ 92
> 92
6-minute walk test
≥ 440 m
165-440 m
< 165 m
BNP, pg/mL / N-terminal pro-BNP if BNP is not available
< 50 / < 300
50-180 / 300-1500
> 180 / > 1,500
Pericardial effusion on echocardiogram
Yes
No
Diffusing capacity of lung for carbon monoxide on pulmonary function test
≥ 80%
33-79%
≤ 32%
Mean right atrial pressure > 20 mmHg within 1 year on right heart catheterization
Yes
No
Pulmonary vascular resistance > 32 Wood units on right heart catheterization
Yes
No
Calculation
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