Wide QRS in idiopathic pulmonary hypertension predicts poor outcome

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Prediction and prognosis are the hot thing in medicine, from neurology, to cardiology, and now idiopathic pulmonary hypertension – an area fraught with a particularly poor prognosis but no good prognostic scoring system. This little note from the JAMA looks at the role of the 12 lead – which is nice, since every patient gets it and its easy to read.And how does it correlate? From just over 200 patients looked at, 35 had a prolonged QRS, and this was correlated with WHO class, 6MWT (particularly important), and – critically – mortality (2.5 times higher risk).

Sounds like the start of a score to predict IPAH mortality well – read more about this here.

image | James Heilman

source | Chest

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