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The goal of this study was to explore the prognostic value of these parameters in idiopathic pulmonary arterial hypertension (<jats:styled-content style=\"fixed-case\">IPAH<\/jats:styled-content>) patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this prospective investigation, newly diagnosed <jats:styled-content style=\"fixed-case\">IPAH<\/jats:styled-content> patients without targeted therapy were recruited. Patients underwent right heart catheterization (<jats:styled-content style=\"fixed-case\">RHC<\/jats:styled-content>), 6\u2010min walk test and <jats:styled-content style=\"fixed-case\">CMR<\/jats:styled-content> imaging within 1\u2009week. Cardiopulmonary haemodynamics derived from <jats:styled-content style=\"fixed-case\">RHC<\/jats:styled-content>, and <jats:styled-content style=\"fixed-case\">RV<\/jats:styled-content> ejection\/filling parameters derived from <jats:styled-content style=\"fixed-case\">CMR<\/jats:styled-content> were collected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 41 <jats:styled-content style=\"fixed-case\">IPAH<\/jats:styled-content> patients were recruited with the median follow\u2010up time of 824\u2009days. During this period, 13 patients significantly deteriorated and among them, 7 patients died. <jats:styled-content style=\"fixed-case\">CMR<\/jats:styled-content>\u2010derived <jats:styled-content style=\"fixed-case\">RV<\/jats:styled-content> peak ejection rate (<jats:styled-content style=\"fixed-case\">PER<\/jats:styled-content>) correlated significantly with <jats:styled-content style=\"fixed-case\">CMR<\/jats:styled-content>\u2010derived <jats:styled-content style=\"fixed-case\">RV<\/jats:styled-content> stroke volume index (r\u2009=\u20090.574, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) and <jats:styled-content style=\"fixed-case\">RV<\/jats:styled-content> cardiac index (r\u2009=\u20090.611, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), but had no significant correlation with <jats:styled-content style=\"fixed-case\">RV<\/jats:styled-content> end diastolic volume index (<jats:styled-content style=\"fixed-case\">EDVI<\/jats:styled-content>, r\u2009=\u20090.201, <jats:italic>P<\/jats:italic>\u2009=\u20090.208) and pulmonary vascular resistance (r\u2009=\u2009\u22120.134, <jats:italic>P<\/jats:italic>\u2009=\u20090.403). Multivariate Cox regression analysis showed that <jats:styled-content style=\"fixed-case\">RV<\/jats:styled-content> time to <jats:styled-content style=\"fixed-case\">PER<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">TPER<\/jats:styled-content>, hazard ratio (<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>)\u2009=\u20091.010, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.003\u20131.017, <jats:italic>P<\/jats:italic>\u2009=\u20090.005) and <jats:styled-content style=\"fixed-case\">RV TPER<\/jats:styled-content>\/time of a cardiac cycle (<jats:styled-content style=\"fixed-case\">TPER<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">TCC<\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\u2009=\u20091.085, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.031\u20131.141, <jats:italic>P<\/jats:italic>\u2009=\u20090.002) were predictors of clinical deterioration after adjusting for N\u2010terminal pro\u2010brain natriuretic peptide (<jats:styled-content style=\"fixed-case\">NT<\/jats:styled-content>\u2010pro<jats:styled-content style=\"fixed-case\">BNP<\/jats:styled-content>) and <jats:styled-content style=\"fixed-case\">RV EDVI<\/jats:styled-content>. Kaplan\u2013Meier survival analyses showed that patients with <jats:styled-content style=\"fixed-case\">RV TPER<\/jats:styled-content>\u2009\u2265\u2009199.01\u2009ms (log rank: <jats:italic>P<\/jats:italic>\u2009=\u20090.036) or <jats:styled-content style=\"fixed-case\">RV TPER<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">TCC<\/jats:styled-content>\u2009\u2265\u200920.02% (log rank: <jats:italic>P<\/jats:italic>\u2009=\u20090.007) had worse prognosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>\n<jats:styled-content style=\"fixed-case\">CMR<\/jats:styled-content>\u2010derived <jats:styled-content style=\"fixed-case\">RV TPER<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">TPER<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">TCC<\/jats:styled-content> can reflect <jats:styled-content style=\"fixed-case\">RV<\/jats:styled-content> early systolic function, and may be promising predictors for long\u2010term prognosis in <jats:styled-content style=\"fixed-case\">IPAH<\/jats:styled-content> patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/resp.12861","type":"journal-article","created":{"date-parts":[[2016,7,21]],"date-time":"2016-07-21T12:32:52Z","timestamp":1469104372000},"page":"172-178","source":"Crossref","is-referenced-by-count":5,"title":["Prognostic value of right ventricular ejection\/filling parameters in <scp>IPAH<\/scp> using cardiac magnetic resonance: A prospective pilot study"],"prefix":"10.1111","volume":"22","author":[{"given":"Wen","family":"Li","sequence":"first","affiliation":[{"name":"State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases Chinese Academy of Medical Sciences and Peking Union Medical College  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tao","family":"Yang","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Cardiovascular Disease, 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