Abraham - Figure 5
PAP-Guided HF Management Improves Multiple Measures of Clinical Outcome
The result of application of the simple CHAMPION trial protocol illustrated in Figure 5 was a significant reduction in HF hospitalizations.[3] Over the entire period of the randomized, single-blind, controlled follow-up, there was a 33% reduction in the risk of HF hospitalizations. But importantly, beyond that there was also a significant reduction in the combined endpoint of death from any cause or HF hospitalizations, and [indicated by the red outline] there were also significant reductions in all-cause hospitalizations and in the composite of all-cause death or all-cause hospitalizations. This latter observation is important because it shows that there is no trade-off with PAP-guided HF therapy; ie, there is no increase in other types of hospitalizations associated with the reduction in HF hospitalizations. In other words, use of PAP-guided HF therapy results in a win in terms of the effects on both HF morbidity and mortality.
References
Adamson PB, Abraham W, Stevenson L, et al. Benefits of pulmonary artery pressure monitoring extend to reduction of all-cause rehospitalization. J Am Coll Cardiol. 2014;63I(12): A746.