Table 3

Association between TSH and markers of disease severity

Per SDPer log change in TSH
95% CIP value95% CIP value
Hazard of mortality
 Unadjusted1.3 (1.0 to 1.8)0.051.9 (1.0 to 3.6)0.05
 Full1.4 (1.1 to 2.0)0.022.1 (1.0 to 4.2)0.05
 Full+NT-proBNP1.4 (1.0 to 2.0)0.081.7 (0.8 to 3.6)0.18
RV basal diameter (cm)
 Unadjusted0.1 (−0.1 to 0.3)0.180.2 (0.0 to 0.4)0.02
 Full0.1 (−0.1 to 0.3)0.230.2 (0.0 to 0.4)0.02
 Full+NT-proBNP0.0 (−0.1 to 0.2)0.820.1 (0.0 to 0.3)0.14
TAPSE (mm)
 Unadjusted−1 (−2 to 0)0.17−1 (−2 to 0)0.07
 Full−1 (−2 to 0)0.13−1 (−2 to 0)0.02
 Full+NT-proBNP−1 (−2 to 1)0.34−1 (−2 to 0)0.09
Walk distance (m)
 Unadjusted−14 (−35 to 6)0.17−19 (−43 to 5)0.11
 Full−12 (−33 to 9)0.25−17 (−41 to 7)0.16
 Full+NT-proBNP−1 (−20 to 18)0.92−7 (−29 to 15)0.55
NYHA Functional Class
 Unadjusted1.3 (0.9 to 2.0)0.211.3 (0.8 to 2.2)0.27
 Full1.4 (0.9 to 2.2)0.191.4 (0.8 to 2.5)0.19
 Full+NT-proBNP1.2 (0.7 to 2.0)0.441.2 (0.7 to 2.3)0.51
  • Full model accounted for differences in age, sex at birth and aetiology of pulmonary hypertension.

  • Hazard of mortality was estimated using Cox proportional hazards, RV basal diameter/TAPSE/walk distance were estimated using linear regression, the odds of NYHA Functional Class of III/IV relative to I/II were estimated using logistic regression.

  • Coefficients represent relationships for an SD difference in TSH.

  • Value in bold indicates statistically significant results.

  • NT-proBNP, N-terminal-pro hormone brain natriuretic peptide; NYHA, New York Heart Association; RV, right ventricle; TAPSE, tricuspid annular plane systolic excursion; TSH, thyroid-stimulating hormone.