May We Use Non-Invasive Indices of Aortic Stiffness and Endothelial Glycocalyx as Biomarkers for Idiopathic Pulmonary Artery Hypertension Follow-Up?

Helen Triantafyllidi, Dionysia Birmpa, Dimitrios Benas, Ignatios Ikonomidis, Antonis Schoinas, Paraskevi Trivilou, Frantzeska Frantzeskaki and Stylianos E. Orfanos
MDPI (Multidisciplinary Digital Publishing Institute) 25 May 2021

Abstract

Idiopathic pulmonary arterial hypertension (IPAH) initial evaluation and follow-up, a rare and incurable disease if left untreated, is based on a multiparametric approach (functional status of the patient, biomarkers, hemodynamic parameters and imaging evaluation of right heart impairment). Arterial stiffness (AS) and endothelial glycocalyx are indices of systemic circulation. We present the 3-years follow-up of a female IPAH patient. We propose aortic stiffness and endothelial glycocalyx indices as non-invasive markers of either improvement or deterioration of IPAH disease.