18 (link) patients on therapy and with a range of RV function (by echocardiography or right heart catheterization) were recruited from our PHA‐accredited Comprehensive Care Center between 2021 and 2022. Testing included 6MWD
9 without a mask, Cardiac Effort,
15 (link),
16 ,
17 (link) NT‐pro‐BNP, and REVEAL Lite 2 score.
19 (link) MC10 Biostamp nPoint provided continuous electrocardiogram monitoring to calculate Cardiac Effort as previously described, (heart beats during 6MWT)/6MWD).
16 ,
17 (link) cMRI was completed on Siemens Aera 1.5 T scanner within 24 h of 6MWT. A chest radiologist not affiliated with the study team (therefore blinded to walk distance) with expertise in cMRI reported right and left ventricle volumes. Using the MRI manufacturer's software, semi‐automated analysis with contour smoothing in the long axis was performed to obtain volumes. Clinical worsening was defined as need to initiate parenteral prostacyclin or hospitalization for decompensated heart failure; for this report, we censored all individuals 12 months after testing was completed.