Non-Invasive French Risk Assessment Criteria

Patient’s Name

Today’s Date

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Non-invasive French Criteria

5 year transplant-free survival was estimated based on the number of low-risk criteria present at first follow-up.¹ Select all values that apply.

Low Risk

Intermediate Risk

High Risk

Functional

Class

6-Minute

Walk Test

NT-proBNP

NT-proBNP/

BNP

BNP 50-300 ng/L

BNP >300 ng/L

How many low-risk goals

has your patient met today?

0 I, II III IV 0 >440 m 165-440 m <165 m 0 NT-proBNP
<300 ng/L
—
BNP <50 ng /L NT-proBNP 300-1400 ng/L
—
BNP 50-300 ng/L NT-proBNP
>1400 ng/L
—
BNP >300 ng/L 0

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References:1.Boucly A, Weatherald J, Savale L, et al. Risk assessment, prognosis and guideline implementation in pulmonary arterial hypertension. Eur Respir J 2017; 50: 1700889 [https://doi.org/10.1183/13993003.00889-2017].