ONLINE APPENDIX Supplementary Table 1. Linear regression analysis of sPAP and mPAP Overall Rest Low-intensity exercise Moderate-intensity exercise Peak-intensity exercise r2 0.96 0.98 0.96 0.96 0.95 Linear Regression formula mPAP = 0.54(sPAP) + 1.9 mPAP = 0.55(sPAP) + 1.4 mPAP = 0.54(sPAP) + 2.4 mPAP = 0.53(sPAP) + 2.6 mPAP = 0.54(sPAP) + 1.3 Claessen et al. Echocardiography to evaluate PV and RV reserve Supplementary Figure 1. Effect of right atrial pressure on the comparison of systolic pulmonary artery pressure by echocardiography and by ExCMRip. Omission of right atrial pressure (RAP) measurements for calculation of sPAP by echocardiography slightly underestimated sPAP in those subjects with the highest sPAP values. When sPAP by echocardiography was compared with systolic pulmonary artery pressure minus right atrial pressure by ExCMRip a small but more consistent bias was seen. Page 2 of 4 Claessen et al. Echocardiography to evaluate PV and RV reserve Supplemental Figure 2. Relationship between mean pulmonary artery pressure and cardiac output derived by ExCMRip and by echocardiography. BMPR2, Bone morphogenetic protein receptor type II; post-PE, post-pulmonary embolism; CTEPH, chronic thromboembolic pulmonary hypertension; post-PEA, post-pulmonary endarterectomy; ExCMRip, exercise cardiac magnetic resonance imaging combined with invasive pulmonary artery pressure estimates. Page 3 of 4 Claessen et al. Echocardiography to evaluate PV and RV reserve Supplementary Figure 3. Relationship between cardiac output and exercise intensity. The left panel depicts the correlation coefficient with 95% confidence intervals (left panels) between cardiac output and exercise intensity (in Watts). The right panel depicts individual cardiac output augmentation during incremental exercise intensity in all subjects. Page 4 of 4