Revised Definition of Pulmonary Hypertension and Approach to Management: A Clinical Primer
The definition of pulmonary hypertension (PH) has changed recently based, in part, on contemporary outcome data and to focus on early disease detection. Now, PH includes patients with mean pulmonary artery pressure >20 mm Hg measured by right heart catheterization. In contrast to the classical er...
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| Format: | Article |
| Language: | English |
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Wiley
2023-04-01
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| Series: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
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| Online Access: | https://www.ahajournals.org/doi/10.1161/JAHA.122.029024 |
| _version_ | 1797662583536222208 |
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| author | Bradley A. Maron |
| author_facet | Bradley A. Maron |
| author_sort | Bradley A. Maron |
| collection | DOAJ |
| description | The definition of pulmonary hypertension (PH) has changed recently based, in part, on contemporary outcome data and to focus on early disease detection. Now, PH includes patients with mean pulmonary artery pressure >20 mm Hg measured by right heart catheterization. In contrast to the classical era, pulmonary vascular resistance >2.0 Wood units is also used for diagnosis and prognostication. These lowered thresholds aim to identify patients early in the disease course, which is important because delay to diagnosis of PH is common and linked to elevated morbidity and shortened lifespan. This clinical primer highlights key changes in diagnosis and approach to PH management, focusing on concepts that are likely to be encountered frequently in general practice. Specifically, this includes hemodynamic assessment of at‐risk patients, pharmacotherapeutic management of pulmonary arterial hypertension, approach to PH in patients with heart failure with preserved ejection fraction, and newly established indications for early referral to PH centers to prompt comanagement of patients with pulmonary vascular disease experts. |
| first_indexed | 2024-03-11T19:02:21Z |
| format | Article |
| id | doaj.art-5c61b8e0225d4aa28d2102ba261643be |
| institution | Directory Open Access Journal |
| issn | 2047-9980 |
| language | English |
| last_indexed | 2024-03-11T19:02:21Z |
| publishDate | 2023-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| spelling | doaj.art-5c61b8e0225d4aa28d2102ba261643be2023-10-10T11:37:42ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802023-04-0112810.1161/JAHA.122.029024Revised Definition of Pulmonary Hypertension and Approach to Management: A Clinical PrimerBradley A. Maron0Division of Cardiovascular Medicine, Brigham and Women’s Hospital and Harvard Medical School Boston MAThe definition of pulmonary hypertension (PH) has changed recently based, in part, on contemporary outcome data and to focus on early disease detection. Now, PH includes patients with mean pulmonary artery pressure >20 mm Hg measured by right heart catheterization. In contrast to the classical era, pulmonary vascular resistance >2.0 Wood units is also used for diagnosis and prognostication. These lowered thresholds aim to identify patients early in the disease course, which is important because delay to diagnosis of PH is common and linked to elevated morbidity and shortened lifespan. This clinical primer highlights key changes in diagnosis and approach to PH management, focusing on concepts that are likely to be encountered frequently in general practice. Specifically, this includes hemodynamic assessment of at‐risk patients, pharmacotherapeutic management of pulmonary arterial hypertension, approach to PH in patients with heart failure with preserved ejection fraction, and newly established indications for early referral to PH centers to prompt comanagement of patients with pulmonary vascular disease experts.https://www.ahajournals.org/doi/10.1161/JAHA.122.029024definitionpulmonary hypertensiontreatment |
| spellingShingle | Bradley A. Maron Revised Definition of Pulmonary Hypertension and Approach to Management: A Clinical Primer Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease definition pulmonary hypertension treatment |
| title | Revised Definition of Pulmonary Hypertension and Approach to Management: A Clinical Primer |
| title_full | Revised Definition of Pulmonary Hypertension and Approach to Management: A Clinical Primer |
| title_fullStr | Revised Definition of Pulmonary Hypertension and Approach to Management: A Clinical Primer |
| title_full_unstemmed | Revised Definition of Pulmonary Hypertension and Approach to Management: A Clinical Primer |
| title_short | Revised Definition of Pulmonary Hypertension and Approach to Management: A Clinical Primer |
| title_sort | revised definition of pulmonary hypertension and approach to management a clinical primer |
| topic | definition pulmonary hypertension treatment |
| url | https://www.ahajournals.org/doi/10.1161/JAHA.122.029024 |
| work_keys_str_mv | AT bradleyamaron reviseddefinitionofpulmonaryhypertensionandapproachtomanagementaclinicalprimer |