Updated definition of exercise pulmonary hypertension
In the recently published European Society of Cardiology/European Respiratory Society guidelines on the diagnosis and treatment of pulmonary hypertension (PH) the haemodynamic definitions of PH were updated and a new definition for exercise PH was introduced. Accordingly, exercise PH is characterise...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Respiratory Society
2022-12-01
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| Series: | Breathe |
| Online Access: | http://breathe.ersjournals.com/content/18/4/220232.full |
| _version_ | 1811162615584391168 |
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| author | Katarina Zeder Horst Olschewski Gabor Kovacs |
| author_facet | Katarina Zeder Horst Olschewski Gabor Kovacs |
| author_sort | Katarina Zeder |
| collection | DOAJ |
| description | In the recently published European Society of Cardiology/European Respiratory Society guidelines on the diagnosis and treatment of pulmonary hypertension (PH) the haemodynamic definitions of PH were updated and a new definition for exercise PH was introduced. Accordingly, exercise PH is characterised by a mean pulmonary arterial pressure/cardiac output (CO) slope >3 Wood units (WU) from rest to exercise. This threshold is supported by several studies demonstrating prognostic and diagnostic relevance of exercise haemodynamics in various patient cohorts. From a differential diagnostic point of view, an elevated pulmonary arterial wedge pressure/CO slope >2 WU may be suitable to identify post-capillary causes of exercise PH. Right heart catheterisation remains the gold standard to assess pulmonary haemodynamics both at rest and exercise. In this review, we discuss the evidence that led to the reintroduction of exercise PH in the PH definitions. |
| first_indexed | 2024-04-10T06:32:15Z |
| format | Article |
| id | doaj.art-c0f431c4e0e94aea93248c98fe5b7821 |
| institution | Directory Open Access Journal |
| issn | 1810-6838 2073-4735 |
| language | English |
| last_indexed | 2024-04-10T06:32:15Z |
| publishDate | 2022-12-01 |
| publisher | European Respiratory Society |
| record_format | Article |
| series | Breathe |
| spelling | doaj.art-c0f431c4e0e94aea93248c98fe5b78212023-03-01T07:06:39ZengEuropean Respiratory SocietyBreathe1810-68382073-47352022-12-0118410.1183/20734735.0232-20220232-2022Updated definition of exercise pulmonary hypertensionKatarina Zeder0Horst Olschewski1Gabor Kovacs2 Division of Pulmonology, Department of Internal Medicine, Medical University of Graz, Graz, Austria Division of Pulmonology, Department of Internal Medicine, Medical University of Graz, Graz, Austria Division of Pulmonology, Department of Internal Medicine, Medical University of Graz, Graz, Austria In the recently published European Society of Cardiology/European Respiratory Society guidelines on the diagnosis and treatment of pulmonary hypertension (PH) the haemodynamic definitions of PH were updated and a new definition for exercise PH was introduced. Accordingly, exercise PH is characterised by a mean pulmonary arterial pressure/cardiac output (CO) slope >3 Wood units (WU) from rest to exercise. This threshold is supported by several studies demonstrating prognostic and diagnostic relevance of exercise haemodynamics in various patient cohorts. From a differential diagnostic point of view, an elevated pulmonary arterial wedge pressure/CO slope >2 WU may be suitable to identify post-capillary causes of exercise PH. Right heart catheterisation remains the gold standard to assess pulmonary haemodynamics both at rest and exercise. In this review, we discuss the evidence that led to the reintroduction of exercise PH in the PH definitions.http://breathe.ersjournals.com/content/18/4/220232.full |
| spellingShingle | Katarina Zeder Horst Olschewski Gabor Kovacs Updated definition of exercise pulmonary hypertension Breathe |
| title | Updated definition of exercise pulmonary hypertension |
| title_full | Updated definition of exercise pulmonary hypertension |
| title_fullStr | Updated definition of exercise pulmonary hypertension |
| title_full_unstemmed | Updated definition of exercise pulmonary hypertension |
| title_short | Updated definition of exercise pulmonary hypertension |
| title_sort | updated definition of exercise pulmonary hypertension |
| url | http://breathe.ersjournals.com/content/18/4/220232.full |
| work_keys_str_mv | AT katarinazeder updateddefinitionofexercisepulmonaryhypertension AT horstolschewski updateddefinitionofexercisepulmonaryhypertension AT gaborkovacs updateddefinitionofexercisepulmonaryhypertension |