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SHR Neuro Cancer Cardio Lipid Metab Microb

Foris, V; Kovacs, G; Olschewski, H.
Pulmonale Hypertonie
Der Pneumologe. 2017; 14(2): 117-128. Doi: 10.1007/s10405-017-0097-y [OPEN ACCESS]
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Leading authors Med Uni Graz
Foris Vasile
Co-authors Med Uni Graz
Kovacs Gabor
Olschewski Horst
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Abstract:
According to the current European Respiratory Society (ERS) and European Society of Cardiology (ESC) classification, pulmonary hypertension is subdivided into five groups. According to the guidelines a differentiation is made between pulmonary arterial hypertension (PAH, group 1), PH due to left heart diseases (group 2), PH due to lung diseases and/or hypoxemia (group 3), chronic thromboembolic PH (CTEPH, group 4) and PH with unclear multifactorial mechanisms (group 5). The diagnostics of PH are unchanged and based on right heart catheter investigations which necessitates a mean pulmonary arterial pressure of 25 mmHg or more. The most important noninvasive diagnostic examination is echocardiography, which in the case of collagen vascular disease is recommended once every year. The therapy recommendations for PAH consist of five substance classes, which are approved as single or combination therapy for treatment of PAH and inoperable CTEPH. In the non-PAH forms of PH only one medication for CTEPH is approved. The therapy of choice for CTEPH is pulmonary endarterectomy. Criteria for a PH expert center are defined in the ERS/ESC guidelines.

Find related publications in this database (Keywords)
Diagnostic techniques and procedures
Chronic thromboembolic pulmonary hypertension
Cardiac catheterization
Expert center
Combined modality therapy
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