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Updated Clinical Classification of Pulmonary Hypertension

Journal of the American College of Cardiology, 2013-12, Vol.62 (25), p.D34-D41 [Peer Reviewed Journal]

American College of Cardiology Foundation ;2013 American College of Cardiology Foundation ;2015 INIST-CNRS ;Copyright © 2013 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved. ;ISSN: 0735-1097 ;EISSN: 1558-3597 ;DOI: 10.1016/j.jacc.2013.10.029 ;PMID: 24355639 ;CODEN: JACCDI

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Title:
Updated Clinical Classification of Pulmonary Hypertension
Author: Simonneau, Gerald, MD ; Gatzoulis, Michael A., MD, PhD ; Adatia, Ian, MD ; Celermajer, David, MD, PhD ; Denton, Chris, MD, PhD ; Ghofrani, Ardeschir, MD ; Gomez Sanchez, Miguel Angel, MD ; Krishna Kumar, R., MD ; Landzberg, Michael, MD ; Machado, Roberto F., MD ; Olschewski, Horst, MD ; Robbins, Ivan M., MD ; Souza, Rogiero, MD, PhD
Subjects: Anemia, Hemolytic - classification ; Anemia, Hemolytic - diagnosis ; Anemia, Hemolytic - epidemiology ; Animals ; Biological and medical sciences ; Cardiology. Vascular system ; Cardiovascular ; chronic thromboembolic pulmonary hypertension ; Connective Tissue Diseases - classification ; Connective Tissue Diseases - diagnosis ; Connective Tissue Diseases - epidemiology ; Heart ; Heart Defects, Congenital - classification ; Heart Defects, Congenital - diagnosis ; Heart Defects, Congenital - epidemiology ; Humans ; Hypertension, Pulmonary - classification ; Hypertension, Pulmonary - diagnosis ; Hypertension, Pulmonary - epidemiology ; Internal Medicine ; Medical sciences ; PH due to chronic lung diseases ; PH due to left heart disease ; Pneumology ; pulmonary arterial hypertension ; pulmonary hypertension ; Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases
Is Part Of: Journal of the American College of Cardiology, 2013-12, Vol.62 (25), p.D34-D41
Description: In 1998, a clinical classification of pulmonary hypertension (PH) was established, categorizing PH into groups which share similar pathological and hemodynamic characteristics and therapeutic approaches. During the 5th World Symposium held in Nice, France, in 2013, the consensus was reached to maintain the general scheme of previous clinical classifications. However, modifications and updates especially for Group 1 patients (pulmonary arterial hypertension [PAH]) were proposed. The main change was to withdraw persistent pulmonary hypertension of the newborn (PPHN) from Group 1 because this entity carries more differences than similarities with other PAH subgroups. In the current classification, PPHN is now designated number 1. Pulmonary hypertension associated with chronic hemolytic anemia has been moved from Group 1 PAH to Group 5, unclear/multifactorial mechanism. In addition, it was decided to add specific items related to pediatric pulmonary hypertension in order to create a comprehensive, common classification for both adults and children. Therefore, congenital or acquired left-heart inflow/outflow obstructive lesions and congenital cardiomyopathies have been added to Group 2, and segmental pulmonary hypertension has been added to Group 5. Last, there were no changes for Groups 2, 3, and 4.
Publisher: New York, NY: Elsevier Inc
Language: English
Identifier: ISSN: 0735-1097
EISSN: 1558-3597
DOI: 10.1016/j.jacc.2013.10.029
PMID: 24355639
CODEN: JACCDI
Source: Geneva Foundation Free Medical Journals at publisher websites
MEDLINE
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Updated Clinical Classification of Pulmonary Hypertension

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