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Pulmonary Hypertension - Scottish Pulmonary Vascular Unit - Health Care Professional Section

 

WHAT IS PH?

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Confirmed / suspected:

 

  • Idiopathic pulmonary arterial hypertension
  • Connective tissue disease associated PAH
  • Chronic thromboembolic pulmonary hypertension
  • Portopulmonary hypertension

 

Other associated PAH/miscellaneous conditions: HIV; anorexigens; post-correction right-left shunt; sarcoid; sickle cell disease.

 

Consider referral for pulmonary hypertension assessment in :

 

  • Hypoxic lung disease (COPD, interstitial lung disease, sleep disordered breathing)
  • Cardiac disease (R-L cardiac shunt / Eisenmenger?s)

 

Treatment of PH in these patient groups is not established and evaluation is not always undertaken. This is, however, an evolving field and referral for assessment should be considered if symptoms or echo pressures seem excessive (PASP >60mmHg) or there are other PH associated conditions.

 

Patients with pulmonary hypertension secondary to left heart disease are not currently evaluated, unless there are other PH associated conditions.

 

 

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