Greg Calligaro Definition and classification of pulmonary hypertension

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Group 2: Left heart diseaseNormalTightmitralstenosisSVCIVCRA RV PAPC MVA=4.0 cm 2PV LA LV AoFLOW6L/min5 5 20/5 20/8 (12) 6 6 6 120/6120/8Without PVDMVA=1.0 cm 25 5 45/5 45/25 (32) 25 25 25 120/5FLOW5L/minTightmitralstenosisWith PVD20 20130/20130/80 (100) 30 30 30 110/5FLOW3L/min
Group 3: Secondary to lung disease/hypoxia• PH is a commoncomplication of COPD, butis usually mild• Also mild PH with OSA;becomes significant ifcombined with OHS orother cause of hypoxaemia• ILD another importantcategory3. PH due to Lung Diseases and/or Hypoxia•COPD•ILD•Other pulmonary diseases with mixedrestrictive and obstructive pattern•Sleep-disordered breathing•Alveolar hypoventilation disorders•Chronic exposure to high altitude•Developmental abnormalitiesSimonneau G et al. J Am Coll Cardiol. 2009;54;S43-S54.
Page 1 and 2: Definition andclassification ofpulm
Page 3 and 4: Haemodynamic definition of pulmonar
Page 5: PH: importance of PCWP• Identifie
Page 9 and 10: WHO Group 1 PAH1. PAH•Idiopathic
Page 11 and 12: Group 1: PAH associated with HIV in
Page 13 and 14: PAH related to portal hypertension
Page 15 and 16: PAH related to schistosomiasis• P
Page 18 and 19: Group 1’: PVOD and PCH• Ground
Page 20 and 21: Changes to WHO Group 1 (Dana Point
Page 24 and 25: Group 3: Secondary to lung disease/
Page 26 and 27: Group 4: CTEPH• Most pulmonary em
Page 28 and 29: Pathophysiology• “Two compartme
Page 30 and 31: Group 4: CTEPH
Page 32 and 33: Group 5: Unclear or multifactorial
Page 34 and 35: Summary• Pulmonary hypertension i

Greg Calligaro Definition and classification of pulmonary hypertension

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