Definition, clinical classification and initial diagnosis of pulmonary hypertension: Updated recommendations from the Cologne Consensus Conference 2018

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Presentation transcript:

Definition, clinical classification and initial diagnosis of pulmonary hypertension: Updated recommendations from the Cologne Consensus Conference 2018 Gabor Kovacs, Daniel Dumitrescu, Andreas Barner, Sebastian Greiner, Ekkehard Grünig, Alfred Hager, Thomas Köhler, Rainer Kozlik- Feldmann, Irmtraut Kruck, Astrid E. Lammers, Derliz Mereles, Andreas Meyer, Joachim Meyer, Stefan Pabst, Hans-Jürgen Seyfarth, Christoph Sinning, Stephan Sorichter, Gerd Stähler, Heinrike Wilkens, Matthias Held International Journal of Cardiology Volume 272, Pages 11-19 (December 2018) DOI: 10.1016/j.ijcard.2018.08.083 Copyright © 2018 Terms and Conditions

Fig. 1 Proposed diagnostic algorithm in case of suspected pulmonary hypertension, according to the 2016 Cologne Consensus Conference (modified from Ref. [1]). ⁎PAH, differentiation of typical/atypical PAH. aIn case of echocardiographic evidence of PH, even in patients who show signs of PH due to left heart or lung disease according to tests, an exclusion of CTEPH by scintigraphy should be considered in the presence of typical risk factors for CTEPH. bIn case of echocardiographic evidence of PH, even in patients who show signs of PH due to left heart or lung disease according to tests, consultation with a PH expert centre should be considered in the presence of risk factors for PAH if there is uncertainty as to whether these constitute a cause or comorbidity. PH: pulmonary hypertension, CTEPH: chronic thromboembolic pulmonary hypertension, DLCO: diffusing capacity for carbon monoxide, PAH: pulmonary arterial hypertension, PVOD: pulmonary veno-occlusive disease, PCH: pulmonary capillary haemangiomatosis, mPAP: mean pulmonary arterial pressure, PAWP: pulmonary arterial Wedge pressure, PVR: pulmonary vascular resistance. Original version from Ref. [1]. International Journal of Cardiology 2018 272, 11-19DOI: (10.1016/j.ijcard.2018.08.083) Copyright © 2018 Terms and Conditions