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Algorithm for the diagnosis and treatment of portopulmonary hypertension (POPH).
Algorithm for the diagnosis and treatment of portopulmonary hypertension (POPH). All pressure determinations are expressed in mmHg. LT: liver transplant; RHC: right heart catheterisation; RVSP: right ventricle systolic pressure; Ppa: pulmonary artery pressure; Ppcw: pulmonary capillary wedge pressure; PAH: pulmonary arterial hypertension; PVR: pulmonary vascular resistance; TPG: transpulmonary gradient; TTE: transthoracic echocardiogram. #: Some centres report the pulmonary artery systolic pressure, which is equivalent to RVSP in the absence of right ventricle outflow obstruction; ¶: the presence of signs of right ventricular strain would favour performing RHC; +: alternative causes of pulmonary hypertension need to be ruled out on a case-by-case basis. Mateo Porres-Aguilar et al. Eur Respir Rev 2012;21: ©2012 by European Respiratory Society
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