World Health Organization Pulmonary Hypertension Group 2: Pulmonary hypertension due to left heart disease in the adult—a summary statement from the Pulmonary Hypertension Council of the International Society for Heart and Lung Transplantation

Pulmonary hypertension associated with left heart disease is the most common form of pulmonary hypertension encountered in clinical practice today. Although frequently a target of therapy, its pathophysiology remains poorly understood and its treatment remains undefined. Pulmonary hypertension in th...

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Veröffentlicht in:The Journal of heart and lung transplantation 2012-09, Vol.31 (9), p.913-933
Hauptverfasser: Fang, James C., MD, DeMarco, Teresa, MD, Givertz, Michael M., MD, Borlaug, Barry A., MD, Lewis, Gregory D., MD, Rame, J. Eduardo, MD, Mphil, Gomberg-Maitland, Mardi, MD, MSc, Murali, Srinivas, MD, Frantz, Robert P., MD, McGlothlin, Dana, MD, Horn, Evelyn M., MD, Benza, Raymond L., MD
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container_end_page 933
container_issue 9
container_start_page 913
container_title The Journal of heart and lung transplantation
container_volume 31
creator Fang, James C., MD
DeMarco, Teresa, MD
Givertz, Michael M., MD
Borlaug, Barry A., MD
Lewis, Gregory D., MD
Rame, J. Eduardo, MD, Mphil
Gomberg-Maitland, Mardi, MD, MSc
Murali, Srinivas, MD
Frantz, Robert P., MD
McGlothlin, Dana, MD
Horn, Evelyn M., MD
Benza, Raymond L., MD
description Pulmonary hypertension associated with left heart disease is the most common form of pulmonary hypertension encountered in clinical practice today. Although frequently a target of therapy, its pathophysiology remains poorly understood and its treatment remains undefined. Pulmonary hypertension in the context of left heart disease is a marker of worse prognosis and disease severity, but whether its primary treatment is beneficial or harmful is unknown. An important step to the future study of this important clinical problem will be to standardize definitions across disciplines to facilitate an evidence base that is interpretable and applicable to clinical practice. In this current statement, we provide an extensive review and interpretation of the current available literature to guide current practice and future investigation. At the request of the Pulmonary Hypertension (PH) Council of the International Society for Heart and Lung Transplantation (ISHLT), a writing group was assembled and tasked to put forth this document as described above. The review process was facilitated through the peer review process of the Journal of Heart and Lung Transplantation and ultimately endorsed by the leadership of the ISHLT PH Council.
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Eduardo, MD, Mphil ; Gomberg-Maitland, Mardi, MD, MSc ; Murali, Srinivas, MD ; Frantz, Robert P., MD ; McGlothlin, Dana, MD ; Horn, Evelyn M., MD ; Benza, Raymond L., MD</creator><creatorcontrib>Fang, James C., MD ; DeMarco, Teresa, MD ; Givertz, Michael M., MD ; Borlaug, Barry A., MD ; Lewis, Gregory D., MD ; Rame, J. Eduardo, MD, Mphil ; Gomberg-Maitland, Mardi, MD, MSc ; Murali, Srinivas, MD ; Frantz, Robert P., MD ; McGlothlin, Dana, MD ; Horn, Evelyn M., MD ; Benza, Raymond L., MD</creatorcontrib><description>Pulmonary hypertension associated with left heart disease is the most common form of pulmonary hypertension encountered in clinical practice today. Although frequently a target of therapy, its pathophysiology remains poorly understood and its treatment remains undefined. Pulmonary hypertension in the context of left heart disease is a marker of worse prognosis and disease severity, but whether its primary treatment is beneficial or harmful is unknown. An important step to the future study of this important clinical problem will be to standardize definitions across disciplines to facilitate an evidence base that is interpretable and applicable to clinical practice. In this current statement, we provide an extensive review and interpretation of the current available literature to guide current practice and future investigation. At the request of the Pulmonary Hypertension (PH) Council of the International Society for Heart and Lung Transplantation (ISHLT), a writing group was assembled and tasked to put forth this document as described above. 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Eduardo, MD, Mphil</creatorcontrib><creatorcontrib>Gomberg-Maitland, Mardi, MD, MSc</creatorcontrib><creatorcontrib>Murali, Srinivas, MD</creatorcontrib><creatorcontrib>Frantz, Robert P., MD</creatorcontrib><creatorcontrib>McGlothlin, Dana, MD</creatorcontrib><creatorcontrib>Horn, Evelyn M., MD</creatorcontrib><creatorcontrib>Benza, Raymond L., MD</creatorcontrib><title>World Health Organization Pulmonary Hypertension Group 2: Pulmonary hypertension due to left heart disease in the adult—a summary statement from the Pulmonary Hypertension Council of the International Society for Heart and Lung Transplantation</title><title>The Journal of heart and lung transplantation</title><addtitle>J Heart Lung Transplant</addtitle><description>Pulmonary hypertension associated with left heart disease is the most common form of pulmonary hypertension encountered in clinical practice today. Although frequently a target of therapy, its pathophysiology remains poorly understood and its treatment remains undefined. Pulmonary hypertension in the context of left heart disease is a marker of worse prognosis and disease severity, but whether its primary treatment is beneficial or harmful is unknown. An important step to the future study of this important clinical problem will be to standardize definitions across disciplines to facilitate an evidence base that is interpretable and applicable to clinical practice. In this current statement, we provide an extensive review and interpretation of the current available literature to guide current practice and future investigation. At the request of the Pulmonary Hypertension (PH) Council of the International Society for Heart and Lung Transplantation (ISHLT), a writing group was assembled and tasked to put forth this document as described above. 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Pulmonary vascular diseases</subject><subject>right heart failure</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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subjects Biological and medical sciences
Cardiology. Vascular system
Endothelin Receptor Antagonists
Heart Diseases - complications
heart failure
heart transplant
Heart-Assist Devices
Humans
Hypertension, Pulmonary - diagnosis
Hypertension, Pulmonary - etiology
Hypertension, Pulmonary - physiopathology
Hypertension, Pulmonary - therapy
left heart disease
left ventricular assist device
Medical sciences
Mitral Valve Insufficiency - complications
Mitral Valve Stenosis - complications
Phosphodiesterase Inhibitors - therapeutic use
Pneumology
pulmonary hypertension
Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases
right heart failure
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Vasodilator Agents - therapeutic use
title World Health Organization Pulmonary Hypertension Group 2: Pulmonary hypertension due to left heart disease in the adult—a summary statement from the Pulmonary Hypertension Council of the International Society for Heart and Lung Transplantation
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