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Vol. 54. Num. 4.April 2018
Pages 175-240
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Vol. 54. Num. 4.April 2018
Pages 175-240
Special article
DOI: 10.1016/j.arbr.2017.11.017
Guidelines on the Diagnosis and Treatment of Pulmonary Hypertension: Summary of Recommendations
Guía de diagnóstico y tratamiento de la hipertensión pulmonar: resumen de recomendaciones
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Joan Albert Barberàa,b,
Corresponding author
jbarbera@clinic.ub.es

Corresponding author.
, Antonio Románb,c, Miguel Ángel Gómez-Sánchezb,d, Isabel Blancoa,b, Remedios Oterob,e, Raquel López-Reyesf, Isabel Oterog, Gregorio Pérez-Peñateh, Ernest Salab,i, Pilar Escribanod,j
a Servicio de Neumología, Hospital Clínic, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
b Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, Spain
c Servicio de Neumología, Hospital Universitari Vall d’Hebron, Barcelona, Spain
d Unidad Multidisciplinar de Hipertensión Pulmonar, Servicio de Cardiología, Hospital 12 de Octubre, Madrid, Spain
e Unidad Médico-Quirúrgica de Enfermedades Respiratorias, Hospital Universitario Virgen del Rocío, Instituto de Biomedicina de Sevilla (IBiS), Sevilla, Spain
f Servicio de Neumología, Hospital Universitari i Politècnic La Fe, Valencia, Spain
g Servicio de Neumología, Complexo Hospitalario Universitario, A Coruña, Spain
h Unidad Multidisciplinar de Circulación Pulmonar, Servicio de Neumología, Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, Spain
i Servicio de Neumología, Hospital Son Espases, Palma de Mallorca, Spain
j Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Instituto de Salud Carlos III, Madrid, Spain
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Tables (12)
Table 1. Levels of Evidence and Class of Recommendation Used in the Guidelines.
Table 2. Classification of Pulmonary Hypertension (European Society of Cardiology/European Respiratory Society, 2015).
Table 3. Probability of Pulmonary Hypertension Based on Transthoracic Echocardiography Results.
Table 4. Prognostic Evaluation in Pulmonary Arterial Hypertension.
Table 5. General Therapeutic Measures in Pulmonary Arterial Hypertension.
Table 6. General Recommendations for Single-agent Treatment of Pulmonary Arterial Hypertension.
Table 7. Clinical Classification of Pulmonary Arterial Hypertension Associated With Congenital Heart Disease.
Table 8. Pharmacological Treatment of Pulmonary Arterial Hypertension Associated With Congenital Heart Disease.
Table 9. Hemodynamic Classification of Post-capillary Pulmonary Hypertension.
Table 10. Data Indicative of Heart Failure With Preserved Ejection Fraction.
Table 11. Hemodynamic Classification of Pulmonary Hypertension Associated With Respiratory Diseases.
Table 12. Recommendations for Expert Pulmonary Hypertension Units.
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Abstract

Pulmonary hypertension is a hemodynamic disorder defined by abnormally high pulmonary artery pressure that can occur in numerous diseases and clinical situations. The causes of pulmonary hypertension are classified into 5 major groups: arterial, due to left heart disease, due to lung disease and/or hypoxemia, chronic thromboembolic, with unclear and/or multifactorial mechanisms. This is a brief summary of the Guidelines on the Diagnostic and Treatment of Pulmonary Hypertension of the Spanish Society of Pulmonology and Thoracic Surgery. These guidelines describe the current recommendations for the diagnosis and treatment of the different pulmonary hypertension groups.

Keywords:
Pulmonary hypertension
Pulmonary arterial hypertension
Chronic thromboembolic pulmonary hypertension
Pulmonary circulation
Clinical guidelines
Resumen

La hipertensión pulmonar es un trastorno hemodinámico definido por el aumento anómalo de la presión arterial pulmonar, que puede presentarse en numerosas enfermedades y situaciones clínicas. Las causas de hipertensión pulmonar se clasifican en 5 grandes grupos: arterial, debida a cardiopatía izquierda, debida a enfermedad pulmonar y/o hipoxemia, tromboembólica crónica y de mecanismo no establecido y/o multifactorial. El presente documento expone de forma resumida las recomendaciones de la Guía de Diagnóstico y Tratamiento de la Hipertensión Pulmonar de la Sociedad Española de Neumología y Cirugía Torácica. En dicha guía se presentan las pautas actuales de diagnóstico y tratamiento de los distintos grupos de hipertensión pulmonar.

Palabras clave:
Hipertensión pulmonar
Hipertensión arterial pulmonar
Hipertensión pulmonar tromboembólica crónica
Circulación pulmonar
Guía clínica

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