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Vol. 44. Issue 2.
Pages 87-99 (January 2008)
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Vol. 44. Issue 2.
Pages 87-99 (January 2008)
Consensus Statement
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Standards of Care in Pulmonary Hypertension*
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Joan Albert Barberàa,**, Pilar Escribanob,**, Pilar Moralesc, Miguel Ángel Gómezb, Mikel Oribed, Ángel Martíneze, Antonio Románf, Javier Segoviag, Francisco Santosh, María Teresa Subiranai
a Servicio de Neumología, Hospital Clínic, Barcelona, Spain
b Servicio de Cardiología, Hospital 12 de Octubre, Madrid, Spain
c Unidad de Trasplante Pulmonar, Hospital La Fe, Valencia, Spain
d Servicio de Neumología, Hospital de Galdakao, Galdakao, Vizcaya, Spain
e Servicio de Cardiología, Hospital Virgen del Rocío, Sevilla, Spain
f Servicio de Neumología, Hospital Vall d'Hebron, Barcelona, Spain
g Servicio de Cardiología, Hospital Puerta de Hierro, Madrid, Spain
h Servicio de Neumología, Hospital Reina Sofía, Córdoba, Spain
i Servicio de Cardiología, Hospital de Sant Pau, Barcelona, Spain
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Substantial progress in the diagnosis and treatment of patients with pulmonary hypertension in recent years has led to significant improvement in survival. Evidence-based clinical practice guidelines issued by scientific societies reflect these new developments. However, certain clinically relevant issues have not been covered in consensus guidelines because of the lack of conclusive scientific evidence. Therefore, the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR) and the Spanish Society of Cardiology (SEC) have promoted the present consensus statement in order to define national standards of care in the evaluation and management of pulmonary hypertension in its various forms, as well as to outline a clinical pathway and the basic principles for organizing health care in this clinical setting, with special emphasis on the requirements for and functions of specialized referral units. To prepare the statement, SEPAR and SEC formed a task force composed of national experts in various aspects of pulmonary hypertension. The resulting consensus is based on international clinical guidelines, a review of available scientific evidence, and panel discussion among the task force members. The final statement, approved by all participants, underwent external review.

Key words:
Pulmonary hypertension: diagnosis and therapy
Antihypertensive agents
Lung transplantation
Clinical practice guidelines

En los últimos años se han producido importantes avances en el diagnóstico y tratamiento de la hipertensión pulmonar que han logrado una mejoría significativa en la supervivencia de esta enfermedad. Estas innovaciones se han recogido en guías de práctica clínica basadas en la evidencia elaboradas por las sociedades científicas. Sin embargo, no se incluyen en ellas, por falta de evidencia científica concluyente, algunos aspectos que inciden en la práctica asistencial. Conscientes de ello, la Sociedad Española de Neumología y Cirugía Torácica (SEPAR) y la Sociedad Española de Cardiología (SEC) han promovido la elaboración de un documento de consenso para definir en nuestro medio los estándares de calidad adecuados para el diagnóstico y tratamiento de la hipertensión pulmonar en sus diversas formas de presentación, así como la vía clínica y las directrices básicas de la organización asistencial del cuidado de estos pacientes, haciendo especial hincapié en los requisitos y funciones de las unidades de referencia. Para su redacción la SEPAR y la SEC designaron a un grupo de trabajo formado por expertos en los distintos aspectos de la enfermedad. Para la elaboración del documento se han utilizado las guías clínicas internacionales existentes, la revisión de la evidencia científica disponible y el debate en panel entre los expertos. El documento final, aprobado por todos los participantes, ha sido evaluado por revisores externos.

Palabras clave:
Hipertensión pulmonar
diagnóstico y tratamiento
Agentes antihipertensivos
Trasplante pulmonar
Guías de práctica clínica
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The work leading to this consensus statement was funded by unrestricted grants received by the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR) and the Spanish Society of Cardiology (SEC) from the following companies: Actelion Pharmaceuticals España, Ferrer Grupo, GlaxoSmithKline, Pfizer, and Schering España.

The original Spanish article was published simultaneously in Rev Esp Cardiol. 2008;161(2): 170–84.

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Copyright © 2008. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
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