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. 2024 Mar 14;20(2):70–80. doi: 10.14797/mdcvj.1308

Table 1.

Pulmonary hypertension groups. PAH: pulmonary arterial hypertension; PH: pulmonary hypertension; CCB: calcium channel blocker; LHD: left heart disease; PA: pulmonary artery


GROUP SUBTYPES GENERAL PREVALENCE TREATMENT STRATEGIES

1 PAH
  • Idiopathic

  • Heritable

  • Associated with drugs/toxins

  • Associated with connective tissues disease

  • Venous/capillary involvement

  • Persistent PH of newborn

Rare
  • PAH medications

  • CCB (select patients)

  • Lung transplantation


2 PH associated with LHD
  • Heart failure

  • Valvular disease

  • Congenital/acquired cardiovascular conditions

Very common
  • Treatment of LHD

  • Consider PAH medications


3 PH associated with lung disease and/or hypoxia
  • Obstructive

  • Restrictive

  • Mixed obstructive/restrictive

  • Hypoventilation syndromes

  • Hypoxia without lung disease

  • Developmental lung disorders

Common
  • Treat underlying lung disease

  • Consider PAH medications


4 PH associated with pulmonary artery obstructions
  • Chronic thromboembolic

  • Other PA obstructions

Rare
  • Pulmonary endarterectomy

  • Balloon pulmonary angioplasty

  • Consideration medications


5 PH with unclear/multifactorial etiology
  • Hematological

  • Systemic

  • Metabolic

  • Chronic renal failure with or without dialysis

  • Pulmonary tumor thrombotic microangiopathy

  • Fibrosing mediastinitis

Rare
  • Treatment of underlying disease

  • Consider PAH medications