Table 1.
Group 1. Pulmonary arterial hypertension |
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1.1. Idiopathic pulmonary arterial hypertension |
1.2. Familial pulmonary arterial hypertension |
1.3. Pulmonary arterial hypertension associated with: |
1.3.1. Collagen vascular disease, eg, scleroderma, systemic lupus erythematosus, rheumatoid arthritis |
1.3.2. Congenital systemic-to-pulmonary shunts |
1.3.3. Portal hypertension, eg, ethanol induced cirrhosis |
1.3.4. HIV infection |
1.3.5. Drugs and toxins, eg, fenfluramine |
1.3.6. Other (thyroid disorders, glycogen storage disease, Gaucher’s disease, hereditary hemorrhagic telangiectasia, hemoglobinopathies, myeloproliferative disorders, splenectomy) |
1.4. Associated with significant venous or capillary involvement |
1.4.1. Pulmonary veno-occlusive disease (PVOD) |
1.4.2. Pulmonary capillary hemangiomatosis (PCH) |
1.5. Persistent pulmonary hypertension of the newborn |
Group 2. Pulmonary hypertension with left heart disease |
2.1. Left sided atrial or ventricular heart disease |
2.2. Left sided valvular heart disease |
Group 3. Pulmonary hypertension associated with lung disease or hypoxemia |
3.1. Chronic obstructive pulmonary disease |
3.2. Interstitial lung disease |
3.3. Sleep-disordered breathing |
3.4. Alveolar hypoventilation disorders |
3.5. Chronic exposure to high altitude |
3.6. Developmental abnormalities |
Group 4. Pulmonary hypertension due to chronic thrombotic, embolic disease, or both |
4.1. Thromboembolic obstruction of proximal pulmonary arteries |
4.2. Thromboembolic obstruction of distal pulmonary arteries |
4.3. Non-thrombotic pulmonary embolism (tumor, parasites or foreign material) |
Group 5. Miscellaneous |
Eg, sarcoidosis, pulmonary Langerhans’-cell histiocytosis, lymphangiomatosis, granulomatous disease, compression of pulmonary vessels (adenopathy, tumor or fibrosing mediastinitis) |
Adapted with permission from Simonneau G, Galie N, Rubin LJ, et al. Clinical classification of pulmonary hypertension. J Am Coll Cardiol. 2004;43 Suppl S: 5S–12S. Copyright © 2004. elsevier.