TABLE 1 .
Classification |
1. Pulmonary arterial hypertension |
1.1. Idiopathic |
1.2. Heritable |
1.2.1. BMPR2 |
1.2.2. ALK1 endoglin (with or without hereditary hemorrhagic telangiectasia |
1.2.3. Unknown |
1.3. Drug and toxin induced |
1.4. Associated with |
1.4.1. Connective tissue diseases |
1.4.2. HIV infection |
1.4.3. Portal hypertension |
1.4.4. Congenital heart diseases |
1.4.5. Shistosomiasis |
1.4.6. Chronic hemolytic anemia |
1.5. Persistent pulmonary hypertension of the newborn |
1.6. Pulmonary venoocclusive disease |
2. Pulmonary hypertension owing to left-sided heart disease |
2.2. Systolic dysfunction |
2.2. Diastolic dysfunction |
2.3. Valvular disease |
3. Pulmonary hypertension owing to lung diseases and/or hypoxia |
3.1. COPD |
3.2. Interstitial lung disease |
3.3. Other pulmonary diseases with mixed restrictive and obstructive pattern |
3.4. Sleep-disordered breathing |
3.5. Alveolar hypoventilation disorders |
3.6. Chronic exposure to high altitude |
3.7. Development abnormalities |
4. Chronic thromboembolic pulmonary hypertension |
5. Pulmonary hypertension with unclear multifactorial mechanisms |
5.1. Hematologic disorders: myeloproliferative disorders, splenectomy |
5.2. Systemic disorders: sarcoidosis, pulmonary Langerhans’ cell histiocytosis |
5.3. Metabolic disorders: glycogen storage disease, Gaucher disease, thyroid disorders |
5.4. Others: tumoral obstruction fibrosing mediastinitis, chronic renal failure or dialysis |
ALK1 = activin receptor-like kinase type 1; BMPR2 = bone morphogenetic protein receptor type 2. (Adapted with permission from Simonneau et al.6)