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Diagnosis and Treatment of Pulmonary Hypertension.

Source: Scripta Medica. Apr, Vol. Five groups of patients have been defined: group 1 as pulmonary arterial hypertension PAHgroup 2 as PH due to left heart disease, group 3 as PH due to lung diseases, group 4 as chronic thromboembolic PH, and group 5 as PH of other causes.

The early clinical symptoms and signs are subtle and non-specific, such as exertional dyspnea, fatigue, pre-syncope and progressive limitation of exercise capacity so the vast majority of patients have an advanced disease with World Heaith Organization functional class of III or IV at first presentation.

The diagnostic approach in PH has the goal to evaluate the two main anatomic components: pulmonary vasculature and right ventricle in order to establish the diagnosis and identify the group hipertenzija koliko je opasno PH. The therapy for PAH patients includes three main components: general measures and supportive therapy; initial therapy with calcium channel blockers in vasoreactive or specific drugs approved for PAH in non-vasoreactive patients either single or in combination, and lung transplantation.

All patients with PAH should be referred to PH expert centers for comprehensive diagnostic and therapeutic assessment. Copyright of Scripta Medica is the property of Scripta Medica and its content may not be copied or emailed to multiple sites or posted to site info hipertenzija listserv without the copyright holder's express written permission.

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