2018 TSOC guideline focused update on diagnosis and treatment of pulmonary arterial hypertension

Wei-Chun Huang¹, Chih-Hsin Hsu², Shih-Hsien Sung³, Wan-Jing Ho⁴, Chun-Yuan Chu⁵, Chih-Ping Chang⁶, Yu-Wei Chiu⁷, Chun-Hsien Wu⁸, Wei-Ting Chang⁹, Lin Lin¹⁰, Shoa-Lin Lin¹¹, Chin-Chang Cheng¹², Yih-Jer Wu¹³, Shu-Hao Wu¹⁴, Tsu-Yi Hsieh¹⁵, Hsao-Hsun Hsu¹⁶, Morgan Fu¹⁷, Zen-Kong Dai⁵, Ping-Hung Kuo¹⁸, Juey-Jen Hwang¹⁹, Shu-Meng Cheng²⁰; TSOC pulmonary hypertension committee

Affiliations

¹ Department of Critical Care Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; School of Medicine, National Yang-Ming University, Taipei, Taiwan; Department of Physical Therapy, Fooyin University, Kaohsiung, Taiwan.
² Department of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.
³ School of Medicine, National Yang-Ming University, Taipei, Taiwan; Department of Internal Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
⁴ Department of Internal Medicine, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan.
⁵ Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
⁶ Division of Cardiology, China Medical University Hospital, Taichung, Taiwan.
⁷ Department of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
⁸ Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
⁹ Division of Cardiovascular Medicine, Chi-Mei Medical Center, Tainan City, Taiwan.
¹⁰ Cardiovascular Center, National Taiwan University Hospital, Hsinchu Branch, Hsinchu, Taiwan.
¹¹ Department of Internal Medicine, Yuan's General Hospital, Kaohsiung, Taiwan.
¹² Department of Critical Care Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; School of Medicine, National Yang-Ming University, Taipei, Taiwan; Department of Physical Therapy, Fooyin University, Kaohsiung, Taiwan; Pulmonary Hypertension Center, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
¹³ Department of Medicine, Mackay Medical College, New Taipei City, Taiwan; Pulmonary Hypertension Interventional Medicine, Cardiovascular Center, Mackay Memorial Hospital, Taipei City, Taiwan.
¹⁴ Pulmonary Hypertension Interventional Medicine, Cardiovascular Center, Mackay Memorial Hospital, Taipei City, Taiwan.
¹⁵ Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
¹⁶ Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan.
¹⁷ Department of Internal Medicine, Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
¹⁸ Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
¹⁹ Cardiovascular Division, Department of Internal Medicine, National Taiwan University College of Medicine and Hospital, Taipei, Taiwan; National Taiwan University Hospital Yunlin Branch, Douliu City, Taiwan. Electronic address: jueyhwang@ntu.edu.tw.
²⁰ Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan. Electronic address: dmscmsc@yahoo.com.tw.

PMID: 30926248
DOI: 10.1016/j.jfma.2018.12.009

Free article

2018 TSOC guideline focused update on diagnosis and treatment of pulmonary arterial hypertension

Wei-Chun Huang et al. J Formos Med Assoc. 2019 Dec.

Free article

. 2019 Dec;118(12):1584-1609.

doi: 10.1016/j.jfma.2018.12.009. Epub 2019 Mar 26.

Authors

Affiliations

¹ Department of Critical Care Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; School of Medicine, National Yang-Ming University, Taipei, Taiwan; Department of Physical Therapy, Fooyin University, Kaohsiung, Taiwan.
² Department of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.
³ School of Medicine, National Yang-Ming University, Taipei, Taiwan; Department of Internal Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
⁴ Department of Internal Medicine, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan.
⁵ Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
⁶ Division of Cardiology, China Medical University Hospital, Taichung, Taiwan.
⁷ Department of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
⁸ Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
⁹ Division of Cardiovascular Medicine, Chi-Mei Medical Center, Tainan City, Taiwan.
¹⁰ Cardiovascular Center, National Taiwan University Hospital, Hsinchu Branch, Hsinchu, Taiwan.
¹¹ Department of Internal Medicine, Yuan's General Hospital, Kaohsiung, Taiwan.
¹² Department of Critical Care Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; School of Medicine, National Yang-Ming University, Taipei, Taiwan; Department of Physical Therapy, Fooyin University, Kaohsiung, Taiwan; Pulmonary Hypertension Center, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
¹³ Department of Medicine, Mackay Medical College, New Taipei City, Taiwan; Pulmonary Hypertension Interventional Medicine, Cardiovascular Center, Mackay Memorial Hospital, Taipei City, Taiwan.
¹⁴ Pulmonary Hypertension Interventional Medicine, Cardiovascular Center, Mackay Memorial Hospital, Taipei City, Taiwan.
¹⁵ Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
¹⁶ Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan.
¹⁷ Department of Internal Medicine, Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
¹⁸ Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
¹⁹ Cardiovascular Division, Department of Internal Medicine, National Taiwan University College of Medicine and Hospital, Taipei, Taiwan; National Taiwan University Hospital Yunlin Branch, Douliu City, Taiwan. Electronic address: jueyhwang@ntu.edu.tw.
²⁰ Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan. Electronic address: dmscmsc@yahoo.com.tw.

PMID: 30926248
DOI: 10.1016/j.jfma.2018.12.009

Abstract

Pulmonary arterial hypertension (PAH) is characterized as a progressive and sustained increase in pulmonary vascular resistance, which may induce right ventricular failure. In 2014, the Working Group on Pulmonary Hypertension of the Taiwan Society of Cardiology (TSOC) conducted a review of data and developed a guideline for the management of PAH.⁴ In recent years, several advancements in diagnosis and treatment of PAH has occurred. Therefore, the Working Group on Pulmonary Hypertension of TSOC decided to come up with a focused update that addresses clinically important advances in PAH diagnosis and treatment. This 2018 focused update deals with: (1) the role of echocardiography in PAH; (2) new diagnostic algorithm for the evaluation of PAH; (3) comprehensive prognostic evaluation and risk assessment; (4) treatment goals and follow-up strategy; (5) updated PAH targeted therapy; (6) combination therapy and goal-orientated therapy; (7) updated treatment for PAH associated with congenital heart disease; (8) updated treatment for PAH associated with connective tissue disease; and (9) updated treatment for chronic thromboembolic pulmonary hypertension.

Keywords: Guideline; Pulmonary arterial hypertension; Pulmonary hypertension.

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Comment in

2018 TSOC guideline focused updated on diagnosis and treatment of pulmonary arterial hypertension.
Hung CC, Cheng CC, Huang WC. Hung CC, et al. J Formos Med Assoc. 2021 Jul;120(7):1541-1542. doi: 10.1016/j.jfma.2021.01.017. Epub 2021 Feb 11. J Formos Med Assoc. 2021. PMID: 33583704 No abstract available.

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2018 TSOC guideline focused update on diagnosis and treatment of pulmonary arterial hypertension

Affiliations

2018 TSOC guideline focused update on diagnosis and treatment of pulmonary arterial hypertension

Authors

Affiliations

Abstract

Comment in

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