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Review
. 2022 Feb;40(1):29-43.
doi: 10.1016/j.ccl.2021.08.003.

Pulmonary Hypertension Associated with Connective Tissue Disease

Affiliations
Review

Pulmonary Hypertension Associated with Connective Tissue Disease

Stephen C Mathai. Cardiol Clin. 2022 Feb.

Abstract

Pulmonary hypertension (PH), a syndrome characterized by elevated pulmonary pressures, commonly complicates connective tissue disease (CTD) and is associated with increased morbidity and mortality. The incidence of PH varies widely between CTDs; patients with systemic sclerosis are most likely to develop PH. Several different types of PH can present in CTD, including PH related to left heart disease and respiratory disease. Importantly, CTD patients are at risk for developing pulmonary arterial hypertension, a rare form of PH that is associated with high morbidity and mortality. Future therapies targeting pulmonary vascular remodeling may improve outcomes for patients with this devastating disease.

Keywords: Connective tissue disease; Diagnosis; Epidemiology; Outcomes; Pulmonary hypertension.

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Conflict of interest statement

Disclosure Consultancies: Actelion, Acceleron, Bayer, United Therapeutics. Funding to institution: Actelion, United Therapeutics. NHLBI: U01HL125175 (Co-PI); R01HL134905 (Co-I); R01HL11490 (Co-I). DOD: PR191839 (PI). The clinical trial (NCT04797286) referenced in the article is supported by DOD grant PR191839 (PI-Mathai).

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