Pulmonary arterial hypertension: updates and perspective with newer therapies
- PMID: 39440807
- DOI: 10.1111/imj.16515
Pulmonary arterial hypertension: updates and perspective with newer therapies
Abstract
Pulmonary arterial hypertension (PAH) is a rare condition for which a remarkable change has been witnessed in the epidemiology, assessment and treatment landscape over the last three decades. Well-established registries from the Western world have not only highlighted the shift in the epidemiology to an older, more comorbid cohort but have also identified markers of prognosis that have been validated as part of risk stratification scores in multiple cohorts. The emphasis on early identification through a systematic assessment pathway and the option of upfront combination therapy with serial risk stratification assessment has laid the foundation for the standard of care and improved prognosis. This review provides an update on the assessment and newer therapies for PAH.
Keywords: pulmonary arterial hypertension; pulmonary hypertension; pulmonary vasodilators; treatment of pulmonary hypertension.
© 2024 Royal Australasian College of Physicians.
References
-
- Humbert M, Kovacs G, Hoeper MM, Badagliacca R, Berger RMF, Brida M et al. ESC/ERS guidelines for the diagnosis and treatment of pulmonary hypertension. Eur Respir J 2023; 61: 61–144.
-
- Humbert M, Guignabert C, Bonnet S, Dorfmüller P, Klinger JR, Nicolls MR et al. Pathology and pathobiology of pulmonary hypertension: state of the art and research perspectives. Eur Respir J 2019; 53: 1801887.
-
- Huertas A, Perros F, Tu L, Cohen‐Kaminsky S, Montani D, Dorfmüller P et al. Immune dysregulation and endothelial dysfunction in pulmonary arterial hypertension: a complex interplay. Circulation 2014; 129: 1332–1340.
-
- Haji K, Wong CX, Chandra N, Truong H, Corkill W, Kaethner A et al. Pulmonary hypertension in Central Australia: a community‐based cohort study. Heart Lung Circ 2019; 28: 598–604.
-
- Naing P, Playford D, Strange G, Abeyaratne A, Berhane T, Joseph S et al. Top end pulmonary hypertension study: understanding epidemiology, therapeutic gaps and prognosis in remote Australian setting. Heart Lung Circ 2021; 30: 507–515.
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