CardiologyTier 1Disease (DEADMAN)

Hypertension - pulmonary

Description

  • mPAP >20 mmHg at rest on RHC
PAWPPVR
Pre-capillary (PAH)<=15 mmHg>2 WU
Post-capillary>15 mmHg<=2 WU
Combined pre+post>15 mmHg>2 WU
  • Old mPAP >=25 / PVR >3 WU cutoffs superseded - 2018 WSPH, ESC/ERS 2022
  • Final common path
    • inc RV afterload
    • -> RV dilatation, dec RV contractility
    • -> RV failure, death
  • RV function, not PA pressure, determines survival

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