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Clinical Classification of PAH

  • PAH represents the Group 1 in the pulmonary hypertension clinical classification defined during the 3rd World symposium on PAH held in 2003 in Venice, Italy (Table 2).

Table 2: Clinical classification of PH – Venice 200311

Group I. Pulmonary arterial hypertension (PAH)

  • Idiopathic (IPAH)
  • Familial (FPAH)
  • Associated with (APAH):
    • Connective tissue disease
    • Congenital systemic-to-pulmonary shunts (eg. Eisenmenger’s)
    • Portal hypertension
    • Drugs and toxins
    • Other (thyroid disorders, glycogen storage disease, Gaucher’s disease, hereditary haemorrhagic telangiectasia, haemog
  • Associated with significant venous or capillary involvement
    • Pulmonary veno-occlusive disease (PVOD)
    • Pulmonary capillary haemangiomatosis (PCH)
  • Persistent pulmonary hypertension of the newborn (PPHN)


Group II. Pulmonary venous hypertension with left heart diseases


Group III. Pulmorary hypertension associated with respiratory diseases and / or hypoxemia (including chronic obstructive pulmonary disease)


Group IV.  Pulmonary hypertension due to chronic thrombotic and/or embolic disease

Group V.  Miscellaneous group 

  • eg. sarcoidosis, histiocytosis X and lymphangiomatosis

 


Last update: 11 Jul 2008