Review Article

Diagnosis and Management of Pulmonary Arterial Hypertension

Table 1

4th World Symposium on Pulmonary Hypertension Classification 2008.

(1) Group 1 pulmonary arterial hypertension
 (1.1) Idiopathic (IPAH)
 (1.2) Heritable
  (1.2.1) BMPR2
  (1.2.2) AKL1, endoglin (with or without heredity hemorrhagic telangiectasia)
  (1.2.3) Unknown
 (1.3) Drug and toxin induced
 (1.4) Associates with (APAH)
  (1.4.1) Connective tissue disease
  (1.4.2) Human immunodeficiency virus (HIV) infection
  (1.4.3) Portal hypertension
  (1.4.4) Congenital heart disease
  (1.4.5) Schistosomiasis
  (1.4.6) Chronic hemolytic anemia
 (1.5) Persistent pulmonary hypertension of the newborn
 1′ Pulmonary veno-occulsive disease (PVOD) and/or pulmonary capillary hemangiomatosis
Group 2 Pulmonary hypertension due to left heart disease
 (2.1) Systolic dysfunction
 (2.2) Diastolic dysfunction
 (2.3)Valvular disease
Group 3 Pulmonary hypertension due to lung disease and/or hypoxia
 (3.1) Chronic obstructive pulmonary disease
 (3.2) Interstitial lung disease
 (3.3) Other pulmonary diseases with mixed restrictive and obstructive pattern
 (3.4) Sleep disordered breathing
 (3.5) Alveolar hypoventilation disorders
 (3.6) Chronic exposure to high altitudes
 (3.7) Developmental abnormalities
Group 4 Chronic thromboembolic pulmonary hypertension
Group 5 pulmonary hypertension due to unclear multifactorial mechanisms
 (5.1) Hematological disorders: myeloproliferative disorders, splenectomy
 (5.2) Systemic disorders: sarcoidosis, pulmonary langerhans cell histiocytosis, lymphangioleiomyomatosis, neurofibromatosis, vasculitis.
 (5.3) Metabolic disorders: glycogen storage disease, Gaucher disease, thyroid disorders.
 (5.4) Other: tumor obstruction, fibrosing mediastinitis, chronic renal failure on dialysis.