Definition, clinical classification and initial diagnosis of pulmonary hypertension: Updated recommendations from the Cologne Consensus Conference 2018
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Definition, clinical classification and initial diagnosis of pulmonary hypertension: Updated recommendations from the Cologne Consensus Conference 2018. / Kovacs, Gabor; Dumitrescu, Daniel; Barner, Andreas; Greiner, Sebastian; Grünig, Ekkehard; Hager, Alfred; Köhler, Thomas; Kozlik-Feldmann, Rainer; Kruck, Irmtraut; Lammers, Astrid E; Mereles, Derliz; Meyer, Andreas; Meyer, Joachim; Pabst, Stefan; Seyfarth, Hans-Jürgen; Sinning, Christoph; Sorichter, Stephan; Stähler, Gerd; Wilkens, Heinrike; Held, Matthias.
in: INT J CARDIOL, Jahrgang 272S, 01.12.2018, S. 11-19.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › Andere (Vorworte u.ä.) › Forschung
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TY - JOUR
T1 - Definition, clinical classification and initial diagnosis of pulmonary hypertension: Updated recommendations from the Cologne Consensus Conference 2018
AU - Kovacs, Gabor
AU - Dumitrescu, Daniel
AU - Barner, Andreas
AU - Greiner, Sebastian
AU - Grünig, Ekkehard
AU - Hager, Alfred
AU - Köhler, Thomas
AU - Kozlik-Feldmann, Rainer
AU - Kruck, Irmtraut
AU - Lammers, Astrid E
AU - Mereles, Derliz
AU - Meyer, Andreas
AU - Meyer, Joachim
AU - Pabst, Stefan
AU - Seyfarth, Hans-Jürgen
AU - Sinning, Christoph
AU - Sorichter, Stephan
AU - Stähler, Gerd
AU - Wilkens, Heinrike
AU - Held, Matthias
N1 - Leitlinienäquivalent
PY - 2018/12/1
Y1 - 2018/12/1
N2 - In the summer of 2016, delegates from the German Society of Cardiology (DGK), the German Respiratory Society (DGP), and the German Society of Pediatric Cardiology (DGPK) met in Cologne, Germany, to define consensus-based practice recommendations for the management of patients with pulmonary hypertension (PH). These recommendations were built on the 2015 European Pulmonary Hypertension guidelines, aiming at their practical implementation, considering country-specific issues, and including new evidence, where available. To this end, a number of working groups was initiated, one of which was specifically dedicated to the definition, clinical classification and initial diagnosis of PH. While the European guidelines provide a detailed clinical classification and a structured approach for diagnostic testing, their application in routine care may be challenging, particularly given the changing phenotype of PH patients who are nowadays often elderly and may present with multiple potential causes of PH, as well as comorbid conditions. Specifically, the working group addresses the thoroughness of diagnostic testing, and the roles of echocardiography, exercise testing, and genetic testing in diagnosing PH. Furthermore, challenges in the diagnostic work-up of patients with various causes of PH including "PAH with comorbidities", CTEPH and coexisting conditions are highlighted, and a modified diagnostic algorithm is provided. The detailed results and recommendations of the working group on definition, clinical classification and initial diagnosis of PH, which were last updated in the spring of 2018, are summarized in this article.
AB - In the summer of 2016, delegates from the German Society of Cardiology (DGK), the German Respiratory Society (DGP), and the German Society of Pediatric Cardiology (DGPK) met in Cologne, Germany, to define consensus-based practice recommendations for the management of patients with pulmonary hypertension (PH). These recommendations were built on the 2015 European Pulmonary Hypertension guidelines, aiming at their practical implementation, considering country-specific issues, and including new evidence, where available. To this end, a number of working groups was initiated, one of which was specifically dedicated to the definition, clinical classification and initial diagnosis of PH. While the European guidelines provide a detailed clinical classification and a structured approach for diagnostic testing, their application in routine care may be challenging, particularly given the changing phenotype of PH patients who are nowadays often elderly and may present with multiple potential causes of PH, as well as comorbid conditions. Specifically, the working group addresses the thoroughness of diagnostic testing, and the roles of echocardiography, exercise testing, and genetic testing in diagnosing PH. Furthermore, challenges in the diagnostic work-up of patients with various causes of PH including "PAH with comorbidities", CTEPH and coexisting conditions are highlighted, and a modified diagnostic algorithm is provided. The detailed results and recommendations of the working group on definition, clinical classification and initial diagnosis of PH, which were last updated in the spring of 2018, are summarized in this article.
KW - Consensus Development Conferences as Topic
KW - Exercise Test/methods
KW - Germany/epidemiology
KW - Hemodynamics/physiology
KW - Humans
KW - Hypertension, Pulmonary/classification
KW - Practice Guidelines as Topic/standards
U2 - 10.1016/j.ijcard.2018.08.083
DO - 10.1016/j.ijcard.2018.08.083
M3 - Other (editorial matter etc.)
C2 - 30219257
VL - 272S
SP - 11
EP - 19
JO - INT J CARDIOL
JF - INT J CARDIOL
SN - 0167-5273
ER -