Evaluating suspected pulmonary hypertension: A structured approach

Akshay Bhatnagar; Jonathan Wiesen; Raed Dweik; Neal F Chaisson

doi:10.3949/ccjm.85a.17065

Evaluating suspected pulmonary hypertension: A structured approach

Cleve Clin J Med. 2018 Jun;85(6):468-480. doi: 10.3949/ccjm.85a.17065.

Authors

Akshay Bhatnagar¹, Jonathan Wiesen^{2

3}, Raed Dweik^{4

5}, Neal F Chaisson^{6

7}

Affiliations

¹ Department of Internal Medicine, Cleveland Clinic, Cleveland, OH, USA.
² Community Intensivists, Cleveland, OH, USA.
³ Ben Gurion University, Be'er Sheva, Israel.
⁴ Interim Institute Chair, Respiratory Institute, Cleveland Clinic, Cleveland, OH, USA.
⁵ Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA.
⁶ Department of Critical Care Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, OH, USA. [email protected].
⁷ Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA.

PMID: 29883306
DOI: 10.3949/ccjm.85a.17065

Abstract

Pulmonary arterial hypertension (PAH) is a common consideration when patients have unexplained signs of cardiopulmonary disease. Guidelines have been issued regarding diagnosis and management of this condition. Since multiple conditions can mimic components of PAH, the clinician should think about the patient's total clinical condition before diagnosing and categorizing it. Proper evaluation and etiologic definition are crucial to providing the appropriate therapy. This review offers a case-based guide to the evaluation of patients with suspected PAH.

Publication types

Review

MeSH terms

Diagnosis, Differential
Diagnostic Techniques, Cardiovascular / standards*
Humans
Hypertension, Pulmonary / diagnosis*
Practice Guidelines as Topic*
Symptom Assessment / methods
Symptom Assessment / standards*