Table. 1—

Revised clinical classification of pulmonary hypertension(PH)

1. Pulmonary arterial hypertension (PAH)
    1.1. Idiopathic PAH
    1.2. Familial PAH
    1.3. Associated with PAH
        1.3.1. Collagen vascular disease
        1.3.2. Congenital systemic-to-pulmonary shunts
        1.3.3. Portal hypertension
        1.3.4. HIV infection
        1.3.5. Drugs and toxins
        1.3.6. Other (thyroid disorders, glycogen storage disease, Gaucher disease, hereditary haemorrhagic telangiectasia, haemoglobinopathies, myeloproliferative disorders, splenectomy)
    1.4. Associated with significant venous or capillary involvement
        1.4.1. Pulmonary veno-occlusive disease
        1.4.2. Pulmonary capillary haemangiomatosis
    1.5. Persistent PH of the newborn
2. PH with left heart disease
    2.1. Left-sided atrial or ventricular heart disease
    2.2. Left-sided valvular heart disease
3. PH associated with lung diseases and/or hypoxaemia
    3.1. Chronic obstructive pulmonary disease
    3.2. Interstitial lung disease
    3.3. Sleep-disordered breathing
    3.4. Alveolar hypoventilation disorders
    3.5. Chronic exposure to high altitude
    3.6. Developmental abnormalities
4. PH due to chronic thrombotic and/or embolic disease
    4.1. Thromboembolic obstruction of proximal pulmonary arteries
    4.2. Thromboembolic obstruction of distal pulmonary arteries
    4.3. Nonthrombotic pulmonary embolism (tumour, parasites, foreign material)
5. Miscellaneous
    Sarcoidosis, histiocytosis X, lymphangioleiomyomatosis, compression of pulmonary vessels (adenopathy, tumour, fibrosing mediastinitis)
  • Reproduced from [1] with permission from the publisher.