Diagnostic classification of pulmonary hypertension
Pulmonary arterial hypertension |
Idiopathic |
Familial |
Associated with: |
Connective tissue diseases |
Congenital left-to-right shunt |
Portal hypertension |
HIV infection |
Drugs and toxins |
Other conditions# |
Substantial venous or capillary involvement |
Pulmonary veno-occlusive disease |
Pulmonary capillary haemangiomatosis |
Persistent pulmonary hypertension of the newborn |
Pulmonary hypertension with left heart disease |
Left-sided atrial or ventricular heart disease |
Left-sided valvular heart disease |
Pulmonary hypertension associated with lung disease or hypoxaemia or both |
Chronic obstructive pulmonary disease |
Interstitial lung disease |
Sleep-disordered breathing |
Alveolar hypoventilation disorders |
Chronic exposure to high altitude |
Developmental abnormalities |
Pulmonary hypertension due to chronic thrombotic or embolic disease or both |
Thromboembolic obstruction of proximal pulmonary arteries |
Thromboembolic obstruction of distal pulmonary arteries |
Nonthrombotic pulmonary embolism (tumour, parasites, foreign material) |
Miscellaneous |
Sarcoidosis, pulmonary Langerhans cell histiocytosis, lymphangioleiomyomatosis, and compression of pulmonary vessels (adenopathy, tumour, and fibrosing mediastinitis) |
#: these conditions include thyroid disorders, type-1 glycogen storage disease, Gaucher’s disease, hereditary haemorrhagic telangiectasia, haemoglobinopathies, myeloproliferative disorders and splenectomy. Reproduced from [1] with permission from the publisher.