ESC/ERS guidelines: recommendations for general measures
| Statement | Class# | Level¶ |
| It is recommended to avoid pregnancy in patients with PAH | I | C |
| Immunisation of PAH patients against influenza and pneumococcal infection is recommended | I | C |
| Physically deconditioned PAH patients should be considered for supervised exercise rehabilitation | IIa | B |
| Psychosocial support should be considered in patients with PAH | IIa | C |
| In-flight O2 administration should be considered for patients in WHO FC III and IV and those with arterial blood O2 pressure consistently <8 kPa (60 mmHg) | IIa | C |
| Epidural anaesthesia instead of general anaesthesia should be utilised, if possible, for elective surgery | IIa | C |
| Excessive physical activity that leads to distressing symptoms is not recommended in patients with PAH | III | C |
PAH: pulmonary arterial hypertension; WHO FC: World Health Organization functional class. #: class of recommendation; ¶: level of evidence. Reproduced from 1 with permission from the publisher.