Lichtblau Mona, Harutyunova Satenik, Nechwatal Robert, Mayer Laura, Kabitz Hans-Joachim, Wilkens Finn Moritz, Uiker Sören, Grünig Ekkehard, Ritter Daniel, Florea Andreea, Benjamin Nicola
Klinik für Pneumologie, Universitätsspital Zürich, Zürich, Schweiz.
Zentrum für pulmonale Hypertonie, Thoraxklinik Heidelberg gGmbH am Universitätsklinikum Heidelberg, Heidelberg, Deutschland.
Pneumologie. 2023 Nov;77(11):907-915. doi: 10.1055/a-2145-4741. Epub 2023 Nov 14.
Care of patients with pulmonary arterial hypertension (PAH) needs a multi-facetet concept and measures, including management of adverse reactions, right heart insufficiency as well as information on pregnancy, travels by air, psychosocial support, physical exercise training and prophylaxis by vaccination.Positive study results led to an higher recommendation of specialized exercise training in pulmonary hypertension. Also, the recommendation on iron substitution was amended according to the current evidence.In the current guidelines, special focus was given to the elaboration of recommendations regarding pregnancy, including patient information, contraception and patient management in case of pregnancy.This article aims to provide an overview on the recommendations of general measuremes, special circumstances and patient management according to the ESC/ERS guidelines. Amendments to the guideline recommendations are given as comments from the authors of this article.
