2004, Number S1
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Rev Inst Nal Enf Resp Mex 2004; 17 (S1)
Clinical classification of pulmonary hypertension
Morales BJE
Language: Spanish
References: 25
Page: 10-16
PDF size: 63.21 Kb.
ABSTRACT
Pulmonary hypertension is a prevalent disease with multiple etiologies. Some decades ago, the knowledge about pulmonary hypertension (PTH) was scant whereas this disease has bad a poor prognosis and few therapeutic alternatives.
At the beginning, the contributions its understanding were isolated, but the PTH epidemic aroused the concern of the clinics in Europe and there was the first meeting was held in 1973 for the PHT. Them, it was suggested a classification, from a morphologic point of view. At the same time, take care of looking for a this profile of primary pulmonary arterial hypertension (PPH), which definition, some years later, would be defined by USA National Institutes.
It is until 1998, in Evian, France, when a clinical classification is established, and used up to now. That classification share both histopathological features and similar physiopathogenesis, as well as clinical. All of them are a great support for clinical diagnosis and treatment about the different forms of PHT.
One of the principal aspects of this classification are the new treatments and another in experimental phase. The main objective of this research is to find drugs with less contralateral effects, easy to handle and of lesser cost. The first studies were carried out in PPH, but actually they apply to some other forms of PTH.
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