Hemodynamic definitions of pulmonary hypertension
Definition | Hemodynamic criteria | Clinical groups |
---|---|---|
PH | mPAP > 20 mmHg | |
Pre-capillary PH | mPAP > 20 mmHgPAWP ≤ 15 mmHgPVR > 2 WU | Group 1: PAH: idiopathic, heritable, associated with drugs/toxins, with concomitant diseases (including portal hypertension), with features of venous/capillary involvementGroup 3: PH associated with lung diseases and/or hypoxiaGroup 4: PH due to pulmonary artery obstructionsGroup 5: PH with unclear and/or multifactorial mechanisms |
Isolated post-capillary PH | mPAP > 20 mmHgPAWP > 15 mmHgPVR ≤ 2 WU | Group 2: PH associated with left heart diseaseGroup 5: PH with unclear and/or multifactorial mechanisms |
Combined pre- and post-capillary PH | mPAP > 20 mmHgPAWP > 15 mmHgPVR > 2 WU |
Portopulmonary hypertension belongs to PAH (group 1 PH) characterized by precapillary PH in the absence of other causes of pre-capillary PH, such as chronic thrombo-embolic PH and PH associated with lung diseases. More details are reported in Humbert M, et al. Eur Heart J 2022 [20]. mPAP: mean pulmonary arterial pressure; PAH: pulmonary arterial hypertension; PAWP: pulmonary arterial wedge pressure; PH: pulmonary hypertension; PVR: pulmonary vascular resistance; WU: Wood units (1 WU = 80 dyn.s.cm-5)
Note. Adapted with permission from “Portopulmonary hypertension: An unfolding story” by Thévenot T, Savale L, Sitbon O. Clin Res Hepatol Gastroenterol. 2020;45:101492 (https://www.sciencedirect.com/science/article/abs/pii/S221074012030187X?via%3Dihub). © 2020 Elsevier Masson SAS.
TT: Writing—original draft, Validation, Writing—review & editing, Supervision. SR, AA, BAB, and HMD: Writing—original draft. JFDC: Visualization. All authors read and approved the submitted version.
Prof. Jean François D. Cadranel is the Editorial Board Member of Exploration of Digestive Diseases, but he had no involvement in the journal review process of this manuscript. The other authors declare that they have no conflicts of interest.
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© The Author(s) 2024.