Risk stratification and medical therapy of pulmonary arterial hypertension

Pulmonary arterial hypertension (PAH) remains a severe clinical condition despite the availability over the past 15 years of multiple drugs interfering with the endothelin, nitric oxide and prostacyclin pathways. The recent progress observed in medical therapy of PAH is not, therefore, related to th...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Hauptverfasser: Galiè, Nazzareno (VerfasserIn) , Grünig, Ekkehard (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: January 24, 2019
In: The European respiratory journal
Year: 2019, Jahrgang: 53, Heft: 1
ISSN:1399-3003
DOI:10.1183/13993003.01889-2018
Online-Zugang:Verlag, Volltext: https://doi.org/10.1183/13993003.01889-2018
Verlag: https://erj.ersjournals.com/content/53/1/1801889
Volltext
Verfasserangaben:Nazzareno Galiè, Richard N. Channick, Robert P. Frantz, Ekkehard Grünig, Zhi Cheng Jing, Olga Moiseeva, Ioana R. Preston, Tomas Pulido, Zeenat Safdar, Yuichi Tamura and Vallerie V. McLaughlin

MARC

LEADER 00000caa a2200000 c 4500
001 168003474X
003 DE-627
005 20230426084703.0
007 cr uuu---uuuuu
008 191028s2019 xx |||||o 00| ||eng c
024 7 |a 10.1183/13993003.01889-2018  |2 doi 
035 |a (DE-627)168003474X 
035 |a (DE-599)KXP168003474X 
035 |a (OCoLC)1341249367 
040 |a DE-627  |b ger  |c DE-627  |e rda 
041 |a eng 
084 |a 33  |2 sdnb 
100 1 |a Galiè, Nazzareno  |e VerfasserIn  |0 (DE-588)1046633201  |0 (DE-627)776778579  |0 (DE-576)399949682  |4 aut 
245 1 0 |a Risk stratification and medical therapy of pulmonary arterial hypertension  |c Nazzareno Galiè, Richard N. Channick, Robert P. Frantz, Ekkehard Grünig, Zhi Cheng Jing, Olga Moiseeva, Ioana R. Preston, Tomas Pulido, Zeenat Safdar, Yuichi Tamura and Vallerie V. McLaughlin 
264 1 |c January 24, 2019 
300 |a 11 
336 |a Text  |b txt  |2 rdacontent 
337 |a Computermedien  |b c  |2 rdamedia 
338 |a Online-Ressource  |b cr  |2 rdacarrier 
500 |a Number 6 in the series “Proceedings of the 6th World Symposium on Pulmonary Hypertension” edited by N. Galiè, V.V. McLaughlin, L.J. Rubin and G. Simonneau 
500 |a Gesehen am 28.10.2019 
520 |a Pulmonary arterial hypertension (PAH) remains a severe clinical condition despite the availability over the past 15 years of multiple drugs interfering with the endothelin, nitric oxide and prostacyclin pathways. The recent progress observed in medical therapy of PAH is not, therefore, related to the discovery of new pathways, but to the development of new strategies for combination therapy and on escalation of treatments based on systematic assessment of clinical response. The current treatment strategy is based on the severity of the newly diagnosed PAH patient as assessed by a multiparametric risk stratification approach. Clinical, exercise, right ventricular function and haemodynamic parameters are combined to define a low-, intermediate- or high-risk status according to the expected 1-year mortality. The current treatment algorithm provides the most appropriate initial strategy, including monotherapy, or double or triple combination therapy. Further treatment escalation is required in case low-risk status is not achieved in planned follow-up assessments. Lung transplantation may be required in most advanced cases on maximal medical therapy. - Tweetable abstract ERSpublications - click to tweetState of the art and research perspectives on medical therapy of pulmonary arterial hypertension, including treatment algorithm http://ow.ly/4UkJ30md5GS 
700 1 |a Grünig, Ekkehard  |e VerfasserIn  |0 (DE-588)112535801  |0 (DE-627)618892605  |0 (DE-576)31856694X  |4 aut 
773 0 8 |i Enthalten in  |t The European respiratory journal  |d Lausanne : ERS, 1988  |g 53(2019,1) Artikel-Nummer 1801889, 11 Seiten  |h Online-Ressource  |w (DE-627)306646803  |w (DE-600)1499101-9  |w (DE-576)091142504  |x 1399-3003  |7 nnas  |a Risk stratification and medical therapy of pulmonary arterial hypertension 
773 1 8 |g volume:53  |g year:2019  |g number:1  |g extent:11  |a Risk stratification and medical therapy of pulmonary arterial hypertension 
856 4 0 |u https://doi.org/10.1183/13993003.01889-2018  |x Verlag  |x Resolving-System  |3 Volltext 
856 4 0 |u https://erj.ersjournals.com/content/53/1/1801889  |x Verlag 
951 |a AR 
992 |a 20191028 
993 |a Article 
994 |a 2019 
998 |g 112535801  |a Grünig, Ekkehard  |m 112535801:Grünig, Ekkehard  |d 910000  |d 950000  |d 950900  |e 910000PG112535801  |e 950000PG112535801  |e 950900PG112535801  |k 0/910000/  |k 1/910000/950000/  |k 2/910000/950000/950900/  |p 4 
999 |a KXP-PPN168003474X  |e 3529188417 
BIB |a Y 
SER |a journal 
JSO |a {"person":[{"family":"Galiè","role":"aut","given":"Nazzareno","roleDisplay":"VerfasserIn","display":"Galiè, Nazzareno"},{"given":"Ekkehard","roleDisplay":"VerfasserIn","display":"Grünig, Ekkehard","family":"Grünig","role":"aut"}],"recId":"168003474X","language":["eng"],"id":{"eki":["168003474X"],"doi":["10.1183/13993003.01889-2018"]},"note":["Number 6 in the series “Proceedings of the 6th World Symposium on Pulmonary Hypertension” edited by N. Galiè, V.V. McLaughlin, L.J. Rubin and G. Simonneau","Gesehen am 28.10.2019"],"type":{"bibl":"article-journal","media":"Online-Ressource"},"origin":[{"dateIssuedDisp":"January 24, 2019","dateIssuedKey":"2019"}],"physDesc":[{"extent":"11 S."}],"relHost":[{"id":{"zdb":["1499101-9"],"eki":["306646803"],"issn":["1399-3003"]},"language":["eng"],"disp":"Risk stratification and medical therapy of pulmonary arterial hypertensionThe European respiratory journal","recId":"306646803","titleAlt":[{"title":"official journal of the European Society for Clinical Respiratory Physiology : ERJ"},{"title":"ERJ"}],"corporate":[{"role":"isb","display":"European Respiratory Society","roleDisplay":"Herausgebendes Organ"}],"name":{"displayForm":["European Respiratory Society"]},"part":{"issue":"1","text":"53(2019,1) Artikel-Nummer 1801889, 11 Seiten","extent":"11","year":"2019","volume":"53"},"title":[{"title":"The European respiratory journal","subtitle":"flagship scientific journal of ERS","title_sort":"European respiratory journal"}],"physDesc":[{"extent":"Online-Ressource"}],"origin":[{"dateIssuedDisp":"1988-","dateIssuedKey":"1988","publisherPlace":"Lausanne ; Copenhagen","publisher":"ERS ; Munksgaard"}],"pubHistory":["1.1988 -"],"note":["Gesehen am 25.04.2025","Fortsetzung der Druck-Ausgabe"],"type":{"bibl":"periodical","media":"Online-Ressource"}}],"title":[{"title_sort":"Risk stratification and medical therapy of pulmonary arterial hypertension","title":"Risk stratification and medical therapy of pulmonary arterial hypertension"}],"name":{"displayForm":["Nazzareno Galiè, Richard N. Channick, Robert P. Frantz, Ekkehard Grünig, Zhi Cheng Jing, Olga Moiseeva, Ioana R. Preston, Tomas Pulido, Zeenat Safdar, Yuichi Tamura and Vallerie V. McLaughlin"]}} 
SRT |a GALIENAZZARISKSTRATI2420