期刊
FRONTIERS IN MEDICINE
卷 7, 期 -, 页码 -出版社
FRONTIERS MEDIA SA
DOI: 10.3389/fmed.2020.616720
关键词
multifactorial; pulmonary hypertension; Group 5; hematologic; sickle cell; sarcoidosis; metabolic; CKD; chronic kidney disease
资金
- United Therapeutics/Lung Biotechnology
- Actelion/Jannsen
- Eiger
- United Therapeutics
- Bellerophon
Pulmonary hypertension (PH) is associated with various comorbid conditions and classified into 5 groups based on common pathophysiological drivers, histopathologic features, clinical manifestations, and response to therapy. Group 5 PH includes conditions like sarcoidosis, sickle cell disease, myeloproliferative disorders, and chronic kidney disease, presenting challenges in disease management for clinicians. The unclear and multifactorial nature of PH in these entities is highlighted in the latest classification schema.
Pulmonary hypertension (PH) is recognized to be associated with a number of comorbid conditions. Based on these associations, PH is classified into 5 groups, considering common pathophysiologic drivers of disease, histopathologic features, clinical manifestations and course, and response to PH therapy. However, in some of these associated conditions, these characteristics are less well-understood. These include, among others, conditions commonly encountered in clinical practice such as sarcoidosis, sickle cell disease, myeloproliferative disorders, and chronic kidney disease/end stage renal disease. PH in these contexts presents a significant challenge to clinicians with respect to disease management. The most recent updated clinical classification schemata from the 6th World Symposium on PH classifies such entities in Group 5, highlighting the often unclear and/or multifactorial nature of PH. An in-depth review of the state of the science of Group 5 PH with respect to epidemiology, pathogenesis, and management is provided. Where applicable, future directions with respect to research needed to enhance understanding of the clinical course of these entities is also discussed.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据