Table 1

World Health Organization new diagnostic classification11

1. Pulmonary arterial hypertension
  1.1 Primary pulmonary hypertension
  (a) Sporadic
  (b) Familial
 1.2 Related to:
  (a) Collagen vascular disease
  (b) Congenital systemic to pulmonary shunts
  (c) Portal hypertension
  (d) HIV infection
  (e) Drugs/toxins
   (1) Anorexigens
   (2) Other
  (f) Persistent pulmonary hypertension of the newborn
  (g) Other
2. Pulmonary venous hypertension
 2.1 Left sided atrial or ventricular heart disease
 2.2 Left sided valvar heart disease
 2.3 Extrinsic compression of central pulmonary veins
  (a) Fibrosing mediastinitis
  (b) Adenopathy/tumours
 2.4 Pulmonary veno-occlusive disease
 2.5 Other
3. Pulmonary hypertension associated with disorders of the respiratory system and/or hypoxemia
 3.1 Chronic obstructive pulmonary disease
 3.2 Interstitial lung disease
 3.3 Sleep disordered breathing
 3.4 Alveolar hypoventilation disorders
 3.5 Chronic exposure to high altitude
 3.6 Neonatal lung disease
 3.7 Alveolar-capillary dysplasia
 3.8 Other
4. Pulmonary hypertension caused by chronic thrombotic and/or embolic disease
 4.1 Thromboembolic obstruction of proximal pulmonary arteries
 4.2 Obstruction of distal pulmonary arteries
  (a) Pulmonary embolism (thrombus, tumour, ova and/or parasites, foreign material)
  (b) In situ thrombosis
  (c) Sickle cell disease
5. Pulmonary hypertension caused by disorders directly affecting the pulmonary vasculature
 5.1 Inflammatory
  (a) Schistosomiasis
  (b) Sarcoidosis
  (c) Other
 5.2 Pulmonary capillary haemangiomatosis