Table 2 Clinical classification of pulmonary hypertension (PH) as a guide to treatment
ClassificationTreatment
Pulmonary arterial hypertensionDisease-targeted therapies (but caution in veno-occlusive disease)
PH with left heart diseaseMedical, interventional and surgical therapies for chronic heart failure, coronary artery disease, valve disease and pericardial disease
PH associated with lung diseases and/or hypoxaemiaTherapy to treat the primary lung disorder
Oxygen
Disease-targeted therapies when pulmonary hypertension out of proportion to lung disease
PH due to chronic thrombotic and/or embolic diseasePulmonary endarterectomy (PEA) for proximal disease
Disease-targeted therapies for distal disease (see section 6.4.8.7), significant residual post-PEA pulmonary hypertension or late redevelopment of symptomatic pulmonary hypertension post-PEA
MiscellaneousSpecific to individual diseases