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Integrated care and optimal management of pulmonary arterial hypertension
Citation
Strange, G and Fowler, R and Jary, C and Dalton, BS and Stewart, S and Gabbay, E, Integrated care and optimal management of pulmonary arterial hypertension, Journal of Multidisciplinary Healthcare, 2 pp. 67-78. ISSN 1178-2390 (2009) [Refereed Article]
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Copyright Statement
© 2009 Strange et al, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
Official URL: http://www.dovepress.com/integrated-care-and-optim...
Abstract
Pulmonary arterial hypertension (PAH) may occur as an idiopathic process or as
a component of a variety of diseases, including connective tissue diseases, congenital heart
disease, and exposure to appetite suppressants or infectious agents such as HIV. Untreated, it
is a potentially devastating disease; however, diagnosis can be difficult due to the non-specific
nature of symptoms during the early stages, and the fact that patients often present to a range
of different medical specialties. The past decade has seen remarkable improvements in our
understanding of the pathology associated with the condition and the development of PAHspecific
therapies with the ability to alter the natural history of the disease. This article reviews
the evidence for screening and diagnosis of susceptible patient groups and discusses treatment
selection and recommendations based on data available from randomized controlled trials. In
addition, due to the complexity of the diagnostic evaluation required and the treatment options
available, this review mandates for a multidisciplinary approach to the management of PAH.
We discuss the roles and organizational structure of a specialized PAH center in Perth, Western
Australia to highlight these issues.
Item Details
Item Type: | Refereed Article |
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Keywords: | pulmonary hypertension, multidisciplinary care, systemic sclerosis, diagnostic |
Research Division: | Biomedical and Clinical Sciences |
Research Group: | Cardiovascular medicine and haematology |
Research Field: | Cardiology (incl. cardiovascular diseases) |
Objective Division: | Health |
Objective Group: | Clinical health |
Objective Field: | Clinical health not elsewhere classified |
UTAS Author: | Dalton, BS (Mr Brad Dalton) |
ID Code: | 58228 |
Year Published: | 2009 |
Deposited By: | Health Sciences A |
Deposited On: | 2009-09-22 |
Last Modified: | 2014-12-17 |
Downloads: | 404 View Download Statistics |
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