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Integrated care and optimal management of pulmonary arterial hypertension


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]


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.

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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
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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