Evidence map›Paper›PMID 39209475›Full record

ArticleThe European respiratory journal2024

Definition, classification and diagnosis of pulmonary hypertension.

Gabor Kovacs, Sonja Bartolome, Christopher P Denton, Michael A Gatzoulis, Sue Gu, Dinesh Khanna, David Badesch, David Montani

2 registry-linked trialsAbstract read
In one paragraph

Article in The European respiratory journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 247 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
247citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07186439 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Pulmonary Hypertension Screening in Scleroderma

TypeobservationalSponsorAssiut UniversityRan2025 to 2026Enrolled35ConditionsPHTN in Scleroderma Patients
NCT07647549 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Pulmonary Hypertension (PH) Biorepository for Translational Research

TypeobservationalSponsorNational Institutes of Health Clinical Center (CC)Ran2026 to 2036Enrolled1,000ConditionsPulmonary Hypertension
3 · Its place in the literature

Who cites it

247 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. International Liver Transplantation Society practice guideline update on portopulmonary hypertension.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2026
    Guideline
  2. Guideline
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  18. Research advances in consistency and variability inJournal of thoracic disease · 2026
    Review
  19. Review
  20. Exercise-Induced Pulmonary Hypertension: What Is New?Journal of cardiovascular development and disease · 2026
    Review

187 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Gabor KovacsDivision of Pulmonology, Department of Internal Medicine, Medical University of Graz, Graz, Austria gabor.kovacs@uniklinikum.kages.at.
Sonja BartolomeDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Christopher P DentonDivision of Medicine, University College London, London, UK.ORCID https://orcid.org/0000-0003-3975-8938
Michael A GatzoulisAdult Congenital Heart Centre and National Centre for Pulmonary Hypertension, Royal Brompton Hospital, Guy's and St Thomas's NHS Foundation Trust, London, UK.
Sue GuDivision of Pulmonary Sciences and Critical Care Medicine University of Colorado Anschutz Medical Campus Aurora, Aurora, CO, USA.
Dinesh KhannaScleroderma Program, Division of Rheumatology, Department of Medicine, University of Michigan, Ann Arbor, MI, USA.
David BadeschDivision of Pulmonary Sciences and Critical Care Medicine University of Colorado Anschutz Medical Campus Aurora, Aurora, CO, USA.
David MontaniUniversité Paris-Saclay, Faculté de Médecine, Le Kremlin-Bicêtre, France.ORCID https://orcid.org/0000-0002-9358-6922

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulmonary hypertension (PH) is a haemodynamic condition characterised by elevation of mean pulmonary arterial pressure (mPAP) >20 mmHg, assessed by right heart catheterisation. Pulmonary arterial wedge pressure (PAWP) and pulmonary vascular resistance (PVR) distinguish pre-capillary PH (PAWP ≤15 mmHg, PVR >2 Wood Units (WU)), isolated post-capillary PH (PAWP >15 mmHg, PVR ≤2 WU) and combined post- and pre-capillary PH (PAWP >15 mmHg, PVR >2 WU). Exercise PH is a haemodynamic condition describing a normal mPAP at rest with an abnormal increase of mPAP during exercise, defined as a mPAP/cardiac output slope >3 mmHg/L/min between rest and exercise. The core structure of the clinical classification of PH has been retained, including the five major groups. However, some changes are presented herewith, such as the re-introduction of "long-term responders to calcium channel blockers" as a subgroup of idiopathic pulmonary arterial hypertension, the addition of subgroups in group 2 PH and the differentiation of group 3 PH subgroups based on pulmonary diseases instead of functional abnormalities. Mitomycin-C and carfilzomib have been added to the list of drugs with "definite association" with PAH. For diagnosis of PH, we propose a stepwise approach with the main aim of discerning those patients who need to be referred to a PH centre and who should undergo invasive haemodynamic assessment. In case of high probability of severe pulmonary vascular disease, especially if there are signs of right heart failure, a fast-track referral to a PH centre is recommended at any point during the clinical workup.

Indexed as

Cardiac CatheterizationHypertension, PulmonaryVascular ResistanceCalcium Channel BlockersExerciseFamilial Primary Pulmonary HypertensionHemodynamicsHumansPulmonary Wedge PressureCalcium Channel Blockers

Identifiers

PMID39209475
PMCPMC11533989

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.