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A Diagnostic Algorithm For Pulmonary Hypertension Due To Left Heart Disease In Resource-Limited Settings: Can Busy Clinicians Adopt A Simple, Practical Approach?

CARDIOVASCULAR JOURNAL OF AFRICA(2019)

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Abstract
Pulmonary hypertension (PH) has progressively moved from an orphan disease to a significant global health problem with a major disease burden in limited-resource countries, where over 97% of patients live. The aetiologies of PH differ between high- and low-income nations, but PH due to left heart disease is credited to be the most frequent contemporary form. Although a straightforward diagnosis of PH requires the use of right heart catheterisation (RHC), access to equipment for RHC is a deterrent. Furthermore, the risk associated with RHC limits its uptake to a selection of specialised centres. Moreover, the rigour and clinical reasoning for diagnosis in clinical medicine is rapidly changing and revealing that PH can complicate a diverse range of medical conditions needing other explorations. In this article, we provide for the busy clinician, a simplified diagnostic algorithm for PH that is relevant for making a correct early diagnosis and limiting the impact of PH.
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Key words
pulmonary hypertension,diagnostic algorithm,left heart disease
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