علاج ارتفاع ضغط الدم الرئوي البابي في الفئة الوظيفية الرابعة لمنظمة الصحة العالمية أو عند عدم استيفاء معايير المخاطر المنخفضة

References

DOI: 10.1097/TXD.0000000000001517

The prostacyclin agonists (prostanoids) are reserved for patients with a type IV functional class according to the World Health Organization or any patient with PH not meeting low-risk criteria.

They can be used as bridge therapy for patients on the transplant list.

Supplementary oxygen is recommended for patients with oxygen saturation <89%, as per ILTS guidelines.

Diuretics, which are frequently used for the treatment of portal hypertension, are important in the management of PH and volume overload.

Generally, prostacyclin agonists have shown an improvement in pulmonary hemodynamics, functional class, and the ability to exercise.

It also appears to significantly improve pulmonary hemodynamics for patients with moderate to severe PAH and reduce the mean arterial pulmonary pressure and PVR.