العلاج الداعم العام المنظم لارتفاع ضغط الدم الرئوي الشرياني

References

• Supervised exercise training is recommended in patients with PAH under medical therapy.
• Diuretic treatment is recommended in patients with PAH with signs of RV failure and fluid retention.
• The three main classes of diuretics — loop diuretics, thiazides, and mineralocorticoid receptor antagonists — are used as monotherapy or in combination, as determined by the patient's clinical need and kidney function.
• Long-term oxygen therapy is recommended in patients with PAH whose arterial blood oxygen pressure is <8 kPa (60 mmHg).
• In the presence of iron-deficiency anaemia, correction of iron status is recommended in patients with PAH.
• In patients with severe iron deficiency anaemia (Hb <7–8 g/dL), i.v. supplementation is recommended.
• Immunization of patients with PAH against SARS-CoV-2, influenza, and Streptococcus pneumoniae is recommended.
• Psychosocial support is recommended in patients with PAH.