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Pulmonary Hypertension in Portugal: First Data from a Nationwide Registry

dc.contributor.authorBaptista, R.
dc.contributor.authorMeireles, J.
dc.contributor.authorAgapito, A.
dc.contributor.authorCastro, G.
dc.contributor.authorMarinho-Silva, A:
dc.contributor.authorShiang, T.
dc.contributor.authorGonçalves, F.
dc.contributor.authorRubalo-Martins, S.
dc.contributor.authorNunes-Diogo, A.
dc.contributor.authorReis, A.
dc.date.accessioned2014-08-26T08:16:17Z
dc.date.available2014-08-26T08:16:17Z
dc.date.issued2013
dc.description.abstractIntroduction. Pulmonary arterial hypertension (PAH) is a rare disease that must be managed in specialized centers; therefore, the availability of epidemiological national data is critical. Methods. We conducted a prospective, observational, and multicenter registry with a joint collaboration from five centers from Portugal and included adult incident patients with PAH or chronic thromboembolic pulmonary hypertension (CTEPH). Results. Of the 79 patients enrolled in this study, 46 (58.2%) were classified as PAH and 33 patients (41.8%) as CTEPH. PAH patients had a mean age of 43.4 ± 16.4 years. Idiopathic PAH was the most common etiology (37%). At presentation, PAH patients had elevated right atrial pressure (RAP) (7.7 ± 5.9 mmHg) and mean pulmonary vascular resistance (11.4 ± 6.5 Wood units), with a low cardiac index (2.7 ± 1.1 L·min−1·m−2); no patient was under selective pulmonary vasodilators; however, at follow-up, most patients were on single (50%), double (28%), or triple (9%) combination vasodilator therapy. One-year survival was 93.5%, similar to CTEPH patients (93.9%), that were older (60.0 ± 12.5 years) and had higher RAP (11.0 ± 5.2 mmHg, ). Conclusions. We describe for the first time nationwide data on the diagnosis, management, and prognosis of PAH and CTEPH patients in Portugal. Clinical presentation and outcomes are comparable with those reported on other national registries.por
dc.description.sponsorshipThe authors thank Actelion Portugal Lda. for supporting the development of the dedicated software (PAHTool) and data entrypor
dc.identifier.citationRui Baptista, José Meireles, Ana Agapito, et al., “Pulmonary Hypertension in Portugal: First Data from a Nationwide Registry,” BioMed Research International, vol. 2013, Article ID 489574, 8 pages, 2013. doi:10.1155/2013/489574por
dc.identifier.doihttp://dx.doi.org/10.1155/2013/489574
dc.identifier.issn2314-6141
dc.identifier.urihttp://hdl.handle.net/10400.16/1646
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherHindawi Publishing Corporationpor
dc.relation.publisherversionhttp://www.hindawi.com/journals/bmri/2013/489574/cta/por
dc.titlePulmonary Hypertension in Portugal: First Data from a Nationwide Registrypor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUnited States of Americapor
oaire.citation.titleBioMed Research Internationalpor
oaire.citation.volume2013por
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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