Consenso Colombiano en Hipertensión Arterial Pulmonar Recomendaciones basadas en consenso de expertos e informadas en la evidencia para el diagnóstico, tratamiento y seguimiento en hipertensión pulmonar.

Introduction: Pulmonary Arterial Hypertension (PAH) is a clinical condition characterized by dysfunction of the pulmonary arterial endothelium that manifests with increased flow restriction in the pulmonary circulation. Numerous advances have been made in understanding the pathophysiology, risk stratification, treatment, and follow-up of patients with this disease. Among these advances is the update in the hemodynamic definition of the event, which largely determines the therapeutic actions to be followed. Due to the above, it was considered necessary to establish recommendations for managing patients with PAH, based on an approach that considers access, use, and provision of health services in Colombia. Methodology: The final document was developed in six stages: 1. Definition of the research questions and content. 2. Search, screening, selection, and evaluation of the evidence. 3. Preparation of a narrative summary of the evidence-based on the guiding questions. 4. Discussion of findings in formal panels. 5. Formulation of recommendations. 6. Writing and consolidation of the final consensus document. Results: The 34 participants reached a consensus and formulated 26 recommendations based on four thematic segments: i) definitions and diagnostic segment, ii) risk stratification segment, iii) treatment segment and iv) follow-up segment. Conclusion: The formulated recommendations will guide primary care physicians in identifying clinical suspicion of the disease and for specialists and subspecialists in confirming the diagnosis, defining the therapeutic approach, and managing patient follow-up. As new evidence emerges, these recommendations should be carefully reviewed and updated.

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Journal
Revista Colombiana de Neumología
Published
2025-01-10
DOI
https://doi.org/10.30789/rcneumologia.v36.n2supl-1.2024.1029
Primary Topic
Pulmonary Hypertension Research and Treatments
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article
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article

Consenso Colombiano en Hipertensión Arterial Pulmonar Recomendaciones basadas en consenso de expertos e informadas en la evidencia para el diagnóstico, tratamiento y seguimiento en hipertensión pulmonar.

Jorge Luis Quintero Barrios, José Federico Saaibi, Alba Ramírez-Sarmiento, Iván De Jesús Baños Álvarez et al.
Revista Colombiana de Neumología
Pulmonary Hypertension Research and Treatments
article

Consenso Colombiano en Hipertensión Arterial Pulmonar Recomendaciones basadas en consenso de expertos e informadas en la evidencia para el diagnóstico, tratamiento y seguimiento en hipertensión pulmonar.

Jorge Luis Quintero Barrios, José Federico Saaibi, Alba Ramírez-Sarmiento, Iván De Jesús Baños Álvarez, Juan Pablo Camargo-Mendoza, Ángelo Valencia, Alejandro Londoño Villegas, José Luis Blanco Pérez, Rafael Conde Camacho, Efraín Gómez, Felipe Campo, Diana Patricia Ortíz Barajas, Manuel Pacheco, Lina María Saldarriaga Rivera, Liliana Fernández‐Trujillo, Camilo Andrés Rodríguez Cortes, John Ramirez, Luis Eduardo Echeverría, Vinicio de Jesús Pérez, Juan Esteban Gómez‐Mesa, Mauricio Orozco‐Levi, Julio Ricardo Zuluaga Peña, Andrés Chavarriaga Restrepo, Jaime Alberto Rodríguez, C. Villaquirán-Torres, Manuela Tobón Trujillo, Rubén Darío Contreras Páez, Isabel Cristina Casas Quiroga, Juan Carvajal, Jesus D. Ortega, Juan Pablo Zuluaga Peña, Diana Rocío Gil Calderón, José Rubén Dueñas Villamil, Ingrid Johana Martínez Ramírez, Ricardo Gómez Palau, Lucila Teresa Flórez de Arco
article en

Abstract

Introduction: Pulmonary Arterial Hypertension (PAH) is a clinical condition characterized by dysfunction of the pulmonary arterial endothelium that manifests with increased flow restriction in the pulmonary circulation. Numerous advances have been made in understanding the pathophysiology, risk stratification, treatment, and follow-up of patients with this disease. Among these advances is the update in the hemodynamic definition of the event, which largely determines the therapeutic actions to be followed. Due to the above, it was considered necessary to establish recommendations for managing patients with PAH, based on an approach that considers access, use, and provision of health services in Colombia. Methodology: The final document was developed in six stages: 1. Definition of the research questions and content. 2. Search, screening, selection, and evaluation of the evidence. 3. Preparation of a narrative summary of the evidence-based on the guiding questions. 4. Discussion of findings in formal panels. 5. Formulation of recommendations. 6. Writing and consolidation of the final consensus document. Results: The 34 participants reached a consensus and formulated 26 recommendations based on four thematic segments: i) definitions and diagnostic segment, ii) risk stratification segment, iii) treatment segment and iv) follow-up segment. Conclusion: The formulated recommendations will guide primary care physicians in identifying clinical suspicion of the disease and for specialists and subspecialists in confirming the diagnosis, defining the therapeutic approach, and managing patient follow-up. As new evidence emerges, these recommendations should be carefully reviewed and updated.

Revista Colombiana de NeumologíaVol. 36(2Supl-1)
Rafael Advanced Defense Systems (Israel) (IL), Universidad Pontificia Bolivariana (CO), Instituto del Corazón de Bucaramanga (CO), Fundación Cardiovascular de Colombia (CO), Fundación Valle del Lili (CO), Mega (Czechia) (CZ), Hospital Universitario Reina Sofía (ES), Hospital la Serena (CL), Kennedy Memorial Hospital (US), Stanford Medicine (US), Hospital Universitario San Ignacio (CO), Hospital de Clínicas (UY), Stanford University (US)
Openalex Percentile: Top 85%
Pulmonary Hypertension Research and Treatments
DOIOpen Access PDFOpenAlex
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