A review of pediatric pulmonary hypertension with new guideline

KULA, SERDAR; PEKTAŞ, AYHAN

A review of pediatric pulmonary hypertension with new guideline

Serdar KULA, (Gazi Üniversitesi, Tıp Fakültesi, Çocuk Kardiyolojisi Anabilim Dalı, Ankara, Türkiye)

Ayhan PEKTAŞ (Afyon Kocatepe Üniversitesi Tıp Fakültesi Çocuk Kardiyolojisi Anabilim Dalı, Afyon, Türkiye)

Turkish Journal of Medical Sciences

0 0

Yıl: 2017 Cilt: 47 Sayı: 2 Sayfa Aralığı: 375 - 380 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

A review of pediatric pulmonary hypertension with new guideline

Öz:

Abstract: This study aims to review pediatric pulmonary hypertension (PH) by comparing the guidelines of the European Society of Cardiology (ESC)/European Respiratory Society (ERS), the American Heart Association (AHA)/American Thoracic Society (ATS), and the European Pediatric Pulmonary Vascular Disease Network (EPPVDN). All three sets of guidelines define PH as having a mean pulmonary artery pressure of ≥25 mmHg and accept the validity of the World Health Organization (WHO) classification system. Every child with a high index of suspicion for PH should undergo an initial work-up of chest X-rays, electrocardiography, and echocardiography. The AHA/ATS guidelines emphasize the necessity of cardiac catheterization and hemodynamic studies. As mentioned in the AHA/ATS guidelines, the symptoms and tests that can detect PH include right ventricle failure, WHO functional class, syncope, echocardiography findings, hemodynamic data, brain natriuretic peptide (BNP)/N-terminal pro-BNP, the 6-min walk test, and cardiopulmonary exercise tests. The EPPVDN guidelines refer to positive acute vasoreactivity test results and growth as risk factors. All three guidelines highlight the importance of treating and following affected children in specialized centers and recommend calcium channel blockers as a first-line treatment in children (aged >12 months) who have a positive acute vasoreactivity test. Children with PH have distinct clinical features. In order to overcome the controversies related to the optimal management of pediatric PH, well-designed clinical studies should be carried out on a large cohort of affected children.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Badesch DB, Raskob GE, Elliott CG, Krichman AM, Farber HW, Frost AE, Barst RJ, Benza RL, Liou TG, Turner M et al. Pulmonary arterial hypertension: baseline characteristics from the REVEAL Registry. Chest 2010; 137: 376-387.
2. Humbert M, Sitbon O, Chaouat A, Bertocchi M, Habib G, Gressin V, Yaici A, Weitzenblum E, Cordier JF, Chabot F et al. Pulmonary arterial hypertension in France: results from a national registry. Am J Respir Crit Care Med 2006; 173: 1023- 1030.
3. Abman SH, Raj U. Towards improving the care of children with pulmonary hypertension: The rationale for developing a Pediatric Pulmonary Hypertension Network. Prog Pediatr Cardiol 2009; 27: 3-6.
4. Barst RJ, Ertel SI, Beghetti M, Ivy DD. Pulmonary arterial hypertension: a comparison between children and adults. Eur Respir J 2011; 37: 665-677.
5. Cerro MJ, Abman S, Diaz G, Freudenthal AH, Freudenthal F, Harikrishnan S, Haworth SG, Ivy D, Lopes AA, Raj JU et al. A consensus approach to the classification of pediatric pulmonary hypertensive vascular disease: Report from the PVRI Pediatric Taskforce, Panama 2011. Pulm Circ 2011; 1: 286-298.
6. Galiè N, Humbert M, Vachiery JL, Gibbs S, Lang I, Torbicki A, Simonneau G, Peacock A, Vonk Noordegraaf A, Beghetti M et al. 2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension: The Joint Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS): Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC), International Society for Heart and Lung Transplantation (ISHLT). Eur Respir J 2015; 46: 903-975.
7. Abman SH, Hansmann G, Archer SL, Ivy DD, Adatia I, Chung WK, Hanna BD, Rosenzweig EB, Raj JU, Cornfield D et al. Pediatric pulmonary hypertension: Guidelines from the American Heart Association and American Thoracic Society. Circulation 2015; 132: 2037-2099.
8. Hansmann G, Apitz C, Abdul-Khaliq H, Alastalo TP, Beerbaum P, Bonnet D, Dubowy KO, Gorenflo M, Hager A, Hilgendorff A et al. Executive summary. Expert consensus statement on the diagnosis and treatment of paediatric pulmonary hypertension. The European Paediatric Pulmonary Vascular Disease Network, endorsed by ISHLT and DGPK. Heart 2016; 102 (Suppl. 2): ii86-ii100.
9. Kula S, Göktaş T. Wood units · m2 or Wood units/m2: does it matter? Anatol J Cardiol 2016; 16: 360.
10. Simonneau G, Robbins IM, Beghetti M, Channick RN, Delcroix M, Denton CP, Elliott CG, Gaine SP, Gladwin MT, Jing ZC et al. Updated clinical classification of pulmonary hypertension. J Am Coll Cardiol 2009; 54 (Suppl.): S43-S54.
11. Latus H, Kuehne T, Beerbaum P, Apitz C, Hansmann G, Muthurangu V, Moledina S. Cardiac MR and CT imaging in children with suspected or confirmed pulmonary hypertension/pulmonary hypertensive vascular disease. Expert consensus statement on the diagnosis and treatment of pediatric pulmonary hypertension. The European Paediatric Pulmonary Vascular Disease Network, endorsed by ISHLT and DGPK. Heart 2016; 102 (Suppl. 2): ii30-ii35.
12. Koestenberger M, Apitz C, Abdul-Khaliq H, Hansmann G. Transthoracic echocardiography for the evaluation of children and adolescents with suspected or confirmed pulmonary hypertension. Expert consensus statement on the diagnosis and treatment of paediatric pulmonary hypertension. The European Paediatric Pulmonary Vascular Disease Network, endorsed by ISHLT and D6PK. Heart 2016; 102 (Suppl. 2): ii14-ii22.
13. Apitz C, Hansmann G, Schranz D. Hemodynamic assessment and acute pulmonary vasoreactivity testing in the evaluation of children with pulmonary vascular disease. Expert consensus statement on the diagnosis and treatment of paediatric pulmonary hypertension. The European Paediatric Pulmonary Vascular Disease Network, endorsed by ISHLT and DGPK. Heart 2016; 102 (Suppl. 2): ii23-ii29.
14. Lammers AE, Adatia I, Cerro MJ, Diaz G, Freudenthal AH, Freudenthal F, Harikrishnan S, Ivy D, Lopes AA, Raj JU et al. Functional classification of pulmonary hypertension in children: Report from the PVRI pediatric taskforce, Panama 2011. Pulm Circ 2011; 1: 280-285.
15. Pattathu J, Gorenflo M, Hilgendorff A, Koskenvuo JW, Apitz C, Hansmann G, Alastalo TP. Genetic testing and blood biomarkers in paediatric pulmonary hypertension. Expert consensus statement on the diagnosis and treatment of paediatric pulmonary hypertension. The European Paediatric Pulmonary Vascular Disease Network, endorsed by ISHLT and DGPK. Heart 2016; 102 (Suppl. 2): ii36-ii41.
16. Hilgendorff A, Apitz C, Bonnet D, Hansmann G. Pulmonary hypertension associated with acute or chronic lung diseases in the preterm and term neonate and infant. The European Paediatric Pulmonary Vascular Disease Network, endorsed by ISHLT and DGPK. Heart 2016; 102 (Suppl. 2): ii49-ii56.
17. Kaestner M, Schranz D, Warnecke G, Apitz C, Hansmann G, Miera O. Pulmonary hypertension in the intensive care unit. Expert consensus statement on the diagnosis and treatment of paediatric pulmonary hypertension. The European Paediatric Pulmonary Vascular Disease Network, endorsed by ISHLT and DGPK. Heart 2016; 102 (Suppl. 2): ii57-ii66.
18. Kozlik-Feldmann R, Hansmann G, Bonnet D, Schranz D, Apitz C, Michel-Behnke I. Pulmonary hypertension in children with congenital heart disease (PAH-CHD, PPHVD-CHD). Expert consensus statement on the diagnosis and treatment of paediatric pulmonary hypertension. The European Paediatric Pulmonary Vascular Disease Network, endorsed by ISHLT and DGPK. Heart 2016; 102 (Suppl. 2): ii42-ii48.
19. Ivy DD, Abman SH, Barst RJ, Berger RM, Bonnet D, Fleming TR, Haworth SG, Raj JU, Rosenzweig EB, Schulze Neick I et al. Pediatric pulmonary hypertension. J Am Coll Cardiol 2013; 62: 117-126.
20. Benza RL, Miller DP, Gomberg-Maitland M, Frantz RP, Foreman AJ, Coffey CS, Frost A, Barst RJ, Badesch DB, Elliott CG et al. Predicting survival in pulmonary arterial hypertension: insights from the Registry to Evaluate Early and Long-Term Pulmonary Arterial Hypertension Disease Management (REVEAL). Circulation 2010; 122: 164-172.
21. Kanburoglu MK, Ozdemir FM, Ozkan S, Tunaoglu FS. Reference values of the 6-minute walk test in healthy Turkish children and adolescents between 11 and 18 years of age. Respir Care 2014; 59: 1369-1375.

APA	KULA S, PEKTAŞ A (2017). A review of pediatric pulmonary hypertension with new guideline. , 375 - 380.
Chicago	KULA SERDAR,PEKTAŞ AYHAN A review of pediatric pulmonary hypertension with new guideline. (2017): 375 - 380.
MLA	KULA SERDAR,PEKTAŞ AYHAN A review of pediatric pulmonary hypertension with new guideline. , 2017, ss.375 - 380.
AMA	KULA S,PEKTAŞ A A review of pediatric pulmonary hypertension with new guideline. . 2017; 375 - 380.
Vancouver	KULA S,PEKTAŞ A A review of pediatric pulmonary hypertension with new guideline. . 2017; 375 - 380.
IEEE	KULA S,PEKTAŞ A "A review of pediatric pulmonary hypertension with new guideline." , ss.375 - 380, 2017.
ISNAD	KULA, SERDAR - PEKTAŞ, AYHAN. "A review of pediatric pulmonary hypertension with new guideline". (2017), 375-380.

APA	KULA S, PEKTAŞ A (2017). A review of pediatric pulmonary hypertension with new guideline. Turkish Journal of Medical Sciences, 47(2), 375 - 380.
Chicago	KULA SERDAR,PEKTAŞ AYHAN A review of pediatric pulmonary hypertension with new guideline. Turkish Journal of Medical Sciences 47, no.2 (2017): 375 - 380.
MLA	KULA SERDAR,PEKTAŞ AYHAN A review of pediatric pulmonary hypertension with new guideline. Turkish Journal of Medical Sciences, vol.47, no.2, 2017, ss.375 - 380.
AMA	KULA S,PEKTAŞ A A review of pediatric pulmonary hypertension with new guideline. Turkish Journal of Medical Sciences. 2017; 47(2): 375 - 380.
Vancouver	KULA S,PEKTAŞ A A review of pediatric pulmonary hypertension with new guideline. Turkish Journal of Medical Sciences. 2017; 47(2): 375 - 380.
IEEE	KULA S,PEKTAŞ A "A review of pediatric pulmonary hypertension with new guideline." Turkish Journal of Medical Sciences, 47, ss.375 - 380, 2017.
ISNAD	KULA, SERDAR - PEKTAŞ, AYHAN. "A review of pediatric pulmonary hypertension with new guideline". Turkish Journal of Medical Sciences 47/2 (2017), 375-380.