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Riskstratifiering vid pulmonell arteriell hyper­tension. Ger bättre behandling och prognos – högspecialiserat omhändertagande vid universitetssjukhusen krävs
Engelsk titel: Riskstratification in pulmonary arterial hypertension – renders better treatment and prognosis at highly specialised centers Läs online Författare: Rådegran, Göran Språk: Swe Antal referenser: 0 Dokumenttyp: Artikel UI-nummer: 19010053

Tidskrift

Läkartidningen 2018;115(42)1686-7 ISSN 0023-7205 E-ISSN 1652-7518 KIBs bestånd av denna tidskrift

Sammanfattning

Pulmonary arterial hypertension (PAH) is a progressive vascular disease, due to vasoconstriction and remodelling of pulmonary arteries. Survival has from diagnosis, if untreated, been found to be 1 to 2.8 years, depending on whether related to rheumatic disease or not. The ESC/ERS risk stratification tool provides a new approach to evaluate the clinical status of PAH patients. It supports a refined treatment strategy, based on risk assessment at diagnosis and early follow-up, with the aim to identify patients early and initiate, as well as adjust treatment individually, striving for the patients to remain in, or improve to low risk status, whereby survival is markedly improved.