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Lung and pulmonary vascular disease in scleroderma, the role of ...

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PH – a syndrome<br />

1. Pulmonary Arterial Hypertension<br />

- Idiopathic PAH (IPAH)<br />

- Heritable<br />

- Drugs/tox<strong>in</strong>s<br />

- Associated PAH (APAH)<br />

connective tissue <strong>disease</strong>s<br />

HIV <strong>in</strong>fection<br />

portal hypertension<br />

congenital heart <strong>disease</strong>s<br />

1*. PVOD/PCH<br />

2. PH 2ry to left heart <strong>disease</strong><br />

- systolic <strong>and</strong> diastolic dysfunction<br />

- valvular<br />

3. PH 2ry to lung <strong>disease</strong><br />

- COPD<br />

- <strong>in</strong>terstitial lung <strong>disease</strong><br />

- sleep disordered breath<strong>in</strong>g<br />

- developmental abnormalities<br />

4. PH due to chronic thrombotic<br />

<strong>and</strong>/or embolic <strong>disease</strong><br />

- proximal CTEPH<br />

- distal CTEPH<br />

- non-thrombotic embolism<br />

5. Miscellaneous<br />

- sarcoid<br />

- PLCH, LAM<br />

- metabolic disorders<br />

Adapted from Dana Po<strong>in</strong>t Classification 2008

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