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2020 KSC/KATRD Guideline for the Diagnosis and Treatment of Pulmonary Hypertension: Executive Summary

  • Received : 2021.02.05
  • Accepted : 2021.06.02
  • Published : 2022.01.31

Abstract

Pulmonary hypertension (PH) is a condition of increased blood pressure in the pulmonary arteries and is diagnosed with an increased a mean pulmonary artery pressure ≥25 mm Hg. This condition may be associated with multiple clinical situations. Based on pathophysiological mechanisms, clinical presentation, hemodynamic profiles, and treatment strategies, the patients were classified into five clinical groups. Although there have been major advances in the management of PH, it is still associated with significant morbidity and mortality. The diagnosis and treatment of PH have been performed mainly by following European guidelines, even in Korea because the country lacks localized PH guidelines. European treatment guidelines do not reflect the actual status of Korea. Therefore, the European diagnosis and treatment of PH have not been tailored well to suit the needs of Korean patients with PH. To address this issue, we developed this guideline to facilitate the diagnosis and treatment of PH appropriately in Korea, a country where the consensus for the diagnosis and treatment of PH remains insufficient. This is the first edition of the guidelines for the diagnosis and treatment of PH in Korea, and it is primarily based on the '2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension.' with the acceptance and adaptation of recent publications of PH.

Keywords

Acknowledgement

We sincerely thank Sun Bok Kang for her dedication and great title illustration. The manuscript was endorsed by Korean College of Rheumatology (KCR), Korean Heart Rhythm Society (KHRS), Korean Pediatric Heart Society (KPHS), Korean Society of Heart Failure (KSHF), Korean Society of Cardiovascular Imaging (KOSCI), Korean Society of Echocardiography (KSE), Korean Society of Interventional Cardiology (KSIC), Korean Society for Transplantation (KST), Korean Society for Laboratory Medicine (KSLM), Korean Pulmonary Hypertension Society in Korean Society of Hypertension (KPHS/KSH), and Korean Association of Clinical Cardiology (KACC).

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