WHO classification of pulmonary hypertension
1.Pulmonary arterial hypertension |
1.1 Primary pulmonary hypertension |
(a) Sporadic |
(b) Familial |
1.2 Related to |
(a) Collagen vascular disease |
(b) Congenital systemic to pulmonary shunts |
(c) Portal hypertension |
(d) Human immunodeficiency virus infection |
(e) Drugs/toxins |
(1) Anorexigens |
(2) Other |
(f) Persistent pulmonary hypertension of the newborn |
(g) Other |
2. Pulmonary venous hypertension |
2.1 Left sided atrial or ventricular heart disease |
2.2 Left sided valvular heart disease |
2.3 Extrinsic compression of central pulmonary veins |
(a) Fibrosing mediastinitis |
(b) Adenopathy/tumours |
2.4 Pulmonary veno-occlusive disease |
2.5 Other |
3.Pulmonary hypertension associated with disorders of the respiratory system and/or hypoxaemia |
3.1 Chronic obstructive pulmonary disease |
3.2 Interstitial lung disease |
3.3 Sleep disordered breathing |
3.4 Alveolar hypoventilation disorders |
3.5 Chronic exposure to high altitude |
3.6 Neonatal lung disease |
3.7 Alveolar capillary dysplasia |
3.8 Other |
4. Pulmonary hypertension as a result of chronic thrombotic and/or embolic disease |
4.1 Thromboembolic obstruction of proximal pulmonary arteries |
4.2 Obstruction of distal pulmonary arteries |
(a) Pulmonary embolism (thrombus, tumour, ova and/or parasites, foreign material) |
(b) In situ thrombosis |
(c) Sickle cell disease |
5. Pulmonary hypertension as a result of disorders directly affecting the pulmonary vasculature |
5.1 Inflammatory |
(a) Schistosomiasis |
(b) Sarcoidosis |
(c) Other |
5.2 Pulmonary capillary haemangiomatosis |