PT  - JOURNAL ARTICLE
AU  - Gabor Kovacs
AU  - Philippe Herve
AU  - Joan Albert Barbera
AU  - Ari Chaouat
AU  - Denis Chemla
AU  - Robin Condliffe
AU  - Gilles Garcia
AU  - Ekkehard Grünig
AU  - Luke Howard
AU  - Marc Humbert
AU  - Edmund Lau
AU  - Pierantonio Laveneziana
AU  - Gregory D. Lewis
AU  - Robert Naeije
AU  - Andrew Peacock
AU  - Stephan Rosenkranz
AU  - Rajeev Saggar
AU  - Silvia Ulrich
AU  - Dario Vizza
AU  - Anton Vonk Noordegraaf
AU  - Horst Olschewski
TI  - An official European Respiratory Society statement: pulmonary haemodynamics during exercise
AID  - 10.1183/13993003.00578-2017
DP  - 2017 Nov 01
TA  - European Respiratory Journal
PG  - 1700578
VI  - 50
IP  - 5
4099  - http://erj.ersjournals.com/content/50/5/1700578.short
4100  - http://erj.ersjournals.com/content/50/5/1700578.full
SO  - Eur Respir J2017 Nov 01; 50
AB  - There is growing recognition of the clinical importance of pulmonary haemodynamics during exercise, but several questions remain to be elucidated. The goal of this statement is to assess the scientific evidence in this field in order to provide a basis for future recommendations.Right heart catheterisation is the gold standard method to assess pulmonary haemodynamics at rest and during exercise. Exercise echocardiography and cardiopulmonary exercise testing represent non-invasive tools with evolving clinical applications. The term “exercise pulmonary hypertension” may be the most adequate to describe an abnormal pulmonary haemodynamic response characterised by an excessive pulmonary arterial pressure (PAP) increase in relation to flow during exercise. Exercise pulmonary hypertension may be defined as the presence of resting mean PAP <25 mmHg and mean PAP >30 mmHg during exercise with total pulmonary resistance >3 Wood units. Exercise pulmonary hypertension represents the haemodynamic appearance of early pulmonary vascular disease, left heart disease, lung disease or a combination of these conditions. Exercise pulmonary hypertension is associated with the presence of a modest elevation of resting mean PAP and requires clinical follow-up, particularly if risk factors for pulmonary hypertension are present. There is a lack of robust clinical evidence on targeted medical therapy for exercise pulmonary hypertension.Pulmonary haemodynamics during exercise provides relevant information on the lung, pulmonary vessels and heart http://ow.ly/EBOF30fuHWY