Diagnostic classification of pulmonary hypertension(Venice 2003)
Pulmonary arterial hypertension |
Idiopathic |
Familial |
Associated with: |
Connective tissue disease |
Congenital systemic to pulmonary shunts |
Portal hypertension |
HIV infection |
Drugs and toxins |
Other (thyroid disorders, glycogen storage disease, Gaucher disease, hereditary haemorrhagic telangiectasia, haemoglobinopathies, myeloproliferative disorders or splenectomy) |
Associated with significant venous or capillary involvement |
Pulmonary veno-occlusive disease |
Pulmonary capillary haemangiomatosis |
Persistent pulmonary hypertension of the newborn |
Pulmonary hypertension associated with left-sided heart disease |
Left-sided atrial or ventricular heart disease |
Left-sided valvular heart disease |
Pulmonary hypertension associated with lung respiratory diseases or hypoxia |
Chronic obstructive pulmonary disease |
Interstitial lung disease |
Sleep-disordered breathing |
Alveolar hypoventilation disorders |
Chronic exposure to high altitude |
Developmental abnormalities |
Pulmonary hypertension due to chronic thrombotic or embolic disease |
Thromboembolic obstruction of proximal pulmonary arteries |
Thromboembolic obstruction of distal pulmonary arteries |
Nonthrombotic pulmonary embolism (tumour, parasites or foreign material) |
Miscellaneous |
Sarcoidosis, histiocytosis X, lymphangiomatosis, compression of pulmonary vessels (adenopathy, tumour or fibrosing mediastinitis) |