At baseline (prior to therapy) | Every 3–6 months# | 3–6 months after initiation or changes in therapy | In case of clinical worsening | |
Clinical assessment WHO-FC ECG | ✓ | ✓ | ✓ | ✓ |
6-MWT¶ | ✓ | ✓ | ✓ | ✓ |
Cardiopulmonary exercise testing¶ | ✓ | ✓ | ✓ | |
BNP/NT-proBNP | ✓ | ✓ | ✓ | ✓ |
Echocardiography | ✓ | ✓ | ✓ | |
RHC | ✓+ | ✓§ | ✓§ |
WHO-FC: World Health Organization functional class; ✓: assessment is suggested; 6-MWT: 6-min walking test; BNP: brain natriuretic peptide; NT-proBNP: N-terminal proBNP; RHC: right heart catheterisation. #: intervals should to be adjusted to individual patients needs; ¶: usually one of the two exercise tests is performed; +: is recommended (table 11A); §: should be performed (table 11A).