Consenso Colombiano en Hipertensión Arterial Pulmonar Recomendaciones basadas en consenso de expertos e informadas en la evidencia para el diagnóstico, tratamiento y seguimiento en hipertensión pulmonar.
Year: 2025
Type: article
Abstract: Introduction: Pulmonary Arterial Hypertension (PAH) is a clinical condition characterized by dysfunction of the pulmonary arterial endothelium that manifests with increased flow restriction in the pulmonary circulation. Numerous advances have been made in understanding the pathophysiology, risk stratification, treatment, and follow-up of patients with this disease. Among these advances is the update in the hemodynamic definition of the event, which largely determines the therapeutic actions to be followed. Due to the above, it was considered necessary to establish recommendations for managing patients with PAH, based on an approach that considers access, use, and provision of health services in Colombia. Methodology: The final document was developed in six stages: 1. Definition of the research questions and content. 2. Search, screening, selection, and evaluation of the evidence. 3. Preparation of a narrative summary of the evidence-based on the guiding questions. 4. Discussion of findings in formal panels. 5. Formulation of recommendations. 6. Writing and consolidation of the final consensus document. Results: The 34 participants reached a consensus and formulated 26 recommendations based on four thematic segments: i) definitions and diagnostic segment, ii) risk stratification segment, iii) treatment segment and iv) follow-up segment. Conclusion: The formulated recommendations will guide primary care physicians in identifying clinical suspicion of the disease and for specialists and subspecialists in confirming the diagnosis, defining the therapeutic approach, and managing patient follow-up. As new evidence emerges, these recommendations should be carefully reviewed and updated.
Source: Revista Colombiana de Neumología
Authors: Manuel Conrado Pacheco Gallego, Camilo Andrés Rodríguez Cortes, Rubén Darío Contreras Páez, Liliana Fernández Trujillo, José Luis Blanco Mosquera, Felipe De Jesús Campo Campo, Iván De Jesús Baños Álvarez, John Alexander Ramírez Martínez, Cesar Enrique Cuellar Cortés, José Federico Saaibi Solano, Lina María Saldarriaga Rivera, Diana Rocío Gil Calderón, Andrés Chavarriaga Restrepo, Claudio Villaquirán Torres, José Rubén Dueñas Villamil, Diana Patricia Ortiz Barajas, Ingrid Johana Martínez Ramírez, Mauricio Ariel Orozco Levi, Juan Pablo Camargo Mendoza, Rafael Enrique Conde Camacho, Jaime Alberto Rodríguez, Efraín Gómez, Ricardo Gómez Palau, Juan Esteban Gómez, Jorge Luis Quintero Barrios, Alba Ramírez Sarmiento, Vinicio de Jesús Pérez, Juan Pablo Zuluaga Peña, Lucila Teresa Flórez De Arco, Manuela Tobón Trujillo, Alejandro Londoño Villegas, Julia Edith Chamorro Ortega, Juan Fernando Carvajal, Luis Eduardo Echeverría, Angelo Valencia, Julio Ricardo Zuluaga Peña, Isabel Cristina Casas Quiroga
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4410141249