By American College of Chest Physicians
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Extra info for ACCP pulmonary medicine board review
Treatment algorithm for PAH. The recommended therapies presented in this algorithm have been evaluated mainly in those patients with IPAH or PAH associated with connective tissue disease or anorexigen use. Extrapolation to other forms of PAH should be made with caution. Country-specific regulatory agency approval status and functional class indications for PAH medications vary. From: Badesch DB, Abman SH, Simonneau G, et al. Medical therapy for pulmonary arterial hypertension: updated ACCP evidence-based clinical practice guidelines.
A few small studies have confirmed this theory, but more data are needed before firm recommendations can be made. Authors of the American College of Chest Physicians evidence-based guideline published updated guidance for medical therapy for PH in June 2007. Their overall recommended approach is shown in Figure 4. If pharmacologic treatment fails, surgical (the sixth line) treatment (lung transplantation or atrial septostomy) should be considered. 8 years. Since that time, survival has improved.
JAMA 2006; 265:199−207. indd 22 Pulmonary Vascular Diseases (Moores) 7/10/09 8:03:53 PM sensitivity and predictive value to rule out DVT in patients with a low or moderate clinical probability. The false-negative result rate is too high to be useful in patients with a high clinical probability. In those patients and in any patients in the low-risk or moderate-risk groups who have an abnormal d-dimer level, imaging of the extremity is necessary. The “gold standard” imaging test for DVT is compression ultrasound.
ACCP pulmonary medicine board review by American College of Chest Physicians