{"id":207,"date":"2021-08-19T18:24:46","date_gmt":"2021-08-19T16:24:46","guid":{"rendered":"https:\/\/maganoktatok.hu\/what-is-pulmonary-hypertension\/diagnostics-scientific\/diagnostik\/"},"modified":"2021-10-06T15:58:27","modified_gmt":"2021-10-06T13:58:27","slug":"diagnostics","status":"publish","type":"page","link":"https:\/\/lungenhochdruck.at\/en\/what-is-pulmonary-hypertension\/diagnostics-scientific\/diagnostics\/","title":{"rendered":"Diagnostics"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row fullwidth=&#8221;0&#8243; row_space=&#8221;remove_padding&#8221;][vc_column][gva_block_heading title=&#8221;Diagnostics&#8221; align=&#8221;align-left&#8221;][\/gva_block_heading][vc_column_text]<\/p>\n<p style=\"text-align: justify;\">The keys to diagnosis are a detailed history and thorough clinical examination of the patient. The affected person should be transferred to a specialist centre for clarification. Only those patients in whom the risk of developing PH is substantially raised should undergo screening.<!--more--> This includes patients with a known BMPR II mutation, scleroderma and patients with portal hypertension who are being assessed for a liver transplant.<\/p>\n<p style=\"text-align: justify;\">International specialist associations differentiate between 4 diagnostic steps: suspicion, detection, categorisation in the Dana Point classification system, evaluation of the severity. Functional classification is undertaken on the basis of NYHA Classes I-IV (Table 2). Patients in NYHA classes I or II at the time of diagnosis have a mean survival of 6 years in comparison with a mean survival of 2.5 years and 6 months respectively in NYHA classes III and IV where the disease is already at an advanced stage. Another option for assessing severity is provided by the 6-minute walk test (6-minute walk distance, 6MWD), in which the distance covered by a patient in 6 minutes is measured. The 6MWD has good prognostic value and is therefore used as a primary endpoint in many studies. It also constitutes a good parameter for progress during treatment. The maximum oxygen uptake (peak VO2) measured during a bicycle ergometer test is also an independent predictor of mortality [19].<\/p>\n<p>[\/vc_column_text][gva_blogs_list excerpt_words=&#8221;1000&#8243; read_more=&#8221;true&#8221; pagination=&#8221;true&#8221; loop=&#8221;size:all|order_by:menu_order|order:ASC|post_type:page|by_id:213,220,226,232,238,245,251,257,263,269&#8243; el_class=&#8221;no-date-remove&#8221;][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row fullwidth=&#8221;0&#8243; row_space=&#8221;remove_padding&#8221;][vc_column][gva_block_heading title=&#8221;Diagnostics&#8221; align=&#8221;align-left&#8221;][\/gva_block_heading][vc_column_text] The keys to diagnosis are a detailed history and thorough clinical examination of the patient. The affected person should be transferred to a specialist centre for clarification. Only those patients in whom the risk of developing PH is substantially raised should undergo screening.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":164,"menu_order":180,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-207","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/lungenhochdruck.at\/en\/wp-json\/wp\/v2\/pages\/207","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lungenhochdruck.at\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/lungenhochdruck.at\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/lungenhochdruck.at\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/lungenhochdruck.at\/en\/wp-json\/wp\/v2\/comments?post=207"}],"version-history":[{"count":5,"href":"https:\/\/lungenhochdruck.at\/en\/wp-json\/wp\/v2\/pages\/207\/revisions"}],"predecessor-version":[{"id":814,"href":"https:\/\/lungenhochdruck.at\/en\/wp-json\/wp\/v2\/pages\/207\/revisions\/814"}],"up":[{"embeddable":true,"href":"https:\/\/lungenhochdruck.at\/en\/wp-json\/wp\/v2\/pages\/164"}],"wp:attachment":[{"href":"https:\/\/lungenhochdruck.at\/en\/wp-json\/wp\/v2\/media?parent=207"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}