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Please use this identifier to cite or link to this item: https://mnclhd.intersearch.com.au/mnclhdjspui/handle/123456789/165
Title: The initial 18 months of the first multi-disciplinary regional Pulmonary Arterial Hypertension Clinic in Australia
Authors: Bagga, H.;Chia, K. S. W.;Freeman, D.;Hales, L.;Henderson, D. S.;Kotlyar, E.;Law, D.;Mudholkar, P.;Tulk, C.;Waites, J. H.;Wong, P. K. K.
MNCLHD Author: Bagga, Hanish
Chia, Karen S.
Tulk, Cheryl
Wong, Peter K. K.
Issue Date: Apr-2011
Citation: Australian Journal of Rural Health . 2011 Apr;19(2):89-94. doi: 10.1111/j.1440-1584.2011.01189.x.
Abstract: Objective: To report the initial 18 months experience of the first multi-disciplinary regional Pulmonary Arterial Hypertension (PAH) Clinic in Australia. Design: Prospective cohort study. Setting: Community setting on the mid-north coast of New South Wales. Participants: A total of 47 patients (mean age±standard error of the mean: 71.8±1.8 years; male/female ratio 13/34). Main outcome measures: Diagnosis of PAH, exclusion of other causes of pulmonary hypertension, commencement of PAH-specific pharmacotherapy. Results: Twenty-three (49%) patients were discharged back to their GP with pulmonary hypertension from a combination of ischaemic heart and/or lung disease. Three (6%) patients died from connective tissue disease (CTD)-related PAH with one death (2%) from ischaemic heart disease. Five (11%) patients remain on treatment (n=2, Bosentan for congenital heart disease-related PAH; n=1 Bosentan for CTD-related PAH; and n=1 Bosentan and n=1 Sildenafil for primary PAH). Fifteen (32%) patients have ongoing review for PAH related to CTD (n=11), carcinoid (n=1) and uncertain cause (n=3). Conclusion: Patients with CTD-related PAH have a poor prognosis. PAH should be considered in anyone with dyspnoea without obvious features of cardiac or pulmonary disease, especially in the setting of a CTD. Regional population centres are under-resourced with PAH specialty medical services. We have sought to address this by establishment of the first regional multi-disciplinary PAH Clinic in Australia.
URI: https://mnclhd.intersearch.com.au/mnclhdjspui/handle/123456789/165
Keywords: Hypertension, Pulmonary;Pulmonary Arterial Hypertension;Prospective Studies;Outcome Assessmennt, Health Care
Appears in Collections:Cardiology
Medicine

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