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Update: pediatric pulmonary hypertension
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Keywords

Pulmonary Hypertension
Pediatrics

How to Cite

Cantirán, K., Moreira, I., & Pinchak, C. (2026). Update: pediatric pulmonary hypertension. Archives of Pediatrics of Uruguay, 97(1), e603. https://doi.org/10.31134/AP.97.1.16

Abstract

Pulmonary hypertension (PH) is a rare entity. It is not a disease in itself, but a heterogeneous hemodynamic and pathophysiological state that results from various clinical conditions. PH is classified into five groups, from 1 to 5. In pediatrics, the most frequent groups are 1 and 3. Early diagnosis is essential to enable timely treatment, slowing the remodeling of pulmonary vessels and cardiac chambers, and preventing the development of Cor pulmonale.

https://doi.org/10.31134/AP.97.1.16
PDF (Español (España))

References

Chao C. Manejo actual de la hipertensión pulmonar: definición, epidemiología, algoritmo diagnóstico y terapéutico. Tendencias 2023; 32(62).

Humbert M, Kovacs G, Hoeper M, Badagliacca R, Berger R, Brida M, et al. 2022 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension. Eur Respir J 2023; 61(1):2200879. doi: 10.1183/13993003.00879-2022.

Cazalas M. Hipertensión pulmonar en niños y adolescentes: un desafío. Neumol Pediatr 2019; 14(3):145-3. doi: 10.51451/np.v14i3.103.

Ivy D, Rosenzweig E, Abman S, Beghetti M, Bonnet D, Douwes J, et al. Embracing the challenges of neonatal and paediatric pulmonary hypertension. Eur Respir J 2024; 64(4):2401345. doi: 10.1183/13993003.01345-2024.

Rosenzweig E, Abman S, Adatia I, Beghetti M, Bonnet D, Haworth S, et al. Paediatric pulmonary arterial hypertension: updates on definition, classification, diagnostics and management. Eur Respir J 2019; 53(1):1801916. doi: 10.1183/13993003.01916-2018.

Krishnan U, Berman E. Hipertensión pulmonar en la infancia. En: Wilmott R, Deterding R, Li A, Ratjen F, Sly P, Zar H, et al. Kendig: enfermedades respiratorias en niños. 9 ed. Barcelona: Elsevier, 2019:556-79.

Grignola J. Hipertensión pulmonar y disfunción del ventrículo derecho. En: Fisiopatología: mecanismos de las disfunciones orgánicas. Montevideo: Bibliomédica, 2017:261-88.

Cortés F. Las enfermedades raras. Rev Med Clin Condes 2015; 26(4):425-31. doi: 10.1016/j.rmclc.2015.06.020.

Abman S, Mullen M, Sleeper L, Austin E, Rosenzweig E, Kinsella J, et al. Characterisation of paediatric pulmonary hypertensive vascular disease from the PPHNet Registry. Eur Respir J 2021; 59(1):2003337. doi: 10.1183/13993003.03337-2020.

Haarman M, Kerstjens W, Vissia T, Breeman K, Timens W, Vos Y, et al. The genetic epidemiology of pediatric pulmonary arterial hypertension. J Pediatr 2020; 225:65-73.e5. doi: 10.1016/j.jpeds.2020.05.051.

Guignabert C, Aman J, Bonnet S, Dorfmüller P, Olschewski A, Pullamsetti S, et al. Pathology and pathobiology of pulmonary hypertension: current insights and future directions. Eur Respir J 2024; 64(4):2401095. doi: 10.1183/13993003.01095-2024.

Wilkins M. Pulmonary hypertension: the science behind the disease spectrum. Eur Respir Rev 2012; 21(123):19-26. doi: 10.1183/09059180.00008411.

Benza R, Miller D, Gomberg M, Frantz R, Foreman A, Coffey C, et al. Predicting survival in pulmonary arterial hypertension: insights from the Registry to Evaluate Early and Long-Term Pulmonary Arterial Hypertension Disease Management (REVEAL). Circulation 2010; 122(2):164-72. doi: 10.1161/CIRCULATIONAHA.109.898122.

González E, Rojas A, Díez P, Acosta C, Pozo E. Síndrome platipnea-ortodesoxia secundario a cortocircuito intracardíaco: ¿cuestión de orientación? Arch Cardiol Mex 2017; 87)4):357-9. doi: 10.1016/j.acmx.2016.12.005.

Sorribas P, Sorolla J, Aured M. El síndrome platipnea-ortodeoxia: claves clínicas para su sospecha en urgencias. Emergencias 2016; 28(2):124-6.

European Reference Network. ERN LUNG Rare Respiratory Diseases. Pulmonary hyperytension: competency requirements. Disponible en: https://ern-lung.eu/inhalt/wp-content/uploads/2020/10/PH-MCC.pdf. [Consulta: 5 abril 2025].

Saunders H, Helgeson S, Abdelrahim A, Rottman K, Reams V, Zeiger T, et al. Comparing diagnosis and treatment of pulmonary hypertension patients at a pulmonary hypertension center versus community centers. Diseases 2022; 10(1):5. doi: 10.3390/diseases10010005.

Doyle C, Nicholson G, Stewart T, Gin W. Current organization of specialist pulmonary hypertension clinics: results of an international survey. Pulm Circ 2019; 9(2):2045894019855611. doi: 10.1177/2045894019855611.

Haag D. Hipertensión arterial pulmonar en pediatría. Med Infant 2019; 26(2):168-76.

Diaz G. Hipertensión pulmonar a moderada altura en niños. Rev Colomb Cardiol 2012; 19(4):199-207. doi: 10.1016/S0120-5633(12)70132-8.

Gruson D, Hammerer A, Collinson P, Duff C, Baum H, Pulkki K, et al. The multidimensional value of natriuretic peptides in heart failure, integrating laboratory and clinical aspects. Crit Rev Clin Lab Sci 2024; 61(6):458-72. doi: 10.1080/10408363.2024.2319578.

Zagolin M, Llancaqueo M. Hipertensión pulmonar: importancia de un diagnóstico precoz y tratamiento específico. Rev Med Clin Condes 2015; 26(3):344-56. doi: 10.1016/j.rmclc.2015.06.009.

Naeije R, Blanco I, Barberá J. Prueba de esfuerzo cardiopulmonar en el manejo del paciente con hipertensión pulmonar. Arch Bronconeumol 2011; 47(7):15-20. doi: 10.1016/S0300-2896(11)70055-2.

Bluro I, Barbagelata L, Coronel M, Melatini L, Svetliza G, Vulcano N, et al. La prueba cardiopulmonar de ejercicio contribuye a determinar con precisión el riesgo en pacientes con hipertensión pulmonar de bajo riesgo. Rev Argent Cardiol 2013; 91(2):138-43. doi: 10.7775/rac.es.v91.i2.20613.

He J, Fang W, Lv B, He J, Xiong C, Liu ZH, et al. Diagnosis of chronic thromboembolic pulmonary hypertension: comparison of ventilation/perfusion scanning and multidetector computed tomography pulmonary angiography with pulmonary angiography. Nucl Med Commun 2012; 33(5):459-63. doi: 10.1097/MNM.0b013e32835085d9.

Tunariu N, Gibbs S, Win Z, Gin W, Graham A, Gishen P, et al. Ventilation-perfusion scintigraphy is more sensitive than multidetector CTPA in detecting chronic thromboembolic pulmonary disease as a treatable cause of pulmonary hypertension. J Nucl Med 2007; 48(5):680-4. doi: 10.2967/jnumed.106.039438.

Remy M, Ryerson C, Schiebler M, Leung A, Wild J, Hoeper M, et al. Imaging of pulmonary hypertension in adults: a position paper from the Fleischner Society. Radiology 2021; 298(3):531-49. doi: 10.1148/radiol.2020203108.

Dong C, Zhou M, Liu D, Long X, Guo T, Kong X. Diagnostic accuracy of computed tomography for chronic thromboembolic pulmonary hypertension: a systematic review and meta-analysis. PLoS One 2015; 10(4):e0126985. doi: 10.1371/journal.pone.0126985.

Maue D, Krupp N, Rowan C. Pediatric asthma severity score is associated with critical care interventions. World J Clin Pediatr 2017; 6(1):34-9. doi: 10.5409/wjcp.v6.i1.34.

Sitbon O, Humbert M, Jaïs X, Ioos V, Hamid A, Provencher S, et al. Long-term response to calcium channel blockers in idiopathic pulmonary arterial hypertension. Circulation 2005; 111(23):3105-11. doi: 10.1161/CIRCULATIONAHA.104.488486.

Ploegstra M, Ivy D, Beghetti M, Bonnet D, Alehan D, Ablonczy L, et al. Long-term outcome of children with newly diagnosed pulmonary arterial hypertension: results from the global TOPP registry. Eur Heart J Qual Care Clin Outcomes 2024; 10(1):66-76. doi: 10.1093/ehjqcco/qcad020.

Harzheim D, Klose H, Pinado F, Ehlken N, Nagel C, Fischer C, et al. Anxiety and depression disorders in patients with pulmonary arterial hypertension and chronic thromboembolic pulmonary hypertension. Respir Res 2013; 14(1):104. doi: 10.1186/1465-9921-14-104.

Anand V, Vallabhajosyula S, Cheungpasitporn W, Frantz R, Cajigas H, Strand J, et al. Inpatient palliative care use in patients with pulmonary arterial hypertension: temporal trends, predictors, and outcomes. Chest 2020; 158(6):2568-78. doi: 10.1016/j.chest.2020.07.079.

Weitzenblum E, Sautegeau A, Ehrhart M, Mammosser M, Pelletier A. Long-term oxygen therapy can reverse the progression of pulmonary hypertension in patients with chronic obstructive pulmonary disease. Am Rev Respir Dis 1985; 131(4):493-8. doi: 10.1164/arrd.1985.131.4.493.

Ulrich S, Saxer S, Hasler E, Schwarz E, Schneider S, Furian M, et al. Effect of domiciliary oxygen therapy on exercise capacity and quality of life in patients with pulmonary arterial or chronic thromboembolic pulmonary hypertension: a randomised, placebo-controlled trial. Eur Respir J 2019; 54(2):1900276. doi: 10.1183/13993003.002762019.

Adir Y, Humbert M, Chaouat A. Sleep-related breathing disorders and pulmonary hypertension. Eur Respir J 2021; 57(1):2002258. doi: 10.1183/13993003.02258-2020.

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This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2026 Krystel Cantirán, Isabel Moreira, Catalina Pinchak

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