Refer

After recognising and investigating a patient with potential PAH, the next step is to consider referral to a PAH expert centre.1,2 This section of the website aims to help achieve the best possible outcomes for your patient by clarifying:

When?

When should I refer?

Why?

Why should I refer?

How?

How should I refer?

Referring with PH Connect

  1. Use the PH Connect tool for guidance on completing a comprehensive referral to a PAH expert centre.
  2. Open the PAH expert clinic finder to locate your patient’s most appropriate PAH expert centre and their contact details.
References
  1. Frost A, et al. Eur Respir J 2018; in press [https://doi.org/10.1183/13993003.01904-2018].
  2. Galiè N, et al. Eur Heart J 2016; 37:67–119.
Footnotes
PAH=pulmonary arterial hypertension; PH=pulmonary hypertension.

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This content is intended for Australian healthcare professionals. For more information on pulmonary hypertension, please contact your healthcare professional.
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World Health Organization functional class (WHO-FC) for patients with PH3,5

This system grades PH severity according to the patient’s functional status, by linking symptoms with activity limitations. WHO-FC remains a powerful predictor of outcomes in patients with PAH.

WHO - FC Description
I
Patients with PH in whom there is no limitation of usual physical activity; ordinary physical activity does not cause increased dyspnoea, fatigue, chest pain, or presyncope.
II
Patients with PH who have mild limitation of physical activity. There is no discomfort at rest, but normal physical activity causes increased dyspnoea, fatigue, chest pain, or presyncope.
III
Patients with PH who have a marked limitation of physical activity. There is no discomfort at rest, but less than ordinary activity causes increased dyspnoea, fatigue, chest pain, or presyncope.
IV
Patients with PH who are unable to perform any physical activity at rest and who may have signs of right ventricular failure. Dyspnoea and/or fatigue may be present at rest, and symptoms are increased by almost any physical activity.
Adapted from McGoon M, et al. 2004.5
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This website is intended for Australian healthcare professionals only