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Updated: Apr 27, 2026

Increasing Pulmonary Artery Pulsatile Flow Improves Hypoxic Pulmonary Hypertension in Piglets
Published on: May 11, 2015
Goal-oriented treatment of pulmonary arterial hypertension
Carlos Jardim1, Caio Julio Cesar Fernandes, Rogerio Souza
1Pulmonary Circulation Unit, Pulmonary Division, Heart Institute, University of Sao Paulo Medical School, Sao Paulo, Brazil.
Purpose Of Review:
To understand the rational of establishing a goal-oriented therapy for pulmonary arterial hypertension management.
Recent Findings:
During the last decades, the development of targeted therapies and the recognition of prognostic markers represented a major step for improving pulmonary arterial hypertension survival. Now, changing the strategy on using these compounds therapies might represent the best way to optimize treatment response.
Summary:
Prespecified goals with regular reassessment should be incorporated as the routine practice for pulmonary arterial hypertension management to provide the best available treatment, aiming to improve or maintain every patient in a clinical and functional status that reflects better long-term survival.
Insights
Establishing goal-oriented therapy for pulmonary arterial hypertension (PAH) management is crucial. This approach optimizes treatment response and improves long-term survival by setting and reassessing therapeutic goals.
Area of Science:
- Cardiology
- Pulmonology
- Pharmacology
Background:
- Pulmonary arterial hypertension (PAH) management has advanced with targeted therapies and prognostic markers.
- Optimizing treatment strategies is key to further improving patient survival.
Purpose of the Study:
- To explore the rationale for implementing goal-oriented therapy in pulmonary arterial hypertension management.
- To enhance treatment efficacy and patient outcomes in PAH.
Main Methods:
- Review of current therapeutic strategies and prognostic markers in PAH.
- Analysis of the potential benefits of a goal-oriented approach.
Main Results:
- Targeted therapies and prognostic markers have significantly improved PAH survival.
- Shifting treatment strategies to optimize response may be the next critical step.
Conclusions:
- Routine incorporation of prespecified goals and regular reassessment is recommended for PAH management.
- This strategy aims to maintain patients in a clinical and functional status associated with better long-term survival.
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