Pediatric Pulmonary Hypertension in the Netherlands Epidemiology and Characterization During the Period 1991 to 2005

  • Rosa Laura E. van Loon
  • , Marcus T. R. Roofthooft
  • , Hans L. Hillege
  • , Arend D. J. ten Harkel
  • , Magdalena van Osch-Gevers
  • , Tammo Delhaas
  • , Livia Kapusta
  • , Jan L. M. Strengers
  • , Lukas Rammeloo
  • , Sally-Ann B. Clur
  • , Barbara J. M. Mulder
  • , Rolf M. F. Berger*
  • *Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

282 Citations (Scopus)

Abstract

Background-Incidence and prevalence rates for pediatric pulmonary hypertension (PH) and pulmonary arterial hypertension (PAH) are unknown. This study describes the nationwide epidemiological features of pediatric PH in the Netherlands during a 15-year period and the clinical course of pediatric PAH.

Methods and Results-Two registries were used to retrospectively identify children (0-17 years) with PH. Overall, 3263 pediatric patients were identified with PH due to left heart disease (n = 160; 5%), lung disease/hypoxemia (n = 253; 8%), thromboembolic disease (n = 5;

Conclusions-Pediatric PH is characterized by various age-specific diagnoses, the majority of which comprise transient forms of PAH. Incidence of pediatric iPAH is lower whereas incidence of pediatric PAH-CHD is higher than reported in adults. Pediatric PAH-CHD represents a heterogeneous group with highly variable clinical courses. (Circulation. 2011;124:17551764.)

Original languageEnglish
Pages (from-to)1755-U136
Number of pages13
JournalCirculation
Volume124
Issue number16
DOIs
Publication statusPublished - 18-Oct-2011

Keywords

  • pulmonary hypertension
  • pediatric
  • epidemiology
  • incidence
  • prevalence
  • CONGENITAL CARDIAC-DISEASE
  • ARTERIAL-HYPERTENSION
  • EISENMENGER-SYNDROME
  • HEART-DISEASE
  • SURVIVAL
  • REGISTRY
  • ADULTS
  • CHILDREN
  • CLASSIFICATION

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