PH Connect

Refer

After recognising and investigating a patient with potential PAH, the next step is to consider referral to a PAH Designated 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?

Read more

Why?

Why should I refer?

Read more

How?

How should I refer?

Read more

Referring with PH Connect

  1. Use the PH Connect tool for guidance on completing a comprehensive referral to a PAH Designated Centre.

  2. Contact the Pulmonary Hypertension Society of Australia and New Zealand (PHSANZ) for advice on the most appropriate PAH Designated Centre for referral.

Contact PHSANZ
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.

Recognise.
Investigate.
Refer.

What is PAH?

Recognise

Investigate

Refer

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Do you need guidance on referring to a PAH specialist?

Complete a short questionnaire to receive instant feedback.

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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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