Parameters for the follow-up
Clinically relevant parameters for the follow-up
- NYHA Class
The physician should at each medical visit evaluate the NYHA functional class. Whenever possible this should be done in a systematic way in order to improve reproducibility.
- Right Heart Failure Signs and Symptoms
Symptoms and signs of right heart failure should be actively searched for, as well as episodes of syncope and of precordialgia.
- Medication history and side effects
In addition, symptoms and signs potentially related to medication side effects should be asked at every visit. A complete medication history is mandatory due to the numerous and potentially dangerous drug interactions encountered with PH treatment. (link to the interaction table 20 from the ESC/ERS guidelines 2009)