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Pulmonary hypertension

ADULT

Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • Newly diagnosed pulmonary hypertension without known heart or lung disease
    • Known pulmonary hypertension with Class 3-4 dyspnoea (ADLs affected by dyspnoea)
    • Known pulmonary hypertension with deteriorating functional status over 3 months
  • Category 2
    (appointment within 90 calendar days)
    • Known pulmonary hypertension with deteriorating functional status over the past year
    • Known pulmonary hypertension with Class 1-2 dyspnoea
  • Category 3
    (appointment within 365 calendar days)
    • Stable pulmonary hypertension for specialist opinion

1. Reason for request Indicate on the referral

  • To establish a diagnosis
  • For treatment or intervention not otherwise accessible to the patient
  • For advice regarding management
  • To engage in an ongoing shared care approach between primary and secondary care
  • Reassurance for GP/second opinion
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)

2. Essential referral information Referral will be returned without this

  • Details of any previous:
    • cardiac disease
    • respiratory disease
    • venous thromboembolism
  • Degree of functional impairment
  • Known history of connective tissue disorders
  • Medication history
  • Relevant imaging (CT thorax, CTPA, V/Q scan or echo)

3. Additional referral information Useful for processing the referral

  • FBC, ELFT, ANF, ENA results
  • Lung function tests (if available)
  • Family history
  • Sleep investigations

4. Request

Last updated: 13 June 2023