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Breaking Barriers in PAH: Role of Novel Early Treatment Strategies

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Presentation on theme: "Breaking Barriers in PAH: Role of Novel Early Treatment Strategies"— Presentation transcript:

1 Breaking Barriers in PAH: Role of Novel Early Treatment Strategies

2 Pathological Mechanisms Underlying Vascular Changes in PH

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5 Vasomotor Pathways Targeted by Therapies in PAH

6 Functional Class and Survival in PAH

7 NIH Registry: PAH Diagnosis (1981-1987)

8 French National Registry (2002-2003): PAH Still Often Diagnosed Late

9 Survival and PVR: Giessen PH Database

10 ESC/ERS Guidelines: Diagnostic Algorithm for PH

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12 ESC/ERS Guidelines: Diagnostic Algorithm for PH (cont)

13 PAH Diagnostic Measures

14 PH Is Classified Into 5 Groups

15 Comprehensive Prognostic Evaluation and Risk Assessment Helps Guide Treatment

16 Initial Treatment of PAH

17 ESC/ERS Treatment Recommendations for Drug Monotherapy

18 Treat PAH as Aggressively as Possible

19 Functional Class II = Mild Disease?

20 Conflicting Evidence Regarding the Effectiveness of Combination Therapy in Short-Term RCTs

21 PAH Combination Therapies Tested in RCTs

22 ESC/ERS Recommendations for Sequential Drug Combination Therapy for PAH

23 Upfront Initial Combination Therapy

24 Initial Use of Ambrisentan Plus Tadalafil in PAH: The AMBITION Trial

25 AMBITION Trial: Primary Endpoint* Results

26 AMBITION Trial: Secondary Endpoint Results

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