Management Learning Bites
- Diuretics are indicated to reduce fluid retention in patients with PH
- Digoxin may be beneficial in heart failure due to PH, and should be considered in patients in sinus rhythm who remain symptomatic on medical therapy
- Establishing the diagnosis and aetiology requires early referral to a specialist PH unit
- If possible, all patients should be seen by a consultant in cardiology or respiratory medicine before referral to a designated centre