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