{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T22:19:54Z","timestamp":1778537994609,"version":"3.51.4"},"reference-count":140,"publisher":"Georg Thieme Verlag KG","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pneumologie"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die 6.\u2006Weltkonferenz f\u00fcr pulmonale Hypertonie (PH) fand vom 27.\u200a2.\u200a\u2013\u200a1.\u200a3.\u200a2018 in Nizza statt. Hier wurden die Erkenntnisse auf dem Gebiet der PH der letzten 5 Jahre nach Aufarbeitung und Diskussion \u00fcber einen l\u00e4ngeren Vorbereitungszeitraum von 13 Arbeitsgruppen pr\u00e4sentiert und in der Folge zum Jahreswechsel 2018\/2019 publiziert. Einer der seither intensiv diskutierten Vorschl\u00e4ge ist der einer \u00c4nderung der h\u00e4modynamischen Definition der PH mit Absenkung des Grenzwertes f\u00fcr den mittleren pulmonalarteriellen Druck von \u2265\u200a25 auf &gt;\u200a20\u200ammHg, gemessen im Rechtsherzkatheter in Ruhe. Zus\u00e4tzlich wurde der pulmonalvaskul\u00e4re Widerstand in die PH-Definition aufgenommen, was die Wichtigkeit der Bestimmung des Herzzeitvolumens w\u00e4hrend der Rechtsherzkatheteruntersuchung unterstreicht.<\/jats:p><jats:p>Die Rationale sowie m\u00f6gliche Auswirkungen der neuen PH-Definition, zu welchen zwischenzeitlich bereits neue Publikationen erschienen sind, m\u00f6chten wir in diesem \u00dcbersichtsartikel diskutieren. Ferner ist ein aktueller \u00dcberblick zur nicht-invasiven und invasiven Diagnostik der PH enthalten, in welchem auf den Stellenwert der Methoden f\u00fcr Diagnostik, Differenzialdiagnostik und Prognose sowie weitere Neuerungen der 6.\u200a\u2006PH-Weltkonferenz eingegangen wird. Erg\u00e4nzt haben wir einen Abschnitt zum Stellenwert von Belastungsuntersuchungen f\u00fcr das Erkennen und die Verlaufsbeurteilung der PH, welche bei der Diskussion in Nizza und in den nachfolgenden Publikationen zumindest erw\u00e4hnt, aber nicht ausf\u00fchrlicher besprochen wurden.<\/jats:p>","DOI":"10.1055\/a-1199-1548","type":"journal-article","created":{"date-parts":[[2020,7,14]],"date-time":"2020-07-14T22:49:54Z","timestamp":1594766994000},"page":"847-863","source":"Crossref","is-referenced-by-count":6,"title":["Aktuelle Definition und Diagnostik der pulmonalen Hypertonie"],"prefix":"10.1055","volume":"74","author":[{"given":"T. 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