A patient with sarcoidosis may develop pulmonary hypertension. Sarcoid-associated pulmonary hypertension (SAPH) should be suspected if certain findings are identified.


Patient selection: pulmonary sarcoidosis


Clinical findings suggesting development of pulmonary hypertension:

(1) progessive dyspnea on exertion

(2) exercise limitation

(3) hypoxemia

(4) signs of right heart failure (peripheral edema, syncope, other)

(5) symptoms out of proportion to the extent of parenchymal lung disease


These findings may also be found in other conditions that need to be excluded:

(1) myopathy

(2) depression

(3) anemia

(4) large airway obstruction

(5) cardiac disease


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