Table 2

Changes in the haemodynamic definitions of PH

WSPH/guideline documentPHPAHPre-capillary PHPost-capillary PHExercise PH
First WSPH (Geneva 1973)mPAP >25 mmHgNot definedNot definedNot definedmPAP 
>30 mmHg
Second WSPH (Evian 1998)No changeNo changeNo changeNo changeNo change
Third WSPH (Venice 2003)No changemPAP >25 mmHg + 
PAWP ≤15 mmHg + PVR >3 WUNo changeNo changeNo change
ESC PAH Guidelines 2004 [6]No changeNo changeNo changeNo changeNo change
Fourth WSPH (Dana Point 2008)mPAP ≥25 mmHgmPAP ≥25 mmHg + 
PAWP ≤15 mmHgNo changeNo changeNot defined
ESC/ERS PH Guidelines 2009 [9]No changeNo changemPAP ≥25 mmHg + PAWP ≤15 mmHgmPAP ≥25 mmHg + 
PAWP >15 mmHg 
(passive: TPG ≤12 mmHg, 
reactive: TPG >12 mmHg)No change
Fifth WSPH (Nice 2013)No changemPAP ≥25 mmHg + PAWP ≤15 mmHg + PVR >3 WUmPAP >25 mmHg + PAWP ≤15 mmHg + PVR >3 WUmPAP ≥25 mmHg + 
PAWP >15 mmHg 
(isolated: DPG <7 mmHg, 
combined: DPG ≥7 mmHg)No change
ESC/ERS PH Guidelines 2015 [15]No changeNo changemPAP ≥25 mmHg + PAWP ≤15 mmHgmPAP ≥25 mmHg + 
PAWP >15 mmHg 
(isolated: DPG <7 mmHg 
and/or PVR ≤3 WU, 
combined: DPG ≥7 mmHg 
and/or PVR >3 WU)No change
Sixth WSPH (Nice 2018)mPAP >20 mmHgmPAP >20 mmHg + 
PAWP ≤15 mmHg + PVR ≥3 WUmPAP >20 mmHg + PAWP ≤15 mmHg + PVR ≥3 WUmPAP >20 mmHg + 
PAWP >15 mmHg 
(isolated: PVR <3 WU, 
combined: PVR ≥3 WU)No change