To refer a patient to the National Pulmonary Hypertension Unit, a referral letter can be sent:
Rescheduling Appointments and Cancellations
Your appointment is very important to us and in the case that you cannot attend, please let us know by contacting the pulmonary hypertension unit on 01 8034420, so that we can reschedule your appointment and offer this visit to another person.
Clinical nurse specialist contact details
Our clinical nurse specialists include:
Additional information for referring clinicians:
While we are happy to accept referrals without a complete diagnostic evaluation for pulmonary hypertension from both primary and secondary care, we have provided a list of suggested investigations and relevant results that may be of use to referring clinicians:
Right heart catheterisation:
The below parameters obtained during RHC are particularly useful in the pulmonary hypertension unit for diagnostic and prognostic purposes:
A fluid challenge with 500ml of intravenous fluid should be considered during RHC, if there is persistent suspicion for group 2 PH, despite a normal PAWP (< 15mmHg). This should only be performed if relevant and safe.
Galiè et al (2015)
Vasoreactivity testing is performed during RHC in specific circumstances (IPAH, HPAH, PAH associated with drugs), under direct supervision by the PH team, due to the potential risk of hemodynamic compromise during vasodilator administration.
1. Galiè N, Humbert M, Vachiery J-L, et al. 2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension. The Joint Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS)Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC), International Society for Heart and Lung Transplantation (ISHLT) 2015; 46: 903-975. DOI: 10.1183/13993003.01032-2015.