Pulmonary Hypertension Secondary to COPD

Table 4

Various approaches to the treatment of PH in COPD.

Counteract hyperinflation	Counteract pulmonary vasoconstriction	Counteract vascular remodeling	Counteract polycythemia
Bronchodilators	O2	O2	O2
O2	Pulmonary vasodilators	Pulmonary vasodilators	Phlebotomy
Sildenafil		Statins	ARB
LVRS (unless PH severe)
Lung transplantation
Smoking cessation

PH: pulmonary hypertension, O₂: oxygen, LVRS: lung volume reduction surgery, ARB: angiotensin receptor blocker.