After clinic review patients will typically be admitted for full diagnostic assessment, including cardiopulmonary exercise testing, cardiac MRI and right heart catheter studies. Pulmonary angiography, vasodilator testing and sleep studies will also be performed where indicated.
If PAH is diagnosed, a decision will be made during the admission regarding disease-targeted treatment and usually commenced before discharge.
Patients will usually be followed up at 3 to 6 monthly intervals, sharing care with the referring consultant.