@article{10902/18746,
year = {2020},
url = {http://hdl.handle.net/10902/18746},
abstract = {Background: The knowledge of hereditary predisposition has changed our understanding of Pulmonary Arterial Hypertension. Genetic testing has been widely extended and the application of Pulmonary Arterial Hypertension specific gene panels has allowed its inclusion in the diagnostic workup and increase the diagnostic ratio compared to the traditional sequencing techniques. This is particularly important in the differential diagnosis between Pulmonary Arterial Hypertension and Pulmonary Venoocclusive Disease.

Methods: Since November 2011, genetic testing is offered to all patients with idiopathic, hereditable and associated forms of Pulmonary Arterial Hypertension or Pulmonary Venoocclusive Disease included in the Spanish Registry of Pulmonary Arterial Hypertension. Herein, we present the clinical phenotype and prognosis of all Pulmonary Arterial Hypertension patients with disease-associated variants in TBX4.

Results: Out of 579 adults and 45 children, we found in eight patients from seven families, disease-causing associated variants in TBX4. All adult patients had a moderate-severe reduction in diffusion capacity. However, we observed a wide spectrum of clinical presentations, including Pulmonary Venoocclusive Disease suspicion, interstitial lung disease, pulmonary vascular abnormalities and congenital heart disease.

Conclusions: Genetic testing is now essential for a correct diagnosis work-up in Pulmonary Arterial Hypertension. TBX4-associated Pulmonary Arterial Hypertension has marked clinical heterogeneity. In this regard, a genetic study is extremely useful to obtain an accurate diagnosis and provide appropriate management.},
organization = {This project was founded by Project "Bases Gene´tico Moleculares de la Medicina de Precisio´n en la Hipertensio´n Arterial Pulmonar". Funder: Instituto Carlos III. Ministerio de Economı´a y Competitividad. https://www.isciii.es/Paginas/Inicio.aspx Award number: PI 18/01233 Grant Recipient: P E-S},
publisher = {Public Library of Science},
publisher = {PLoS One
. 2020 Apr 29;15(4):e0232216},
title = {Clinical Heterogeneity of Pulmonary Arterial Hypertension Associated With Variants in TBX4},
author = {Hernandez-Gonzalez, Ignacio and Tenorio, Jair and Palomino-Doza, Julian and Martinez Meñaca, Amaya and Morales Ruiz, Rafael and Lago-Docampo, Mauro and Valverde 
Gomez, María and Gómez Román, José Javier and Enguita Valls, Ana Belén and Perez-Olivares, Carmen and Valverde, Diana and Gil Carbonell, Joan and Garrido-Lestache Rodríguez-Monte, Elvira and Cerro, Maria 
Jesus del and Lapunzina, Pablo and Escribano-Subias, Pilar},
}