Tracking Outcomes and Practice in Pediatric Pulmonary Hypertension
Tracking Outcomes and Practice in Pediatric Pulmonary Hypertension
The TOPP-2 registry is an international, non-interventional, prospective registry including
 children and adolescents newly diagnosed with pulmonary hypertension (PH) to gain further
 insights in the disease course and long-term outcome of PH in childhood.

 Patients will undergo clinical assessments and receive standard medical care, as determined
 by treating physicians in their daily clinical practice. The TOPP-2 registry is specifically
 designed to capture the variables that have been proposed as treatment goals in PePH and the
 reasons for changes in treatment strategy.

 The TOPP-2 registry uses the new clinical classification of PH as outlined at the 5th World
 Symposium for Pulmonary Hypertension (WSPH) in Nice 2013 and includes new characterizations
 for children with PH.

 The registry is planned and implemented under the scientific leadership of the Association
 for Pediatric Pulmonary Hypertension (PePH), independently from the financial sponsors.

 At least 200 of the enrolled patients will have a follow-up period of 3 years.
Inclusion Criteria:

 -  Patient must be an incident patient, i.e.newly diagnosed with PH

 -  Age at time of diagnosis is at least 3 months and less than 18 years

 -  Patients must present with PH belonging to one of the following categories

 -  Group 1 according to updated Nice clinical classification

 -  Group 3 according to updated Nice clinical classification

 -  Group 4 according to updated Nice clinical classification

 -  Group 5 according to updated Nice clinical classification

 -  PH confirmed by heart catheterisation (HC)

 -  At HC, the patient must present with mean pulmonary arterial pressure (PAP) of at
 least 25 mmHg at rest, a pulmonary vascular resistance index (PVRi) equal to or below
 3 Wood units*m^2 and mean pulmonary arterial wedge pressure (PAWP) below or equal to
 15 mmHg

 -  In case of congenital heart disease (CHD) patients who had undergone palliative
 procedure or repair to close systemic to pulmonary shunt, the diagnosis of PH must
 have been confirmed by HC at least 6 months after surgery/palliative procedure took
 place

 -  For patients with PAH-CHD open shunt, only those considered not operable due to
 advanced pulmonary vascular disease are eligible

 -  Patients to be included into the registry, and/or their legal guardians, must give
 informed consent. Where applicable patients will be asked for their written assent

 -  Participating sites must agree to adhere to the recommendations of the WSPH 2015 Nice,
 Pediatric Taskforce.

 Exclusion Criteria:

 -  Patients belonging to Group 2 according to updated Nice clinical classification