Pulmonary Hypertension & Right Heart

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Track 10 of 14

Pulmonary Hypertension & Right Heart

Sotatercept (STELLAR/CADENCE), CTEPH, BPA and right-heart imaging.

Pulmonary hypertension treatment has been redefined by sotatercept — the first activin-signaling inhibitor approved for PAH after STELLAR demonstrated dramatic 6-minute walk gains, with CADENCE extending the data. The track covers risk-stratified upfront triple therapy, the modern role of macitentan/tadalafil combinations (A DUE), and the expanding indications for balloon pulmonary angioplasty (BPA) and pulmonary endarterectomy in CTEPH. Right-ventricular imaging and assessment receive dedicated programming, including CMR-derived RV strain, exercise hemodynamics, and the emerging Group 2 PH (HFpEF) phenotype with sotatercept readouts (HYPERION, ZENITH).

Focus areas
  • Sotatercept in PAH: STELLAR, CADENCE, ZENITH (Group 2)
  • Risk-stratified upfront combination therapy
  • CTEPH: balloon pulmonary angioplasty and PEA selection
  • Right ventricular imaging: CMR strain and 4D flow
  • Exercise hemodynamics and unmasking PH
  • Group 2 PH (HFpEF) and Group 3 PH (lung disease)
  • Lung transplantation referral in advanced PH