Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 8/25/2025

Sotatercept in Pulmonary Arterial Hypertension

Clinical Guidelines and Management

  • The American Thoracic Society, as published in Chest, recommends a multidisciplinary approach to treatment with combination therapy for patients who remain symptomatic on initial therapy 1
  • The European Respiratory Society, as published in the European Respiratory Review, suggests that patients with PAH should be managed at specialized pulmonary hypertension centers with a multidisciplinary approach 2
  • General measures for PAH patients remain important, including avoiding excessive physical activity, pregnancy, high altitude exposure without supplemental oxygen, and non-essential surgery, as recommended by the American Thoracic Society and the European Respiratory Society 1, 2
  • Vaccination against influenza and pneumococcal pneumonia is recommended for PAH patients, as suggested by the American Thoracic Society 3
  • When surgery is necessary for PAH patients, care should be coordinated at a pulmonary hypertension center with careful monitoring of clinical status, oxygenation, and hemodynamics, as recommended by the American Thoracic Society 1, 3