How to Care for the Patient With Methamphetamine-Associated PAH.
Chest 2026 Mar 10. [Online ahead of print]

Abstract

Methamphetamine is a potent CNS stimulant that is highly addictive. Although methamphetamine use historically has been localized to the Western United States Census region, its reach has been growing, and methamphetamine use now is expanding throughout the United States and the world. Methamphetamine is now considered a definite cause of pulmonary arterial hypertension (PAH). Despite being one of the fastest growing causes of PAH, recommendations to guide the care of patients with methamphetamine-associated PAH have not been published. This review focuses on the care of patients with methamphetamine-associated PAH. It provides a practical approach to care that incorporates pharmacologic therapy in conjunction with harm reduction strategies as well as support from ancillary services such as addiction medicine and social work.

Authors+Show Affiliations

Kolaitis NAUniversity of California, San Francisco, San Francisco, CA. Electronic address: nicholas.kolaitis@ucsf.edu.
Barnett CFUniversity of California, San Francisco, San Francisco, CA.
Chin KMUniversity of Texas Southwestern Medical Center, Dallas, TX.
Clapham KUniversity of Utah, Salt Lake City, UT.
Incze MAUniversity of Utah, Salt Lake City, UT.
Kennedy AJUniversity of Washington, Seattle, WA.
Kingrey JFINTEGRIS Health, Oklahoma City, OK.
Matusov YCedars-Sinai Medical Center, Los Angeles, CA.
Melendres-Groves LUniversity of New Mexico, Albuquerque, NM.
Rischard FPUniversity of Arizona-Tucson, Tucson, AZ.
Simon MAUniversity of California, San Francisco, San Francisco, CA.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

41819484