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Challenges and Special Aspects of Pulmonary Hypertension in Middle- to Low-Income Regions
- Source :
- Journal of the American College of Cardiology. 75:2463-2477
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Challenges and special aspects related to the management and prognosis of pulmonary hypertension (PH) in middle- to low-income regions (MLIRs) range from late presentation to comorbidities, lack of resources and expertise, cost, and rare options of lung transplantation. Expert consensus recommendations addressing the specific challenges for prevention and therapy of PH in MLIRs with limited resources have been lacking. To date, 6 MLIR-PH registries containing mostly adult patients with PH exist. Importantly, the global prevalence of PH is much higher in MLIRs compared with high-income regions: group 2 PH (left heart disease), pulmonary arterial hypertension associated with unrepaired congenital heart disease, human immunodeficiency virus, or schistosomiasis are highly prevalent. This consensus statement provides selective, tailored modifications to the current PH guidelines to address the specific challenges faced in MLIRs, resulting in the first pragmatic and cost-effective consensus recommendations for PH care providers, patients, and their families.
- Subjects :
- Low income
medicine.medical_specialty
Heart disease
Adult patients
business.industry
medicine.medical_treatment
State of the art review
030204 cardiovascular system & hematology
medicine.disease
Pulmonary hypertension
03 medical and health sciences
0302 clinical medicine
medicine
Lung transplantation
030212 general & internal medicine
Left heart disease
Cardiology and Cardiovascular Medicine
Intensive care medicine
business
Limited resources
Subjects
Details
- ISSN :
- 07351097
- Volume :
- 75
- Database :
- OpenAIRE
- Journal :
- Journal of the American College of Cardiology
- Accession number :
- edsair.doi...........a97b1dc65faeb24a0144430cc5112517