Challenges and Special Aspects of Pulmonary Hypertension in Middle- to Low-Income Regions: JACC State-of-the-Art Review
Journal article
Babar Hasan, Georg Hansman, Wemer Budts, Alexandra Heath, Zahra Hoodbhoy, Zhi-Cheng Jing, Martin Koestenberger, Katharina Meinel, Ana O. Mocumbi, Ganna D. Radchenko, Hannes Sallmon, Karen Sliwa-Hahnle and R. Krishna Kumar. (2020). Challenges and Special Aspects of Pulmonary Hypertension in Middle- to Low-Income Regions: JACC State-of-the-Art Review. Journal of the American College of Cardiology. 75(19), pp. 2463-2477. https://doi.org/10.1016/j.jacc.2020.03.047
Authors | Babar Hasan, Georg Hansman, Wemer Budts, Alexandra Heath, Zahra Hoodbhoy, Zhi-Cheng Jing, Martin Koestenberger, Katharina Meinel, Ana O. Mocumbi, Ganna D. Radchenko, Hannes Sallmon, Karen Sliwa-Hahnle and R. Krishna Kumar |
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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. |
Keywords | consensus statement; middle- and low-income countries; pulmonary hypertension |
Year | 2020 |
Journal | Journal of the American College of Cardiology |
Journal citation | 75 (19), pp. 2463-2477 |
Publisher | Elsevier Inc. |
ISSN | 0735-1097 |
Digital Object Identifier (DOI) | https://doi.org/10.1016/j.jacc.2020.03.047 |
Scopus EID | 2-s2.0-85084786934 |
Open access | Published as ‘gold’ (paid) open access |
Publisher's version | License File Access Level Open |
Publication process dates | |
Deposited | 27 Apr 2021 |
https://acuresearchbank.acu.edu.au/item/8vy51/challenges-and-special-aspects-of-pulmonary-hypertension-in-middle-to-low-income-regions-jacc-state-of-the-art-review
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Publisher's version
OA_Hasan_2020_Challenges_and_Special_Aspects_of_Pulmonary.pdf | |
License: CC BY-NC-ND 4.0 | |
File access level: Open |
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