Challenges and Special Aspects of Pulmonary Hypertension in Middle- to Low-Income Regions: JACC State-of-the-Art Review
| Autor: | 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, R. Krishna Kumar |
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| Rok vydání: | 2020 |
| Předmět: |
WALK TEST
Heart Defects Congenital Cardiac & Cardiovascular Systems Hypertension Pulmonary Cardiology consensus statement CHILDREN pulmonary hypertension Humans Registries Poverty Science & Technology HIGH-ALTITUDE CONGENITAL HEART-DISEASE SILDENAFIL Review Literature as Topic middle- and low-income countries REGISTRY Cardiovascular System & Cardiology PATENT DUCTUS-ARTERIOSUS RISK-FACTORS SURVIVAL Life Sciences & Biomedicine THALASSEMIA PATIENTS Lung Transplantation |
| Zdroj: | Journal of the American College of Cardiology. 75(19) |
| ISSN: | 1558-3597 |
| Popis: | 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. ispartof: JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY vol:75 issue:19 pages:2463-2477 ispartof: location:United States status: published |
| Databáze: | OpenAIRE |
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