医学
肺动脉高压
重症监护医学
心脏病
介绍(产科)
人类免疫缺陷病毒(HIV)
心力衰竭
疾病
儿科
内科学
家庭医学
外科
作者
Babar Hasan,Georg Hansmann,Werner Budts,Alexandra Heath,Zahra Hoodbhoy,Zhi‐Cheng Jing,Martin Köestenberger,Katharina Meinel,Ana Olga Mocumbi,G. Radchenko,Hannes Sallmon,Karen Sliwa,Raman Kumar
标识
DOI:10.1016/j.jacc.2020.03.047
摘要
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.
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