Challenges and Special Aspects of Pulmonary Hypertension in Middle- to Low-Income Regions
JACC State-of-the-Art Review
Babar Hasan, Georg Hansmann, Werner Budts, Alexandra Heath, Zahra Hoodbhoy, Zhi-Cheng Jing, Martin Koestenberger, Katharina Meinel, Ana Olga Mocumbi, Ganna D. Radchenko, Hannes Sallmon, Karen Sliwa, R. Krishna Kumar and on behalf of the European Pediatric Pulmonary Vascular Disease Network (EPPVDN), endorsed by AEPC, CSC, PASCAR, PCS, and PCSI
6 Registries on Pulmonary Hypertension in Middle- to Low-Income Regions
PAPUCO (Pan African Pulmonary Hypertension Cohort) involved 4 African countries; PRO-KERALA (Pulmonary Hypertension Registry of Kerala, India) included 50 centers across the state of Kerala in India; HINPULSAR (Hipertensión Pulmonary Asociaciones en la Argentina) included 31 centers in Argentina; RECOPILAR (Registro Colaborativo de Hipertensión Pulmonaren Argentina); a Colombian registry included 5 centers; and a prospective Ukrainian registry (adult PAH, CTEPH) from a single referral center in Kyiv, Ukraine. Overall, the majority of the patients in the 6 registries were >18 years of age. CTEPH = chronic thromboembolic pulmonary hypertension; NYHA = New York Heart Association functional class; PAH = pulmonary arterial hypertension; PH = pulmonary hypertension.