Pulmonary Circulation Unit, Pulmonary Division, Heart Institute, University of São Paulo Medical School, São Paulo, Brazil.
Curr Opin Pulm Med. 2019 Sep;25(5):391-397. doi: 10.1097/MCP.0000000000000603.
To understand the global distribution of different forms of pulmonary hypertension.
Different registries have explored the epidemiological characteristics of pulmonary hypertension. Interestingly, there is a clear difference in the prevalence of different forms of pulmonary hypertension in developed regions in comparison with less developed countries. This finding suggests not only that extrapolation of data should be avoided but also that the known prevalence of pulmonary hypertension might be underestimated.
Pulmonary hypertension might be more prevalent than what is currently believed. Specific forms of pulmonary hypertension distributed worldwide might characterize an unrecognized burden that still have to be properly approached. This highlights the heterogeneity of pulmonary hypertension around the world. It is clear that more epidemiological data are still needed as well as studies addressing management alternatives in these specific regions.
了解不同形式肺动脉高压的全球分布。
不同的登记处已经探讨了肺动脉高压的流行病学特征。有趣的是,在发达国家和欠发达国家之间,不同形式肺动脉高压的患病率存在明显差异。这一发现不仅表明不应进行数据外推,而且还表明肺动脉高压的已知患病率可能被低估。
肺动脉高压的患病率可能比目前认为的要高。分布在世界各地的特定形式的肺动脉高压可能构成了尚未得到妥善处理的、尚未被认识到的负担。这突出了全球肺动脉高压的异质性。显然,仍然需要更多的流行病学数据,以及在这些特定地区研究管理替代方案的研究。