Why Global PH Matters
Why Global PH Matters
Pulmonary hypertension is common worldwide. Pulmonary arterial hypertension, it’s rarest and most severe form, is uncommon but disproportionately lethal.
≈1% of the global population may be affected by pulmonary hypertension
≈10% prevalence in adults over age 65
192,000 prevalent cases of PAH worldwide (2021)
22,000 deaths attributed to PAH globally in 2021
A Global Burden with Regional Fingerprints
Worldwide, PH is driven mainly by left-heart and lung disease. In low- and middle-income countries, a distinct set of infectious, hematologic, and environmental causes adds substantially to the burden.
Predominant Global Drivers
Left-heart disease
Chronic lung disease and hypoxia
Congenital heart disease
Chronic thromboembolic disease
Infections
Additional Drivers in LMICs
Rheumatic heart disease
HIV infection
Schistosomiasis
Sickle cell disease
Tuberculosis
High-altitude exposure
Where the Global PH Care Pathway Breaks Down
Delayed Diagnosis
Non-specific symptoms and low awareness push confirmation years past symptom onset
Limited Access to Echo/RHC
Echocardiography and right-heart catheterization remain scarce outside major centers.
Poor Referral Pathways
No standardized route for primary care to specialist PH evaluations.
Lack of PH-Trained Teams
Few multidisciplinary teams with dedicated PH expertise, especially outside referral hubs.
Unequal Access to PAH Therapy
Approved therapies remain unavailable, unaffordable, or unreimbursed in much of the world.
Trial and Registry Underrepresented
Patients outside North America and Europe are largely absent from pivotal evidence.
Sparse Regional Data
Limited epidemiologic data from Latin America, Africa, Asia and high-altitude populations.
A Center of Excellence Connects Every Step of PAH Care
Patient-centered care, strengthened by collaborations and continuous learning.
PAH Center of Excellence
Referral pathways
Accurate diagnosis and risk stratification
Multidisciplinary care team
Treatment access
Continuous Learning System
Registries
Clinical Trials
Education and Training
Precision Solutions
Earlier diagnosis
Individualized care
Equitable access
Better outcomes