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