Pulmonary arterial hypertension in Latin America. The age and comorbidity paradox.

Int J Cardiol Congenit Heart Dis

From the Cardiopulmonary Department, Instituto Nacional de Cardiologia Ignacio Chavez, Mexico City, Mexico.

Published: March 2025

Pulmonary arterial hypertension (PAH) has been classically described as a disease in young adults, predominantly females with no comorbidities. However, in recent registries, the epidemiology has changed to older patients with comorbidities such as obesity, diabetes, systemic hypertension, and coronary heart disease. Nevertheless, there is not enough inclusion of these patients in clinical trials. In contrast, in Latin America, registries have shown that PAH patients are younger and have fewer comorbidities, which raises the question of whether Latin American patients present a different phenotype or if we are lagging behind developed countries and whether we will experience a change in epidemiology in the next couple of years. We analyzed these trends in this review.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11891735PMC
http://dx.doi.org/10.1016/j.ijcchd.2025.100573DOI Listing

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Int J Cardiol Congenit Heart Dis

March 2025

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