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Title: Pulmonary Hypertension in Remote and Disadvantaged Population: Overcoming Unique Challenges for Improved Outcomes.
Authors: Naing, Pyi
Kangaharan, Nadarajah
Scalia, Gregory M
Strange, Geoff
Playford, David
Citation: This article is protected by copyright. All rights reserved.
Intern Med J. 2022 Jun 28. doi: 10.1111/imj.15860.
Abstract: Pulmonary Hypertension (PH) is a common and debilitating medical condition with high mortality. PH research has traditionally focused on Pulmonary Arterial Hypertension (PAH) and its management in expert PH centres. Other forms of PH such as PH associated with cardiac or respiratory disease are more common, less well-understood and associated with higher mortality. Epidemiology of PH in disadvantaged, remote and rural regions, remains largely undocumented. In this review, we discuss the unique challenges in identifying PH in rural and disadvantaged populations using the Top End region of the Northern Territory of Australia as an example. We propose a simple diagnostic approach, ideally suited to regions where resource allocation is scarce, using clinical skills, echocardiography, and an escalation algorithm. The brief history, epidemiology and current literature on PH are summarized to inform the busy clinicians. We highlight two case examples from the Top End to illustrate the challenges and potential solutions. This article is protected by copyright. All rights reserved.
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Journal title: Internal medicine journal
Publication Date: 2022-06-28
Type: Journal Article
DOI: 10.1111/imj.15860
Orcid: 0000-0001-6384-7215
Appears in Collections:(a) NT Health Research Collection

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