Navigating the Complexities of Pulmonary Hypertension Care: Unique Challenges in PAH Management
Karla Cruz Morel, Namita Sood, Roberto Bernardo, Kimberly Jackson, Gillian P. Leung, Charles Burger, Jean M. Elwing
https://doi.org/10.1002/pul2.70340
Abstract
Pulmonary hypertension (PH) comprises a heterogeneous group of disorders characterized by elevated pressure in the pulmonary arteries. Despite advances in awareness, utilization of non-invasive screening with echocardiography, increasing number of targeted therapies, and evolving clinical guidelines emphasizing referral to PH specialty centers, barriers to timely diagnosis and treatment persist. Key challenges span patient-related and system-level domains that hinder the effective diagnosis, management, and treatment of PH, particularly pulmonary arterial hypertension (PAH). In this article, the obstacles to PH care are examined and actionable recommendations are proposed. By integrating patient-related and system-level perspectives, this review provides a framework to bridge persistent gaps in PH care delivery in the United States.
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