Pulmonary vascular disease & thromboembolism

Global, regional, and national burden of pulmonary arterial hypertension and related heart failure from 1990 to 2021, with predictions to 2050: insights from the global burden of disease study 2021

Eur Heart J Qual Care Clin OutcomesPublished Global Burden of Disease study analysis

Authors' conclusion

From 1990 to 2021, the global burden of PAH and PAH-HF increased, with significant gender disparities.

Study context

Population
Global population; Pulmonary arterial hypertension (PAH) and PAH-related HF, 1990–2021
Outcome
Incidence, prevalence, deaths and DALYs of PAH and PAH-HF
Follow-up
1990 to 2021
Methodological detailsjoinpoint regression, Bayesian age-period-cohort analysis, decomposition analysis, projections to 2050
  • Joinpoint regression
  • Bayesian age-period-cohort analysis
  • Decomposition analysis
  • Projections to 2050

Main finding

As reported in the abstract

Global age-standardised rates of PAH · 2021

Age-standardized incidence rate (ASIR)

0.52 per 100 000 population

ASPR

2.28 per 100 000 population

ASMR

0.27 per 100 000 population

ASDR

8.24 per 100 000 population

Observational data: associations, not effects.

Further findings

PAH burden by sex

Females showed higher burdens in nearly all outcomes

PAH burden by country · 2021

Zambia and Switzerland had the highest ASIR and ASPR; Mongolia the highest ASMR and ASDR

PAH-HF · 1990 to 2021

Most HF subtypes showed declines in ASPR

Decomposition analysis

Increases in PAH incidence, prevalence and DALYs attributed primarily to population growth; aging primarily drove increases in deaths

Projections · to 2050

Continued growth in ASIR but declines in other burden indicators after 2021

Original publication

Global, regional, and national burden of pulmonary arterial hypertension and related heart failure from 1990 to 2021, with predictions to 2050: insights from the global burden of disease study 2021. Eur Heart J Qual Care Clin Outcomes. Published 24 February 2025. doi:10.1093/ehjqcco/qcaf009

Composed by AI from the published abstract and checked against it. How Briefs are made →

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