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November 8, 2025Cardiovascular Research

The prevalence of pulmonary hypertension associated with left heart disease: a systematic review and meta-analysis

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Why the study?

Data on the prevalence of pulmonary hypertension associated with left heart disease analyzed systematically using a contemporary diagnostic framework were lacking.

Population

51 333 patients across 123 reports with HFpEF, HFrEF, MR, or AS in Austria, Germany, and Switzerland

Design

Systematic review and meta-analysis

Key result

Pulmonary hypertension associated with left heart disease has an estimated population prevalence of ~2.7% for 'at risk' and ~1.0% for 'manifest' disease in Austria, Germany, and Switzerland.

Authors

KZKatarina ZederCBClayton H. BrownASAndrea Santi

Discussion

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Member takes

Overview

Signals substantial PH-LHD burden; extends prevalence estimates but leaves optimal detection and management trials open.

Study Design

Type

Meta-Analysis (n=51,333)

Multicenter

Yes

Structured PICO

P
Population
123 studies including 51,333 patients with heart failure with preserved or reduced ejection fraction (HFpEF, HFrEF), mitral regurgitation (MR), or aortic stenosis (AS) in Austria, Germany, and Switzerland.
O
Outcome
Prevalence of PH-LHD classified as 'at-risk' (TRV >2.8 m/s) or 'manifest' (TRV >3.4 m/s in combination with mPAP >20 mmHg)surrogate

The prevalence of pulmonary hypertension in patients with left heart disease is considerable, highlighting the need for improved detection and management strategies.

Limitations

  • Estimates vary by cardiac subtype and specificity of diagnostic criteria

Cite This Study

Zeder et al. (2025) conducted a meta-analysis in Left heart disease (HFpEF, HFrEF, mitral regurgitation, aortic stenosis) (n=51,333). Pulmonary hypertension associated with left heart disease has an estimated population prevalence of ~2.7% for 'at risk' and ~1.0% for 'manifest' disease in Austria, Germany, and Switzerland.

synapsesocial.com/papers/6a12406441f2b0889a38cfechttps://doi.org/10.1093/cvr/cvaf226
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