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November 8, 2025Cardiovascular Research

Manifest PH associated with LHD affects ~1% of people in Austria, Germany, and Switzerland.

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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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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Prevalence and significance of pulmonary hypertension among hospitalized patients with left heart disease2024 · 5 citations
  2. 2Worldwide Epidemiology of Pulmonary Hypertension Associated With Left Heart Disease2026
  3. 3Predictors of hospitalisations for heart failure and mortality in patients with pulmonary hypertension associated with left heart disease: a systematic review2014 · 46 citations
  4. 4Global distribution of prognostically significant pulmonary pressure indicative of pulmonary hypertension2025 · 2 citations
  5. 5The prevalence and survival of pulmonary hypertension due to left heart failure: A retrospective analysis of a multicenter prospective cohort study2022 · 16 citations