Health Equity
What To Know About An Atrial Septal Aneurysm
Atrial septal aneurysm means that there is a bulge in the interatrial septum. It may not present with symptoms. However, it can occur alongside other heart problems that cause heart or breathing symptoms, such as irregular heartbeat, difficulty breathing, and fatigue.
The interatrial septum is a wall of tissue that separates the left and right atria of the heart. A doctor may uncover an interatrial septal aneurysm, which cardiologists also call an atrial septal aneurysm (ASA), while looking for something else. Many people live normal lives with this condition, especially if the aneurysm is small.
However, it has links with patent foramen ovale, which can increase the risk of stroke and arterial embolisms. Embolisms occur when something, often a blood clot, gets into the bloodstream and blocks an artery. ASA may also occur alongside other heart abnormalities.
It can occur in children and adults, and doctors consider it a congenital anomaly.
This article will explain what an ASA is, its symptoms, causes, and treatment.
The heart's two upper chambers, known as the atria, pump blood into the ventricles. The atrial septum is a thin layer of tissue that divides them, preventing blood from flowing between the two atria.
The right atrium receives deoxygenated blood, while the left receives oxygenated blood. The septal wall stops the blood from mixing.
A bulge in the atrial septum is an ASA. This can be a defect a baby is born with, or it can develop over time. Sometimes weakness in the septum causes it to bulge. In some cases, an ASA may be a sign of underlying heart disease.
Doctors define ASA as a movement in the septum of 10 millimeters (mm) to either the right or left or a total combined movement of 15 mm.
ClassificationsResearchers classify ASA on the basis of its location and severity:
An ASA can be asymptomatic. A doctor may discover it as part of a routine screening or when looking for something else.
However, ASA can occur alongside other heart defects. When this happens, a person may have other heart or breathing symptoms, such as:
Visit our hub to learn more about cardiovascular health.
ASA can be an incidental finding that a doctor discovers while evaluating unrelated symptoms. Doctors believe it to be a congenital condition, meaning it is present at birth. However, it may have an association with the following conditions:
Treatment depends on whether an ASA causes symptoms. Treatment options include:
When ASA is an isolated occurrence and does not cause symptoms, and when it is not the result of an underlying disease, it may not require treatment. A doctor may want to continue to monitor the condition, however.
There is little research on treatment options and an ongoing debate among doctors about whether and when to treat this condition. However, in a person with a history of stroke or heart disease, treatment is usually necessary.
Doctors diagnose ASA by using an echocardiogram. This test visualizes the heart's chambers and allows doctors to measure the deviation of the atrial septum. This helps to confirm the presence of ASA, as well as associated findings such as patent foramen ovale.
Read more about heart tests here.
The outlook for ASA depends on why a person has the condition and their overall health. ASA is congenital but has associations with other heart conditions such as mitral valve disease, patent foramen ovale, and tricuspid valve disease.
The outlook may depend on how big the ASA is. Smaller ASAs have a good outlook, while larger ones related to patent foramen ovale increase a person's risk of stroke and embolism.
Read more about how to improve heart health here.
Diagnosis of a heart defect can be very worrying for a person. ASA may be a relatively benign incidental finding or accompany an underlying heart health issue.
It is important that people with ASA discuss with their doctor the potential causes of their condition and treatment options. Everyone can benefit from exercise, a healthy diet, and other heart health interventions, so people with ASA should implement these lifestyle changes.
Adult Congenital Heart Disease Care In A Municipal Public Health System
Adult CHD speciality care has been associated with improved outcomes and must be extended to the underserved.Reference Mylotte, Pilote and Ionescu-Ittu1,Reference Nguyen, Dolgner, Dardas, Verrier, McMullan and Krieger2 Previous studies have shown that socio-economic status and financial hardship can be associated with poorer outcomes in this population.Reference Davey, Sinha, Lee, Gauthier and Flores3,Reference Diller, Inuzuka and Kempny4 Comprehensive adult CHD care requires significant resources, however, including frequent surveillance, advanced diagnostic testing like cardiac MRI, and invasive intervention including cardiac surgery.Reference Seckeler, Thomas, Andrews, Joiner and Klewer5 For the socio-economically disadvantaged, cost can be a major barrier to care.
New York City houses the largest public healthcare system in the United States, NYC Health + Hospitals Corporation, which served 1.4 million patients in 2012.Reference Berwick, Brier and Boufford6 Herein we describe the administration of adult CHD speciality care in NYC Health + Hospitals Corporation. Our aims were (1) to define the characteristics of the adult CHD population receiving services from this public system; (2) to describe the services received, including diagnostic and therapeutic procedures; and (3) to assess adherence to guideline-recommended surveillance, as defined by the American Heart Association/American College of Cardiology.
Materials and methodsThe adult CHD Clinic at NYC Health + Hospitals/Bellevue, which is in session two half-days per week, receives referrals from throughout the NYC Health + Hospitals Corporation system. The clinic is currently staffed by two board-certified adult CHD physicians. Care is provided in the NYC Health + Hospitals/Bellevue system regardless of insurance status.
Study subjects were identified using an administrative database. Data from the electronic medical records of NYC Health + Hospitals/Bellevue as well as New York University Langone Health, an affiliated private academic hospital system housing an Adult Congenital Heart Association-accredited Comprehensive Care Center, were then collected. Individuals who had a "new visit" or a "revisit" in the Bellevue adult CHD clinic between January 2015 and March 2021 were screened for inclusion. Both in-person visits and tele-health visits were counted. Patients <18 years old at the beginning of the study period and patients with a non-adult CHD diagnosis were excluded. The institutional review boards of New York University Langone Health and NYC Health + Hospitals/Bellevue approved the study and informed consent was waived for this observational study.
Patients' race/ethnicity was determined by self-identification and primary language was obtained from the electronic medical record. Insurance status was determined at the most recent adult CHD visit. Those with multiple insurance coverage types were counted for each insurance plan they had.
Diagnostic tests were tallied including echocardiograms, electrocardiograms, and cardiac MRI examinations. Procedures tallied included cardiac surgeries, diagnostic and therapeutic catheterizations, electrophysiology studies, ablations, and implantable cardioverter defibrillator or pacemaker implantations. For patients seen in the NYC Health + Hospitals/Bellevue clinic, these healthcare services were tallied if they were administered either within the NYC Health + Hospitals Corporation or at the affiliated Comprehensive Care Center at New York University Langone Health.
Guideline-recommended surveillance was defined using the 2018 American Heart Association/American College of Cardiology Guideline for the Management of Adults with Congenital Heart Disease.Reference Stout, Daniels and Aboulhosn7 The frequency of clinical visits, electrocardiograms, and echocardiograms was recorded for each patient, and guideline adherence was defined in a binary fashion as either adherent or non-adherent through the study period. Adherence to guideline-recommended care for each patient was evaluated starting at the point an individual established care in the Bellevue adult CHD clinic. Visits were classified as emergency department or inpatient hospitalisations based on the encounter type in the electronic health record. Usage rates of emergency department visits and hospitalisations were calculated with the number of events in the numerator and the number of person-years in the denominator. Descriptive statistics were used to describe population characteristics. Pearson chi-square tests were used to compare proportions.
ResultsIn total, 374 unique patients had a visit at the Bellevue adult CHD clinic during the study period, 229 of whom met inclusion criteria (Fig. 1). The majority of eligible subjects were female (62%); median age was 36.5 years (range 18–75). A total of 96% of patients identified as non-White and 56% of the population identified a language other than English as their primary language. Forty-eight percent were uninsured and 56% were insured with Medicaid, Medicare, private insurance, or dual coverage. Demographic data are shown in Table 1.
Figure 1. Derivation of study cohort. ACHD = adult CHD.
Table 1. Demographics of the study population
The most common diagnoses were atrial septal defect, ventricular septal defect, patent ductus arteriosus, and valvular pulmonary stenosis (Table 2). Based on American Heart Association/American College of Cardiology anatomic-physiologic classification, the majority were class II or III (moderate or great) anatomic complexity. At the time of the most recent visit, 62% were physiologic stages B, C, or D (Table 3). Nine patients (4%) had a resting oxyhaemoglobin saturation <92% and 24 (10%) had a diagnosis of pulmonary hypertension confirmed with right heart catheterization. Five patients (2%) had Eisenmenger syndrome. Arrhythmias and hypertension were the most common recorded comorbidities (Table 1).
Table 2. Adult CHD diagnoses
Table 3. Physiological and anatomical stages of the study population based on anatomic-physiologic (AP) classifications
Upon initial presentation to the Bellevue adult CHD speciality clinic, 146 patients (64%) had unrepaired primary defects. Patients with unrepaired defects were more likely to be uninsured (compared to insured: OR, 2.66; 95% CI, 1.5–4.7; p-value = 0.0007), non-English speaking (compared to English speaking: OR, 1.8; 95% CI, 1.1–3.1; p-value = 0.03), and non-White (compared to white: OR 6.6;.95% CI 1.3–32; p-value = 0.02). Of note, there was a high degree of overlap between these groups; of the 109 uninsured patients, 79 identified a language other than English as their primary language.
During the study period, 58 patients (25%) underwent primary repair, 48 were surgical, and 10 were transcatheter. At the end of the study period, 88 patients were left unrepaired; 36 of those patients would be recommended to have their lesions repaired based on American Heart Association/American College of Cardiology guidelines.
In total, 69 patients (30%) had cardiac surgery prior to the study period and 57 (25%) had cardiac surgery during the study period. The most common cardiac operations performed during the study period were atrial septal defect repairs (N = 23), aortic valve operations (N = 13), and tricuspid valve repairs (N = 7). Seventeen (7%) patients underwent an electrophysiology study or ablation and 4 patients (2%) had an implantable cardioverter defibrillator or pacemaker procedure. A total of 84 (37%) patients had catheterizations and a total of 102 catheterization procedures occurred during the study period. Eighty one of the catheterizations were diagnostic and 21 were interventional. The most common interventional catheterization procedures performed were closure of atrial septal defects (N = 6), percutaneous coronary intervention (N = 4), and balloon pulmonary valvuloplasty (N = 3).
Of the cardiac surgeries performed during the study period, six (10%) occurred at the affiliated Adult Congenital Heart Association Comprehensive Care Center. Of the therapeutic transcatheter interventions, five (21%) occurred at the Comprehensive Care Center. In all, 28% of patients received some concurrent care at the affiliated Comprehensive Care Center. Payor mix of the group of patients who received care at the Comprehensive Care Center was similar in makeup to the entire cohort: 4 (6%) were insured with Medicare, 18 (28%) were insured with private insurance, and 17 (26%) were uninsured. Demographics were also similar to the overall cohort: 64 (98%) identified as non-White and 24 (52%) patients identified a language other than English as their primary language. The decision to engage the Comprehensive Care Center was made by the adult CHD physicians, often in collaboration with proceduralists, based on the complexity of each individual case and resources needed.
Overall, 178 (78%) patients had adult CHD clinical visits at the frequency recommended by the guidelines throughout the study period. In total, 151 (66%) patients had echocardiograms and 129 (56%) had electrocardiograms at the guideline-recommended frequency throughout the study period. The proportion of patients who had guideline-recommended adult CHD visits, echocardiograms, and electrocardiograms was significantly lower for those with more advanced physiological stages (Table 4). There was no significant difference in adherence to guideline-recommended adult CHD visits for uninsured patients compared to insured patients (p-value = 0.82), non-White patients compared to White patients (p-value = 0.99), and Non-English-speaking patients compared to English-speaking patients (p-value = 0.93). Similar findings were also observed with regards to guideline-recommended echocardiograms and electrocardiograms; guideline adherence did not correlate with insurance status, White race, or English as a primary language (Table 5). Finally, and of note, adherence to guideline-recommended adult CHD visits, echocardiograms, and electrocardiograms did not correlate with Comprehensive Care Center utilisation (Appendix 1).
Table 4. Adherence to guideline-recommended follow-up and testing throughout the study period based on physiological stage
Table 5. Adherence to guideline-recommended follow-up and testing and repair status throughout the study period based on insurance status, race, and primary language. Chi-square tests were performed to compare the distributions of categorical variables
The patients with pulmonary hypertension were analysed as a subgroup to evaluate adherence to medical therapies since pulmonary hypertension has a well-defined medical therapy regimen. Of the 24 patients with pulmonary hypertension, 11 were prescribed medications for treatment: 11 were taking phosphodiesterase type inhibitors (sildenafil or tadalafil), 4 were taking endothelin receptor antagonists (bosentan, ambrisentan, or macitentan), and 1 was taking a prostacyclin receptor agonist (selexipag).
Throughout the study period, there were 0.61 emergency department visits per person-years and 0.49 hospitalisations per person-years. Rates of emergency department visits were similar in patients who were adherent to guideline-recommended adult CHD visits compared to those who were non-adherent (0.62 emergency department visits per person-years versus 0.59 emergency department visits per person-years). Similar findings were also observed with regards to rates of hospitalisations for those who were adherent to guideline-recommended adult CHD visits versus those who were non-adherent (0.47 hospitalisations per person-years versus 0.55 hospitalisations per person-years).
DiscussionTo the authors' knowledge, this study is the first to characterize in detail the administration of adult CHD speciality care to an underserved population in a public health system. In this cohort of patients, we found a high proportion of non-White, non-English speaking, and uninsured patients. Additionally, a high proportion presented with unrepaired primary lesions. This latter finding is consistent with previous data showing that patients with lower socio-economic status and public insurance were less likely to have a prenatal diagnosis of a critical CHD.Reference Davey, Sinha, Lee, Gauthier and Flores3,Reference Peiris, Singh, Tworetzky, Chong, Gauvreau and Brown8
Overall adherence to guideline-recommended clinical visits, echocardiographic, and electrocardiographic surveillance was high regardless of insurance status, primary language, or White versus non-White race. Over three-fourths of the study population received guideline-recommended adult CHD visits and over half received guideline-recommended echocardiograms and electrocardiograms over the duration of the study period, which included the start of the COVID-19 pandemic. Socio-economic status and financial hardship can be associated with adverse outcomes, financial distress, and delays in care in the adult CHD population.Reference Davey, Sinha, Lee, Gauthier and Flores3,Reference Diller, Inuzuka and Kempny4,Reference Ludomirsky, Bucholz and Newburger9 Through this lens, these results suggest an effective safety net for a vulnerable population. Indeed, frequency of preventative surveillance was not found to be associated with insurance status or primary language.
It is notable that adherence to guideline-recommended surveillance was negatively associated with more advanced physiological stage. A similar finding was noted in a study from Oregon that demonstrated low rates of guideline adherence among patients with high anatomic complexity. In that study, 13.4% of patients with Eisenmenger syndrome/cyanosis, single ventricle/Fontan, or transposition of the great arteries seen at a speciality centre were found to have had guideline-indicated echocardiograms.Reference Khan, McGrath, Ramsey, Agarwal and Broberg10
There are a few potential explanations for this. On the one hand, an advanced physiological stage, which is to say worse clinical status, may result from missed preventative care. The no-show rate in the speciality clinic is 33%. On the other hand, the ACC/AHA Guidelines advise more frequent surveillance in those with advanced physiological stages. Adherence to a more rigorous schedule might be more difficult for both patient and provider, as well as the healthcare system itself, which must accommodate more frequent examinations.Reference Stout, Daniels and Aboulhosn7 The challenges may quickly compound for patients. Adult CHD patients with complex lesions can face particular difficulty with employment and insurability.Reference Ladouceur, Iserin, Cohen, Legendre, Boudjemline and Bonnet11,Reference Karsenty, Maury and Blot-Souletie12 Our findings suggest that patients with more advanced physiologic stages would benefit from more attention and more dedicated resources to ensure timely and appropriate care.
It is notable also that in 36 of 146 patients with unrepaired defects, a quarter were left unrepaired when a repair was indicated. This may have been due in part to loss of follow-up, but focused efforts are warranted to ensure necessary procedures are completed when indicated.
While collaboration with the affiliated Adult Congenital Heart Association-accredited Comprehensive Care Center was utilised in a minority of cases, this collaboration is considered essential. Beyond transfer of care for complex procedures, numerous non-quantifiable benefits undoubtedly arose from this collaboration. Consultative advice could be sought from specialists at the private academic centre; patients could be presented at multidisciplinary CHD medical-surgical conference; and nurse practitioners employed by the affiliated private hospital could on occasion assist in patient care. These factors all contributed to the success of the safety net clinic. Notably, the accessibility of the Comprehensive Care Center did not correlate with any of the identified socio-economic factors, suggesting the centre served as an unbiased support to the public clinic.
LimitationsThere are several important study limitations. As a single-centre study, findings may not be generalisable to other safety net hospital systems. Data on mortality could not be obtained since a high proportion of the patients seen in the NYC Health + Hospitals Corporation clinic were undocumented and there was also a lack of data from outside hospitals and home deaths. One mortality was recorded within the NYC Health + Hospitals Corporation system for an adult CHD clinic patient during the study period. The study was also limited to patients who had at least one visit to the adult CHD speciality clinic; individuals who were not established in the speciality clinic were not included in the data set. Due to the incomplete diagnosis coding in the electronic medical record, a comprehensive list of adults with CHD in the NYC Health + Hospitals Corporation seen outside this speciality clinic was unable to be obtained. Additionally, the referral and enrollment processes were not accounted for and may have biased the population's anatomic complexity or clinical status. Another limitation is that this study was underpowered in regards to demonstrating a difference between adherence and outcomes including rates of hospitalisations and emergency department visits, and future studies should be designed with this population in mind for further investigation. Finally, it should be noted that this study also coincided with the COVID-19 pandemic and patients may have had increased difficulty accessing services during the study period.
ConclusionIn this public hospital adult CHD clinic, a high proportion of patients were uninsured, non-White, non-English speaking, and presenting with unrepaired primary defects. Despite socio-economic barriers and the high resource utilization of the adult CHD population as a whole, guideline-recommended surveillance was administered to the majority of patients. Collaboration with the affiliated Comprehensive Care Center was utilised for 28% of patients and 13% of invasive procedures. Particular attention and resources must be dedicated to patients with advanced physiologic stage to ensure appropriate surveillance. These results can inform the provision of adult CHD care in other public health system settings.
Pulmonary Arterial Hypertension Market Size Valuation Will Exceed USD 11.35 Billion By 2032, At 5.0% CAGR: Polaris Market Research
NEW YORK, Nov. 29, 2023 /PRNewswire/ -- A latest research report [110+] pages with 360-Degree visibility, titled "Pulmonary Arterial Hypertension Market Share, Size, Trends, Industry Analysis Report, By Type (Generics, Branded); By Drug Class; By Route of Administration; By Region; Segment Forecast, 2023 - 2032" published by Polaris Market Research in its research repository.
According to research report, the global pulmonary arterial hypertension market size valuation is predicted to grow from USD 7.00 billion in 2022 to USD 11.35 billion in 2032. It is anticipated to grow at a Compound Annual Growth Rate (CAGR) of 5.0% from 2023 to 2032, according to the latest report by Polaris Market Research.
What is Pulmonary Arterial Hypertension? What is the Market Size for Pulmonary Arterial Hypertension?
Pulmonary arterial hypertension is a kind of excessive blood pressure that impacts the arteries in the lungs in the right margin of the heart. In this, blood vessels in the lungs are constricted, plugged, or demolished. The injury retards blood flow through the lungs. Blood pressure in the lung artery shoots up. The heart must work energetically to pump blood through the lungs. The additional endeavor, in due course, engenders the heart muscles to render weak or stop. The rapidly rising demand for the pulmonary arterial hypertension market can be attributed to the fact the medications such as Pulmonary vasodilators cure PAH and CTPEH. They cannot be utilized for other kinds of PH involving those created by basal heart or lung problems, but they assist pulmonary arteries relax.
The pulmonary arterial hypertension market growth can be attributed to the growing prevalence of cardiovascular illnesses and arterial hypertension. Additionally, the escalating geriatric population, which is more accustomed to idiopathic pulmonary arterial hypertension (IPAH) and associated pulmonary arterial hypertension (APAH), is pushing market expansion. Immoderate alcohol intake, a shortage of physical activity, and damaging dietary options have all subscribed to an escalation in the probability of hypertension and elevated blood pressure.
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Which is the Largest Pulmonary Arterial Hypertension Players in the World?
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Important Highlights from the Report
Pulmonary Arterial Hypertension Market Details
Report Attributes
Details
Market value in 2023
USD 7.33 billion
Market value in 2032
USD 11.35 billion
CAGR
5.0% from 2023-2032
Base year
2022
Historical data
2019-2021
Forecast period
2023-2032
Market's Prime Determinants of Growth, Trends, and Opportunities
Growth Drivers
Increasing cases of cardiac disorder: Pulmonary arterial hypertension (PAH) is distinguished as an uncommon condition with a proportionally low worldwide existence of roughly 15 to 50 cases per million people, recommending that only a handful of persons in a given population are determined with PAH. The pulmonary arterial hypertension market size is expanding as the increasing aggregate of contemporary cases declared each year capitulates within a scope of 100,000 to 200,000 globally. PAH can also be linked with other primary illnesses frequently contemplated as a grave lung and cardiac disorder. For instance, persons with conditions such as chronic obstructive pulmonary disease (COPD), interstitial lung disease, or pulmonary fibrosis encounter an escalated probability of emerging PAH. Congenital heart effects such as atrial septal defect or ventricular septal defect can also assist in PAH advancement.
Enhanced healthcare framework: Additionally, fundamental elements such as coronary artery disease, lung blood clots, and hypertension can be probable source of PAH. The pulmonary arterial hypertension market sales are soaring as it is necessary to identify that while these situations may escalate the probability of PAH, not everybody with these probability elements will develop this disorder. The correct processes by which PAH advances are yet in the developmental phases. Other elements, such as evolved public consciousness of possible treatment alternatives for transmitted pulmonary arterial hypertension and enhanced healthcare framework globally, are likely to propel the market.
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Trends and Opportunities
Research and Development: The augmentation of the market is pushed by elements such as the growing pervasiveness of pulmonary artery hypertension, escalated consciousness about its cure, and the increasing geriatric population. Additionally, the market is anticipated to take advantage from growing research and development endeavors by prominent industry players, offering alluring funding opportunities. Notable market players are rendering sizeable funding in the instigation of contemporary products and inventions to offer more accurate treatment alternatives. For instance, in February 2021, United Therapeutics acquired a license for a Remunity pump for Remodulin, a cure for pulmonary arterial hypertension.
Segmental Analysis
Based on drug class, the Prostacyclin and Prostacyclin Analogs segment witnessed the highest surge as an outcome of robust demand and dilating symptoms. The pulmonary arterial hypertension market demand is on the rise as the SGS stimulator segment is confident of encountering the speediest growth with a CAGR surpassing 5%. SGC boosters have the capacity to improvise NO-sGC gesturing and maximize sGC actuation. In this grouping, Adempas by Bayer, exemplified by Riociguat, stays as the only drug accepted for curing PAH. The notable upswing in Adempas sales in 2020, surpassing a 50% escalation as juxtaposed to 2019, highlights the sizeable demand in this segment.
Based on the route of administration, the oral segment dominated the market. The pulmonary arterial hypertension market trends include the growing attendance of oral expression for pulmonary arterial hypertension and the partiality of patients for oral management. For instance, Opsumit tablets from Johnson & Johnson attained aggregate sales of USD 1.6 billion in 2020, mirroring a 23.5% year-on-year development juxtaposed to 2019. Additionally, elements such as patient security, productiveness, accessibility, and speedy delivery of drugs are assisting to the escalated acquisition of oral drug management.
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Regional Insights
Which Country has the Largest Cases of Pulmonary Arterial Hypertension?
North America: The region held the largest pulmonary arterial hypertension market share because of the entrenched healthcare framework in the US and Canada sanctioning progressive therapeutic obtainability. Further growing consciousness, an escalated scope of detection, and government capability that confer reinforcement additionally push market growth in the region. A well detailed compensated system and the prevalence of important industry players also enact important part in augmentation of the regional market. The growing cases of detrimental and contagious illnesses, together with an escalated diagnostic estimation, are pushing the demand for progressive healthcare provisions concerning pulmonary arterial hypertension in the North American region.
Asia Pacific: The region is confident of encountering the speediest compound CAGR. This can be credited to the growing usage of generic medications, the existence of prominent pharmaceutical organizations, and the advancement of the healthcare framework. For instance, in April 2019, Cipla, whose central station was in India, obtained FDA consent in the US for Ambrisentan Tablets, a generic variety of Gilead Sciences' Letairis. This consent dilated the firm's [product portfolio. Additionally, the Asia Pacific region, with its sizeable population and the increasing weight of illnesses such as HIV, can cause PAH.
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Key Questions Answered in the Report
Polaris Market Research has segmented the Pulmonary Arterial Hypertension market report based on type, drug class, route of administration, and region:
Pulmonary Arterial Hypertension, Type Outlook (Revenue - USD Billion, 2019 - 2032)
Pulmonary Arterial Hypertension, Drug Class Outlook (Revenue - USD Billion, 2019 - 2032)
Pulmonary Arterial Hypertension, Route of Administration Outlook (Revenue - USD Billion, 2019 - 2032)
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Polaris Market Research is a global market research and consulting company. The company specializes in providing exceptional market intelligence and in-depth business research services for PMR's clientele spread across different enterprises. We at Polaris are obliged to serve PMR's diverse customer base present across the industries of healthcare, technology, semi-conductors and chemicals among various other industries present around the world. We strive to provide PMR's customers with updated information on innovative technologies, high growth markets, emerging business environments and latest business-centric applications, thereby helping them always to make informed decisions and leverage new opportunities. Adept with a highly competent, experienced and extremely qualified team of experts comprising SMEs, analysts and consultants, we at Polaris endeavor to deliver value-added business solutions to PMR's customers.
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