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Other forms of PH such as PH associated with cardiac or respiratory disease are more common, less well\u2010understood and associated with higher mortality. Epidemiology of PH in disadvantaged, remote and rural regions, remains largely undocumented. In this review, we discuss the unique challenges in identifying PH in rural and disadvantaged populations using the Top End region of the Northern Territory of Australia as an example. We propose a simple diagnostic approach, ideally suited to regions where resource allocation is scarce, using clinical skills, echocardiography, and an escalation algorithm. The brief history, epidemiology and current literature on PH are summarised to inform the busy clinicians. We highlight two case examples from the Top End to illustrate the challenges and potential solutions.<\/jats:p>","DOI":"10.1111\/imj.15860","type":"journal-article","created":{"date-parts":[[2022,6,28]],"date-time":"2022-06-28T07:36:15Z","timestamp":1656401775000},"page":"12-20","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Pulmonary hypertension in remote and disadvantaged population: overcoming unique challenges for improved outcomes"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6384-7215","authenticated-orcid":false,"given":"Pyi","family":"Naing","sequence":"first","affiliation":[{"name":"University of Notre Dame Australia  Fremantle Western Australia Australia"},{"name":"Flinders University  Adelaide South Australia Australia"},{"name":"The Prince Charles Hospital  Brisbane Queensland Australia"},{"name":"Royal Darwin Hospital, Top End Health Service  Darwin Northern 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