Use of a nonselective endothelin receptor antagonist in idiopathic pulmonary hypertension


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Abstract

Idiopathic (primary) pulmonary hypertension (IPH) is a rare disease of unknown etiology, which is characterized by elevated pulmonary artery pressure, increased total pulmonary vascular resistance, frequently a malignant course with evolving right ventricular decompensation, and a fatal outcome. The diagnosis of IPH is established on the increments in the mean resting and exercise pulmonary artery trunk pressure by more than 25 and more than 30 mm Hg at rest and during exercise, respectively, with a normal pulmonary artery wedge pressure.
Endothelin receptor antagonists (ERA) are one of the effective classes of drugs for the treatment of patients with IPH. Bosentan is the first drug from the ERA class that blocks the receptors of both types and that has been recommended by the WHO to treat patients with functional class II-IV pulmonary hypertension.
The described case demonstrates the possibility of concomitantly using bosentan in a female patient with IPH shortly after ineffective treatment with a calcium antagonist.

About the authors

Ol'ga Aleksandrovna Arkhipova

ФГУ "Российский кардиологический научно-производственный комплекс" Росмедтехнологий

аспирант, отд. системных гипертензий, тел.: 8-495-414-60-03; ФГУ "Российский кардиологический научно-производственный комплекс" Росмедтехнологий

Tamila Vital'evna Martynyuk

ФГУ "Российский кардиологический научно-производственный комплекс" Росмедтехнологий

канд. мед. наук, зав., 5 к/о, тел.: 8-495-414-64-50; ФГУ "Российский кардиологический научно-производственный комплекс" Росмедтехнологий

Valentina Kirillovna Lazutkina

ФГУ "Российский кардиологический научно-производственный комплекс" Росмедтехнологий

канд. мед. наук, врач-рентгенолог, тел.: 8-495-414-62-98; ФГУ "Российский кардиологический научно-производственный комплекс" Росмедтехнологий

Dil'bar Mukumovna Ataullakhanova

ФГУ "Российский кардиологический научно-производственный комплекс" Росмедтехнологий

науч. сотр., отд. новых методов диагностики, тел.: 8-495-414-63-20; ФГУ "Российский кардиологический научно-производственный комплекс" Росмедтехнологий

Ol'ga Vladimirovna Stukalova

ФГУ "Российский кардиологический научно-производственный комплекс" Росмедтехнологий

канд. мед. наук, ст. науч. сотр., отд. томографии, тел.: 8-495-414-64-82; ФГУ "Российский кардиологический научно-производственный комплекс" Росмедтехнологий

Nikolay Mikhaylovich Danilov

ФГУ "Российский кардиологический научно-производственный комплекс" Росмедтехнологий

канд. мед. наук, науч. сотр., отд. системных гипертензий, тел.: 8-495-414-68-34; ФГУ "Российский кардиологический научно-производственный комплекс" Росмедтехнологий

Lyudmila Evgen'evna Samoylenko

ФГУ "Российский кардиологический научно-производственный комплекс" Росмедтехнологий

д-р мед. наук, вед. науч. сотр., отд. радиоизотопных методов диагностики и лечения, тел.: 8-495-414-64-19; ФГУ "Российский кардиологический научно-производственный комплекс" Росмедтехнологий

Irina Evgen'evna Chazova

ФГУ "Российский кардиологический научно-производственный комплекс" Росмедтехнологий

д-р мед. наук, проф., рук. отд. системных гипертензий, тел.: 8-495-414-63-05; ФГУ "Российский кардиологический научно-производственный комплекс" Росмедтехнологий

O A Arkhipova

Russian Cardiology Research-and-Production Complex, Russian Agency for Medical Technologies

Russian Cardiology Research-and-Production Complex, Russian Agency for Medical Technologies

T V Martynyuk

Russian Cardiology Research-and-Production Complex, Russian Agency for Medical Technologies

Russian Cardiology Research-and-Production Complex, Russian Agency for Medical Technologies

V K Lazutkina

Russian Cardiology Research-and-Production Complex, Russian Agency for Medical Technologies

Russian Cardiology Research-and-Production Complex, Russian Agency for Medical Technologies

D M Ataullakhanova

Russian Cardiology Research-and-Production Complex, Russian Agency for Medical Technologies

Russian Cardiology Research-and-Production Complex, Russian Agency for Medical Technologies

O V Stukalova

Russian Cardiology Research-and-Production Complex, Russian Agency for Medical Technologies

Russian Cardiology Research-and-Production Complex, Russian Agency for Medical Technologies

N M Danilov

Russian Cardiology Research-and-Production Complex, Russian Agency for Medical Technologies

Russian Cardiology Research-and-Production Complex, Russian Agency for Medical Technologies

L E Samoilenko

Russian Cardiology Research-and-Production Complex, Russian Agency for Medical Technologies

Russian Cardiology Research-and-Production Complex, Russian Agency for Medical Technologies

I E Chazova

Russian Cardiology Research-and-Production Complex, Russian Agency for Medical Technologies

Russian Cardiology Research-and-Production Complex, Russian Agency for Medical Technologies

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