학술논문

A patient with severe idiopathic pulmonary arterial hypertension: Is there a way out?
Document Type
article
Source
Терапевтический архив, Vol 89, Iss 9, Pp 100-103 (2017)
Subject
idiopathic pulmonary arterial hypertension
combined therapy
riociguat
bosentan
macitentan
Medicine
Language
Russian
ISSN
0040-3660
2309-5342
Abstract
The paper considers a clinical example of current therapy for idiopathic pulmonary arterial hypertension in a female patient with its clinical deterioration. It shows the tactics of switching from one drug (bosentan) to others (macitentan) within in the same pathogenetic therapy group (endothelin receptor antagonists). The latest pulmonary hypertension classification (Nice, 2013) is presented. The current strategies of pathogenetic therapy for pulmonary hypertension are discussed.