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Effects of low doses of aerosolized iloprost combined with tadalafil in treatment of adult congenital heart disease with severe pulmonary arterial hypertension 被引量:3

Effects of low doses of aerosolized iloprost combined with tadalafil in treatment of adult congenital heart disease with severe pulmonary arterial hypertension
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摘要 Pulmonary arterial hypertension (PAH) is a common and serious complication of congenital heart disease (CHD).Many studies have confirmed that the prostacyclin analogues,5-phosphodiesterase (PDE-5) inhibitors,and endothelin receptor antagonists,were safe and effective in the treatment for PAH due to CHD.1,2 But whether the combination of targeted PAH therapy drugs provides similar synergistic effects is still controversial.1,2 Therefore,we investigated whether adult patients with severe PAH secondary to CHD would benefit from iloprost combined with low-dose tadalafil. Pulmonary arterial hypertension (PAH) is a common and serious complication of congenital heart disease (CHD).Many studies have confirmed that the prostacyclin analogues,5-phosphodiesterase (PDE-5) inhibitors,and endothelin receptor antagonists,were safe and effective in the treatment for PAH due to CHD.1,2 But whether the combination of targeted PAH therapy drugs provides similar synergistic effects is still controversial.1,2 Therefore,we investigated whether adult patients with severe PAH secondary to CHD would benefit from iloprost combined with low-dose tadalafil.
出处 《Chinese Medical Journal》 SCIE CAS CSCD 2014年第5期975-977,共3页 中华医学杂志(英文版)
关键词 congehital heart disease pulmonary arterial hypertension iloprost tadalafil congehital heart disease pulmonary arterial hypertension iloprost, tadalafil
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  • 1McLaughlin VV,Archer SL,Badesch DB,Barst RJ,Farber HW,Lindner JR,et al. ACCF/AHA 2009 expert consensus document on pulmonary hypertension:a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents and the American Heart Association:developed in collaboration with the American College of Chest Physicians,American Thoracic Society,Inc. ,and the Pulmonary Hypertension Association. Circulation 2009; 119:2250-2294.
  • 2Galiè N,Hoeper MM,Humbert M,Torbicki A,Vachiery JL,Barbera JA,et al. Guidelines for the diagnosis and treatment of pulmonary hypertension:the Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS),endorsed by the International Society of Heart and Lung Transplantation (ISHLT). Eur Heart J 2009; 30:2493-2537.
  • 3Caojin Z,Yigao H,Tao H,Wenhui H,Chunli X,Xinsheng H. Comparison of acute hemodynamic effects of aerosolized iloprost and inhaled nitric oxide in adult congenital heart disease with severe pulmonary arterial hypertension. Intern Med 2012;51:2857-2862.
  • 4Sun Y J,Xiong CM,Shan GL,Gu Q,Zeng W J,Lu XL,et al. Inhaled low-dose iloprost for pulmonary hypertension:a prospective,multicenter,open-label Study. Clin Cardiol 2012;35:365-370.
  • 5Kawald A,Burmester GR,Huscher D,Sunderk(o)tter C,Riemekasten G. Low versus high-dose iloprost therapy over 21 days in patients with secondary Raynaud's phenomenon and systemic sclerosis:a randomized,open,singlecenter study. J Rheumatol 2008; 35:1830-1837.

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