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Bosentan Therapy in Patients With Eisenmenger Syndrome
Author(s) -
Nazzareno Galiè,
Maurice Beghetti,
Michael Α. Gatzoulis,
John Granton,
Rolf M.F. Berger,
Andrea Lauer,
Eleonora Chiossi,
Michael J. Landzberg
Publication year - 2006
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.106.630715
Subject(s) - bosentan , medicine , endothelin receptor antagonist , cardiology , vascular resistance , sildenafil , pulmonary hypertension , placebo , anesthesia , blood pressure , endothelin receptor , alternative medicine , pathology , receptor
Eisenmenger syndrome is characterized by the development of pulmonary arterial hypertension with consequent intracardiac right-to-left shunt and hypoxemia in patients with preexisting congenital heart disease. Because Eisenmenger syndrome is associated with increased endothelin expression, patients may benefit from endothelin receptor antagonism. Theoretically, interventions that have some effect on the systemic vascular bed could worsen the shunt and increase hypoxemia.

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