Thiazolidinedione associated volume overload and pulmonary hypertension
Author(s) -
Jeffrey E. Michaelson
Publication year - 2008
Publication title -
therapeutic advances in cardiovascular disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.164
H-Index - 33
eISSN - 1753-9455
pISSN - 1753-9447
DOI - 10.1177/1753944708093413
Subject(s) - medicine , thiazolidinedione , rosiglitazone , pulmonary hypertension , volume overload , diabetes mellitus , type 2 diabetes , cardiology , adverse effect , type 2 diabetes mellitus , heart failure , intensive care medicine , endocrinology
Thiazolidinediones are currently indicated for the treatment of Type 2 Diabetes. This class of drugs has been associated with several adverse reactions associated with volume overload. This report describes a case of a 65 year old African—American female with a history of hypertension and obesity, and taking rosiglitazone (Avandia) for her Type 2 Diabetes whose evaluation for chest pain resulted in the incidental finding of pulmonary hypertension noted on echocardiogram. The subsequent evaluation, follow-up and treatment are discussed along with potential pitfalls and implications for clinical care.
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