A new era in the management of pulmonary arterial hypertension related to scleroderma: endothelin receptor antagonism

被引:49
作者
Hachulla, E
Coghlan, JG
机构
[1] Ctr Hosp Reg & Univ Lille, Hop Claude Huriez, Serv Med Interne, F-59037 Lille, France
[2] Royal Free Hosp, Dept Cardiol, London NW3 2QG, England
关键词
D O I
10.1136/ard.2003.017673
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Evidence suggests that endothelin may have a fundamental role in scleroderma pathogenesis, including pulmonary arterial hypertension (PAH)-a leading cause of death in patients with scleroderma. Development of a new class of drug, endothelin receptor antagonists, heralds an improved outlook for patients with scleroderma and related diseases. Heightened vigilance towards early detection of PAH in scleroderma and a multidisciplinary approach to diagnosis and treatment may improve clinical outcomes for these patients.
引用
收藏
页码:1009 / 1014
页数:6
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