Case report: a patient with pulmonary arterial hypertension transitioning from a PDE-5 inhibitor to Riociguat

被引:7
|
作者
Poch, David S. [1 ]
机构
[1] Univ Calif San Diego, Div Pulm Crit Care & Sleep Med, San Diego, CA 92103 USA
来源
BMC PULMONARY MEDICINE | 2016年 / 16卷
关键词
Pulmonary arterial hypertension; sGC stimulators; Cyclic guanosine monophosphate; Chronic thromboembolic pulmonary hypertension;
D O I
10.1186/s12890-016-0229-x
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Background: We present here the case of a patient with pulmonary arterial hypertension and NYHA Class II symptoms who transitioned from PDE-5i therapy to riociguat. No protocol currently exists for transitioning between these PAH medications. Case presentation: A 59-year old male with a history of anorexigen use initially presented in 2008 and was felt to have non-operable small vessel disease. His care was transitioned to our center after insurance would not cover high-dose sildenafil in addition to ERA therapy. Conclusion: This case demonstrates a safe and successful transition from higher dose PDE-5is to riociguat with no interruption in therapy.
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页数:4
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