The challenge of managing pulmonary arterial hypertension in adults with congenital heart disease

被引:12
|
作者
Radke, Robert M. [1 ]
Diller, Gerhard-Paul [1 ]
Baumgartner, Helmut [1 ]
机构
[1] Univ Hosp Munster, Adult Congenital & Valvular Heart Dis Ctr, Dept Cardiol & Angiol, Munster, Germany
关键词
bosentan; congenital heart disease; disease-targeting therapies; Eisenmenger syndrome; endothelin receptor antagonists; phosphodiesterase-inhibitors; pulmonary arterial hypertension; shunt lesions; sildenafil;
D O I
10.1586/14779072.2013.811966
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A significant number of adult patients with congenital heart disease suffer from pulmonary arterial hypertension leading to a markedly increased morbidity and mortality. Some defects may be eligible for operative or interventional repair in adulthood but careful selection of candidates is crucial. With the emergence of disease-targeting therapies, symptomatic improvement and stabilization have become possible while the impact on survival currently remains unclear.
引用
收藏
页码:919 / 931
页数:13
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