A Comparison of Continuous Intravenous Epoprostenol (Prostacyclin) with Conventional Therapy for Primary Pulmonary Hypertension

Primary pulmonary hypertension is a disease characterized by the progressive elevation of pulmonary-artery pressure and vascular resistance, ultimately producing right ventricular failure and death. 1 – 3 A variety of treatments have been used, including vasodilators, 4 – 7 anticoagulant agents, 6 ,...

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Veröffentlicht in:The New England journal of medicine 1996-02, Vol.334 (5), p.296-301
Hauptverfasser: Barst, Robyn J, Rubin, Lewis J, Long, Walker A, McGoon, Michael D, Rich, Stuart, Badesch, David B, Groves, Bertron M, Tapson, Victor F, Bourge, Robert C, Brundage, Bruce H, Koerner, Spencer K, Langleben, David, Keller, Cesar A, Murali, Srinivas, Uretsky, Barry F, Clayton, Linda M, Jöbsis, Maria M, Blackburn, Shelmer D, Shortino, Denise, Crow, James W
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container_end_page 301
container_issue 5
container_start_page 296
container_title The New England journal of medicine
container_volume 334
creator Barst, Robyn J
Rubin, Lewis J
Long, Walker A
McGoon, Michael D
Rich, Stuart
Badesch, David B
Groves, Bertron M
Tapson, Victor F
Bourge, Robert C
Brundage, Bruce H
Koerner, Spencer K
Langleben, David
Keller, Cesar A
Murali, Srinivas
Uretsky, Barry F
Clayton, Linda M
Jöbsis, Maria M
Blackburn, Shelmer D
Shortino, Denise
Crow, James W
description Primary pulmonary hypertension is a disease characterized by the progressive elevation of pulmonary-artery pressure and vascular resistance, ultimately producing right ventricular failure and death. 1 – 3 A variety of treatments have been used, including vasodilators, 4 – 7 anticoagulant agents, 6 , 8 and lung or heart–lung transplantation, 9 – 13 but none have resulted in improved survival in a prospective, randomized trial. Epoprostenol (formerly called prostacyclin or prostaglandin I 2 ) is a potent, short-acting vasodilator and inhibitor of platelet aggregation that is produced by vascular endothelium. Short-term infusions of epoprostenol decrease pulmonary vascular resistance in a dose-dependent manner in patients with primary pulmonary hypertension, and . . .
doi_str_mv 10.1056/NEJM199602013340504
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subjects Adult
Anticoagulants - therapeutic use
Biological and medical sciences
Cardiovascular system
Drug Administration Schedule
Drug therapy
Epoprostenol - administration & dosage
Epoprostenol - adverse effects
Exercise Tolerance - drug effects
Female
Hemodynamics - drug effects
Humans
Hypertension
Hypertension, Pulmonary - drug therapy
Hypertension, Pulmonary - mortality
Hypertension, Pulmonary - therapy
Infusions, Intravenous
Male
Medical research
Medical sciences
Miscellaneous
Pharmacology. Drug treatments
Platelet Aggregation Inhibitors - administration & dosage
Platelet Aggregation Inhibitors - adverse effects
Prospective Studies
Survival Analysis
Treatment Outcome
Vasodilator Agents - therapeutic use
title A Comparison of Continuous Intravenous Epoprostenol (Prostacyclin) with Conventional Therapy for Primary Pulmonary Hypertension
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