Bosentan Ameliorated Exercise-Induced Pulmonary Arterial Hypertension Complicated with Systemic Sclerosis

  • Yagi Shusuke
    Department of Cardiovascular Medicine, The University of Tokushima Graduate School of Health Biosciences
  • Akaike Masashi
    Department of Cardiovascular Medicine, The University of Tokushima Graduate School of Health Biosciences
  • Iwase Takashi
    Department of Cardiovascular Medicine, The University of Tokushima Graduate School of Health Biosciences
  • Kusunose Kenya
    Department of Cardiovascular Medicine, The University of Tokushima Graduate School of Health Biosciences
  • Niki Toshiyuki
    Department of Cardiovascular Medicine, The University of Tokushima Graduate School of Health Biosciences
  • Yamaguchi Koji
    Department of Cardiovascular Medicine, The University of Tokushima Graduate School of Health Biosciences
  • Koshiba Kunihiko
    Department of Cardiovascular Medicine, The University of Tokushima Graduate School of Health Biosciences
  • Yoshida Sumiko
    Department of Medicine and Bioregulatory Sciences, The University of Tokushima Graduate School of Health Biosciences
  • Sumitomo-Ueda Yuka
    Department of Medicine and Bioregulatory Sciences, The University of Tokushima Graduate School of Health Biosciences
  • Aihara Ken-ichi
    Department of Medicine and Bioregulatory Sciences, The University of Tokushima Graduate School of Health Biosciences
  • Hirata Yoichiro
    Department of Cardiovascular Medicine, The University of Tokushima Graduate School of Health Biosciences
  • Dagvasumberel Munkhbaatar
    Department of Cardiovascular Medicine, The University of Tokushima Graduate School of Health Biosciences
  • Taketani Yoshio
    Department of Cardiovascular Medicine, The University of Tokushima Graduate School of Health Biosciences
  • Tomita Noriko
    Department of Cardiovascular Medicine, The University of Tokushima Graduate School of Health Biosciences
  • Yamada Hirotsugu
    Department of Cardiovascular Medicine, The University of Tokushima Graduate School of Health Biosciences
  • Soeki Takeshi
    Department of Cardiovascular Medicine, The University of Tokushima Graduate School of Health Biosciences
  • Wakatsuki Tetsuzo
    Department of Cardiovascular Medicine, The University of Tokushima Graduate School of Health Biosciences
  • Matsumoto Toshio
    Department of Medicine and Bioregulatory Sciences, The University of Tokushima Graduate School of Health Biosciences
  • Sata Masataka
    Department of Cardiovascular Medicine, The University of Tokushima Graduate School of Health Biosciences

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抄録

Pulmonary arterial hypertension (PAH) is a frequent complication in patients with systemic sclerosis. Bosentan is used in patients with symptomatic PAH; however, it has not been established whether or not bosentan ameliorates the progression of PAH in patients with no PAH-related symptoms.<br> We present a case of systemic sclerosis with no PAH-related symptoms in which bosentan ameliorated exercise-induced PAH evaluated by 6-minute walk stress echocardiography, brachial flow-mediated dilation, and skin temperature of hands and feet. The results suggest that administration of bosentan in patients with early-stage PAH ameliorates pulmonary arterial vasodilatation through improvement of endothelial function.<br>

収録刊行物

  • Internal Medicine

    Internal Medicine 49 (21), 2309-2312, 2010

    一般社団法人 日本内科学会

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