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01.09.2010 | Original Paper

Standard PAH therapy improves long term survival in CTEPH patients

verfasst von: Hans-Juergen Seyfarth, Michael Halank, Heinrike Wilkens, Hans-Joachim Schäfers, Ralf Ewert, Martin Riedel, Ernst Schuster, Hans Pankau, Stefan Hammerschmidt, Hubert Wirtz

Erschienen in: Clinical Research in Cardiology | Ausgabe 9/2010

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Abstract

Background

Chronic thromboembolic pulmonary hypertension (CTEPH), subsequent to pulmonary embolism is a relatively frequent cause of pulmonary hypertension. Similar to patients with pulmonary arterial hypertension (PAH), CTEPH carries a poor prognosis. There is no hard evidence for any other therapy except pulmonary endarterectomy and none for those patients that are not eligible for this procedure.

Patients and methods

Fifty patients with confirmed, inoperable CTEPH receiving specific vasodilative therapy (prostanoids, endothelin receptor antagonists, PDE 5-inhibitors or combination) were included in this retrospective study (mean age 55 years, range 16–76 years; 36 female, 14 male). Kaplan–Meier plots of these patients were compared with Kaplan–Meier plots of two historical CTEPH patient groups without any specific vasodilative treatment by log rank tests.

Results

CTEPH patients treated with specific vasodilative compounds as used for therapy of PAH were followed up for 52 ± 30 months and had a significantly improved survival compared with patients treated without PAH type vasodilators (p ≤ 0.0002).

Conclusion

Our data may generate the hypothesis that specific vasodilative treatment improves outcome in patients with inoperable CTEPH.

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Titel: Standard PAH therapy improves long term survival in CTEPH patients
verfasst von: Hans-Juergen Seyfarth
Michael Halank
Heinrike Wilkens
Hans-Joachim Schäfers
Ralf Ewert
Martin Riedel
Ernst Schuster
Hans Pankau
Stefan Hammerschmidt
Hubert Wirtz
Publikationsdatum: 01.09.2010
Verlag: Springer-Verlag
Erschienen in: Clinical Research in Cardiology / Ausgabe 9/2010
Print ISSN: 1861-0684
Elektronische ISSN: 1861-0692
DOI: https://doi.org/10.1007/s00392-010-0156-4

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Standard PAH therapy improves long term survival in CTEPH patients