Efficacy of immunosuppressants with bridge vasodilator therapy in severe lupus erythematosus‐associated pulmonary arterial hypertension
Identifieur interne : 000851 ( Main/Exploration ); précédent : 000850; suivant : 000852Efficacy of immunosuppressants with bridge vasodilator therapy in severe lupus erythematosus‐associated pulmonary arterial hypertension
Auteurs : Sébastien Sanges ; Laurent Savale ; Nicolas Lamblin ; Martine Rémy-Jardin ; Marc Humbert ; Vincent SobanskiSource :
- ESC Heart Failure [ 2055-5822 ] ; 2019.
Abstract
Optimal management of
Url:
DOI: 10.1002/ehf2.12507
PubMed: 31536678
PubMed Central: 6989275
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en"><title>Abstract</title>
<p>Optimal management of <italic>systemic lupus erythematosus</italic>
(SLE)‐associated pulmonary arterial hypertension (PAH) remains unclear. Our observation describes the case of a 31‐year‐old SLE patient presenting with cardiogenic shock revealing severe PAH, in which a therapeutic scheme combining immunosuppressants (pulse cyclophosphamide and corticosteroids) and PAH‐specific drugs (bosentan, tadalafil, and epoprostenol) led to a complete normalization of pulmonary haemodynamics and allowed a progressive weaning of PAH vasodilators. This case report supports the efficacy of immunosuppressants and use of PAH‐specific therapy as a bridge therapy in severe SLE‐PAH. Further studies on larger population are required to confirm these findings.</p>
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<name sortKey="Sanges, Sebastien" sort="Sanges, Sebastien" uniqKey="Sanges S" first="Sébastien" last="Sanges">Sébastien Sanges</name>
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