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Effects and problems of continuous infusion of epoprostenol for patients with primary pulmonary hypertension.
Author: DemachiJun, IkedaJun, KitamukaiOsamu, NawataJun, SakumaMasahito, ShiratoKunio, TakahashiTohru
Original Abstract of the Article :
OBJECTIVE: We examined the usefulness and the problems of epoprostenol (Epo) therapy in adult Japanese with primary pulmonary hypertension (PPH). SUBJECTS AND METHODS: In eleven cases with PPH, both acute and chronic effects, and clinical effects of Epo were assessed. RESULTS: In the acute challen...See full text at original site
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引用元:
https://doi.org/10.2169/internalmedicine.41.784
データ提供:米国国立医学図書館(NLM)
The Effectiveness of Epoprostenol in Treating Primary Pulmonary Hypertension
In the vast desert of medical research, we are constantly searching for oases of knowledge, and this study is one such oasis. It investigates the effectiveness of epoprostenol (Epo) in treating primary pulmonary hypertension (PPH), a condition that restricts blood flow through the lungs and can be as challenging to navigate as traversing a treacherous sandstorm. This study employed a combination of acute and chronic approaches to assess the effects of Epo on patients with PPH. The researchers found that Epo therapy led to a reduction in both systemic and pulmonary vascular resistance, increasing cardiac output. Epo therapy also resulted in improvements in brain natriuretic peptide and atrial natriuretic peptide levels, NYHA functional class, and 6-minute walking distance. However, the study also highlighted that not all patients responded to Epo, and some experienced serious adverse effects. This emphasizes the need for careful monitoring and individualized treatment plans for PPH.
Epoprostenol: A Potential Oasis for PPH Patients
The findings of this study suggest that Epo therapy holds significant promise for patients with PPH, offering potential relief from the debilitating symptoms of this condition. The improvements observed in cardiac output and functional class are particularly encouraging, indicating that Epo therapy might help patients reclaim some of the quality of life they have lost due to PPH. The study also highlights the importance of individualizing treatment plans, as not all patients responded to Epo therapy, and some experienced serious side effects. This underscores the need for cautious optimism and careful monitoring when considering Epo therapy for PPH. It is essential to approach each patient as a unique case, taking into account their individual needs and response to treatment.
Navigating the Sandstorm: Managing Epo Therapy
This study serves as a reminder that while Epo therapy can be a valuable tool in the treatment of PPH, it is not a one-size-fits-all solution. The potential for resistance to the therapy and the risk of serious adverse effects necessitate careful monitoring and individualized treatment plans. For patients with PPH, this research provides valuable insights into the potential benefits and risks of Epo therapy. It highlights the importance of a personalized approach to treatment, with a focus on patient-specific needs and responses. Like navigating a vast desert, managing PPH requires a combination of knowledge, careful planning, and a willingness to adapt to the challenges that may arise along the way.
Dr.Camel's Conclusion
This study is like a shimmering mirage in the vast desert of medical research – it offers a glimpse of hope for patients with PPH. However, like a mirage, it’s important to approach it with cautious optimism, as Epo therapy is not a magic bullet and requires careful monitoring. Just as an explorer carefully navigates a desert landscape, healthcare professionals need to carefully assess each patient’s needs and tailor treatment accordingly.
Date :
- Date Completed 2003-04-14
- Date Revised 2019-06-05
Further Info :
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