Effects of sildenafil on right ventricle remodelling in Portopulmonary hypertension.

Author: BorianiGiuseppe, CoppiFrancesca, MiniciRoberto, MonopoliDaniel Enrique, RossiRosario, SchepisFilippo, SguraFabio Alfredo, TalaricoMarisa

Paper Details 
Original Abstract of the Article :
Portopulmonary hypertension (PoPH) is a clinical condition associated with end-stage liver disease, described by the coexistence of pulmonary arterial hypertension (PAH) and portal hypertension. In PoPH patients, there is a right ventricle (RV) remodeling to compensate for the increased resistance i...See full text at original site
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引用元:
https://doi.org/10.1016/j.pupt.2021.102071

データ提供:米国国立医学図書館(NLM)

Sildenafil: A Lifeline in the Desert of Portopulmonary Hypertension

This research delves into the complex world of cardiovascular diseases, specifically focusing on portopulmonary hypertension (PoPH), a condition characterized by high blood pressure in both the lungs and the portal vein. It's like navigating a desert with two challenging landscapes – the lungs and the liver – where high blood pressure creates significant difficulties. The study examines the effects of sildenafil, a medication commonly used to treat pulmonary arterial hypertension (PAH), on right ventricle (RV) remodeling in PoPH patients. The RV, the heart's right ventricle, has to work harder to pump blood through the lungs, which can lead to its enlargement and impaired function.

A Heartbeat of Hope in the Desert

The study found that sildenafil, whether used alone or in combination with other medications, significantly improved RV performance in PoPH patients. RV stroke volume, ejection fraction, and stroke work index all increased after six months of treatment. Furthermore, the RV cavity dimension, a measure of its size, decreased over time. Sildenafil also reduced RV end-diastolic pressure, a measure of pressure in the RV during relaxation.

A Brighter Horizon for PoPH Patients

This research offers a glimmer of hope in the desert of PoPH, demonstrating the positive impact of sildenafil on RV function. It suggests that this medication can help reverse RV remodeling and improve the overall health of PoPH patients.

Dr.Camel's Conclusion

This study is a beacon of hope in the desert of PoPH, showcasing the potential of sildenafil to improve RV function and reverse remodeling. The findings highlight the importance of early diagnosis and appropriate treatment strategies for this complex condition.

Date :
  1. Date Completed 2021-11-04
  2. Date Revised 2021-11-04
Further Info :

Pubmed ID

34428597

DOI: Digital Object Identifier

10.1016/j.pupt.2021.102071

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English

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