Use of nebivolol in patients with idiopathic pulmonary hypertension: Results of the pilot study

AIM: Тo study the impact of 24-week therapy with nebivolol in a dose of 5 mg/day on the clinical and functional status of patients with idiopathic pulmonary hypertension (IPH), echocardiographic parameters, and blood levels of vasoactive mediators and nitric oxide (NO) metabolite. /MATERIAL AND METH...

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Main Authors: T V Martyniuk, I D Konosova, I E Chazova
Format: Article
Language:Russian
Published: "Consilium Medicum" Publishing house 2012-12-01
Series:Терапевтический архив
Subjects:
Online Access:https://ter-arkhiv.ru/0040-3660/article/view/31150
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author T V Martyniuk
I D Konosova
I E Chazova
author_facet T V Martyniuk
I D Konosova
I E Chazova
author_sort T V Martyniuk
collection DOAJ
description AIM: Тo study the impact of 24-week therapy with nebivolol in a dose of 5 mg/day on the clinical and functional status of patients with idiopathic pulmonary hypertension (IPH), echocardiographic parameters, and blood levels of vasoactive mediators and nitric oxide (NO) metabolite. /MATERIAL AND METHODS: During continuous standard therapy comprising dihydropyridine calcium antagonists, warfarin, and diuretics, 12 patients with IPH and functional class (FC) II-III received nebivolol in a dose of 5 mg/day for 24 weeks. According to the data of right heart catheterization, all the patients had a positive acute pharmacological test with a vasodilator (NO). Six-minute walk test (6'WT), estimation of the Borg dyspnea index (BDI) and FC, transthoracic echocardiography (EchoCG), and measurements of the levels of NO metabolites, endothelin-1, (ET-1), thromboxane B2 (TxB2), and 6-keto-prostaglandin F1α (6-ketoPG F1α) were done at baseline and after 12 and 24 weeks of the therapy /RESULTS: Following 24-week nebivolol treatment, there was a statistically significant increase in 6'WT distance (from 473±47.6 to 516.7±58.4 m; р
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spelling doaj.art-417e369a632a468d81d70e775293f9b92022-12-22T01:14:30Zrus"Consilium Medicum" Publishing houseТерапевтический архив0040-36602309-53422012-12-018412495328166Use of nebivolol in patients with idiopathic pulmonary hypertension: Results of the pilot studyT V MartyniukI D KonosovaI E ChazovaAIM: Тo study the impact of 24-week therapy with nebivolol in a dose of 5 mg/day on the clinical and functional status of patients with idiopathic pulmonary hypertension (IPH), echocardiographic parameters, and blood levels of vasoactive mediators and nitric oxide (NO) metabolite. /MATERIAL AND METHODS: During continuous standard therapy comprising dihydropyridine calcium antagonists, warfarin, and diuretics, 12 patients with IPH and functional class (FC) II-III received nebivolol in a dose of 5 mg/day for 24 weeks. According to the data of right heart catheterization, all the patients had a positive acute pharmacological test with a vasodilator (NO). Six-minute walk test (6'WT), estimation of the Borg dyspnea index (BDI) and FC, transthoracic echocardiography (EchoCG), and measurements of the levels of NO metabolites, endothelin-1, (ET-1), thromboxane B2 (TxB2), and 6-keto-prostaglandin F1α (6-ketoPG F1α) were done at baseline and after 12 and 24 weeks of the therapy /RESULTS: Following 24-week nebivolol treatment, there was a statistically significant increase in 6'WT distance (from 473±47.6 to 516.7±58.4 m; рhttps://ter-arkhiv.ru/0040-3660/article/view/31150idiopathic pulmonary hypertensionright ventricleheart failureβ-adrenoblockersnebivolol
spellingShingle T V Martyniuk
I D Konosova
I E Chazova
Use of nebivolol in patients with idiopathic pulmonary hypertension: Results of the pilot study
Терапевтический архив
idiopathic pulmonary hypertension
right ventricle
heart failure
β-adrenoblockers
nebivolol
title Use of nebivolol in patients with idiopathic pulmonary hypertension: Results of the pilot study
title_full Use of nebivolol in patients with idiopathic pulmonary hypertension: Results of the pilot study
title_fullStr Use of nebivolol in patients with idiopathic pulmonary hypertension: Results of the pilot study
title_full_unstemmed Use of nebivolol in patients with idiopathic pulmonary hypertension: Results of the pilot study
title_short Use of nebivolol in patients with idiopathic pulmonary hypertension: Results of the pilot study
title_sort use of nebivolol in patients with idiopathic pulmonary hypertension results of the pilot study
topic idiopathic pulmonary hypertension
right ventricle
heart failure
β-adrenoblockers
nebivolol
url https://ter-arkhiv.ru/0040-3660/article/view/31150
work_keys_str_mv AT tvmartyniuk useofnebivololinpatientswithidiopathicpulmonaryhypertensionresultsofthepilotstudy
AT idkonosova useofnebivololinpatientswithidiopathicpulmonaryhypertensionresultsofthepilotstudy
AT iechazova useofnebivololinpatientswithidiopathicpulmonaryhypertensionresultsofthepilotstudy