Table. 24—

Case 10: clinical characteristics

Treatment at evaluationNoneERA (for 4 months)ERA and PDE-5I (for 5 months)ERA, PDE-5I and i.v. prostacyclin (for 4 months)
WHO functional classIIIIIIIIIII
6MWD m519525441601
Pra mmHg</emph>7883
pa mmHg55606547
CI L·min−1·m−22.012.52.093.35
PVR dyn·s·cm−5124810661368649
BNP pg·mL−121736062
Modification of specific PAH therapyInitiation of ERAAddition of PDE5-IAddition of i.v. prostacyclinNo change
  • ERA: endothelin receptor agonist; PDE5-I: phosphodiesterase type-5 inhibitor; WHO: World Health Organization; 6MWD: 6-min walk distance; Pra: right atrial pressure; pa: mean pulmonary arterial pressure; CI: cardiac index; PVR: pulmonary vascular resistance; BNP: brain natriuretic peptide; PAH: pulmonary arterial hypertension.