Pulmonary hypertension: inhaled nitric oxide, sildenafil and natriuretic peptides.

Abstract:

:Phosphodiesterase-5 (PDE5) inhibitors and other agents that modulate intracellular cGMP are now emerging as promising, safe, and easy to administer therapies for pulmonary hypertension, with relatively few side effects. Recent studies have shown that PDE5 inhibitors are potent acute pulmonary vasodilators in experimental models that partially reverse established pulmonary arterial hypertension and blunt chronic pulmonary hypertension. In addition, studies on animals reveal that PDE5 inhibitors work in concert with nitric oxide and/or natriuretic peptide levels by enhancing intracellular cGMP and cGMP-mediated vasodilator effects. Further, the combination of PDE5 inhibitors and agents that increase cGMP or cAMP also yields additive beneficial effects on pulmonary hemodynamics in patients with pulmonary arterial hypertension.

journal_name

Curr Opin Pharmacol

authors

Steiner MK,Preston IR,Klinger JR,Hill NS

doi

10.1016/j.coph.2004.12.008

keywords:

subject

Has Abstract

pub_date

2005-06-01 00:00:00

pages

245-50

issue

3

eissn

1471-4892

issn

1471-4973

pii

S1471-4892(05)00045-7

journal_volume

5

pub_type

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