Endothelin receptor blockers in cardiovascular disease.

Abstract:

:The endothelin (ET) system is comprised of 4 active ETs, with ET-1 being the predominant isoform in the cardiovascular system. Because of the potent vasoconstricting and mitogenic effects of ET-1 and its involvement in various cardiovascular diseases, blockade of the ET receptor has received considerable attention. ET receptor antagonism has been demonstrated to be beneficial in patients with pulmonary hypertension. The nonselective ET receptor antagonist bosentan improves exercise capacity and increases time to clinical worsening in patients with pulmonary arterial hypertension. The selective ET A receptor antagonist sitaxsentan also improves hemodynamics and exercise capacity in patients with pulmonary arterial hypertension. Results with ET receptor antagonists in congestive heart failure have been disappointing. Although some studies have suggested benefit, larger studies have been neutral. The use of ET receptor antagonists for other conditions has not been fully explored. Future studies with the use of ET receptor antagonists as part of a multidrug regimen are also needed.

journal_name

Circulation

journal_title

Circulation

authors

Rich S,McLaughlin VV

doi

10.1161/01.CIR.0000094397.19932.78

subject

Has Abstract

pub_date

2003-11-04 00:00:00

pages

2184-90

issue

18

eissn

0009-7322

issn

1524-4539

pii

108/18/2184

journal_volume

108

pub_type

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