PMID- 22333544 OWN - NLM STAT- MEDLINE DCOM- 20120802 LR - 20131121 IS - 0376-2491 (Print) IS - 0376-2491 (Linking) VI - 91 IP - 40 DP - 2011 Nov 1 TI - [Effects of inhaled aerosolized iloprost in adult patients with pulmonary arterial hypertension on right heart functions]. PG - 2832-6 AB - OBJECTIVE: To explore the immediate effects of inhaled aerosolized iloprost on right heart function in adult patients with pulmonary arterial hypertension (PAH). METHODS: A total of 30 PAH patients were recruited. Right heart catheterization and echocardiography were performed before and immediately after the inhalation of iloprost (20 microg). RESULTS: After inhalation, the values of mean pulmonary artery pressure (PAPm) and pulmonary vascular resistances (PVR) decreased markedly (42.5 +/- 9.6 to 34.4 +/- 11.9 mm Hg, P < 0.001; 9.6 +/- 5.7 Wood unit to 7.1 +/- 4.8 Wood unit, P < 0.001). And the value of tricuspid annular systolic motion peak velocity (TASm) increased markedly [(10.7 +/- 2.1) cm/s vs (11.9 +/- 2.5) cm/s, P < 0.01]. The baseline level of TASm was higher in acute responders than non-responders [(12.0 +/- 2.2) cm/s vs (10.1 +/- 1.8) cm/s, P = 0.01] and TASm increased markedly after inhalation in non-responders [(10.1 +/- 1.8) cm/s vs (11.6 +/- 2.3) cm/s, P < 0.01]. CONCLUSION: The inhalation of iloprost decreases the levels of PAPm and PVR and improve right heart functions in adult PAH patients. For non-responders, right heart function is worse and more benefits may be achieved after the inhalation of iloprost. FAU - Guo, Xiao-xiao AU - Guo XX AD - Department of Cardiology & Rheumatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China. FAU - Tian, Zhuang AU - Tian Z FAU - Liu, Yong-tai AU - Liu YT FAU - Wang, Qian AU - Wang Q FAU - Li, Meng-tao AU - Li MT FAU - Zeng, Xiao-feng AU - Zeng XF FAU - Zhu, Wen-ling AU - Zhu WL FAU - Fang, Quan AU - Fang Q LA - chi PT - English Abstract PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PL - China TA - Zhonghua Yi Xue Za Zhi JT - Zhonghua yi xue za zhi JID - 7511141 RN - 0 (Vasodilator Agents) RN - JED5K35YGL (Iloprost) SB - IM MH - Administration, Inhalation MH - Adolescent MH - Adult MH - Aged MH - Female MH - Humans MH - Hypertension, Pulmonary/drug therapy/*physiopathology MH - Iloprost/*administration & dosage/therapeutic use MH - Male MH - Middle Aged MH - Prospective Studies MH - Vasodilator Agents/*administration & dosage/therapeutic use MH - Ventricular Function, Right/*drug effects MH - Young Adult EDAT- 2012/02/16 06:00 MHDA- 2012/08/03 06:00 CRDT- 2012/02/16 06:00 PHST- 2012/02/16 06:00 [entrez] PHST- 2012/02/16 06:00 [pubmed] PHST- 2012/08/03 06:00 [medline] PST - ppublish SO - Zhonghua Yi Xue Za Zhi. 2011 Nov 1;91(40):2832-6.