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Updated: Jun 7, 2026

A Model of Reverse Vascular Remodeling in Pulmonary Hypertension Due to Left Heart Disease by Aortic Debanding in Rats
Published on: March 1, 2022
Bosentan ameliorated exercise-induced pulmonary arterial hypertension complicated with systemic sclerosis
Shusuke Yagi1, Masashi Akaike, Takashi Iwase
1Department of Cardiovascular Medicine, The University of Tokushima Graduate School of Health Biosciences, Tokushima. syagi@clin.med.tokushima-u.ac.jp
Abstract:
Pulmonary arterial hypertension (PAH) is a frequent complication in patients with systemic sclerosis. Bosentan is used in patients with symptomatic PAH; however, it has not been established whether or not bosentan ameliorates the progression of PAH in patients with no PAH-related symptoms. We present a case of systemic sclerosis with no PAH-related symptoms in which bosentan ameliorated exercise-induced PAH evaluated by 6-minute walk stress echocardiography, brachial flow-mediated dilation, and skin temperature of hands and feet. The results suggest that administration of bosentan in patients with early-stage PAH ameliorates pulmonary arterial vasodilatation through improvement of endothelial function.
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