与凝胺相关的肺高血压的特征和结果
Pierre Mouillot1,2, Nicolas Favrolt1,2, Charles Khouri3,4,5
1Department of Pneumology and Intensive Care, Reference Center for Rare Lung Diseases, François Mitterrand Hospital, Dijon, France.
化疗药物格姆西塔宾与肺高血压 (PH) 有关. 这项研究发现,凝可导致或恶化PH,在停止治疗后症状有所改善,强调了查的必要性.
科学领域:
- 在瘤学瘤学.
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
背景情况:
- 化疗剂格米西塔已知对心脏和肺部有毒性.
- 凝和肺高血压 (PH) 之间的关联是罕见的,并不明确.
研究的目的:
- 调查凝治疗与肺高血压的发展或恶化之间的关联.
主要方法:
- 从法国PH注册表 (2007-2022) 追溯分析了9例毛囊前PH病例.
- 对PH的临床,功能,放射和血液动力学特征的审查.
- 使用世界卫生组织数据库进行药监不成比例分析.
主要成果:
- 发现了9例gemcitabine诱导的 (8) 或加剧的 (1) 前毛细血管PH.
- 患有严重PH的患者;发病的中位时间为7个月.
- 在世卫组织数据库 (109例) 中,gemcitabine对PH相关不良事件的显著信号.
结论:
- 临床数据和药物监测强烈支持格米西塔与毛囊前PH发作或恶化有关.
- 停止使用gemcitabine后的改善表明存在因果关系.
- 建议在接受格姆西塔治疗的呼吸障碍患者进行PH查.
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