Combined phosphodiesterase inhibitors in end-stage heart failure: A case presentation

Abstract

Heart failure (HF) is the leading cause of morbidity and mortality and is evolving to epidemic proportions. Despite pharmacologic advances and device interventions, HF remains a progressive disease. The phosphodiesterase inhibitors-3 (PDE3I), and more recently, the phosphodiesterase inhibitors-5 (PDE5I) have been used as part of the treatment in certain patients, however, such combination has not been studied or reported before.

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Reyna, J. , Peguero, J. , Escolar, E. , Santana, O. and Lamas, G. (2013) Combined phosphodiesterase inhibitors in end-stage heart failure: A case presentation. World Journal of Cardiovascular Diseases, 3, 266-267. doi: 10.4236/wjcd.2013.33042.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Nagendran, J., Archer, S.L., Soliman, D., et al. (2007) Phosphodiesterase type 5 is highly expressed in the hypertrophied human right ventricle, and acute inhibition of phosphodiesterase type 5 improves contractility. Circulation, 116, 238-248. doi:10.1161/CIRCULATIONAHA.106.655266
[2] Guazzi, M. (2008) Clinical use of phosphodiesterase-5 inhibitors in chronic heart failure. Circulation Heart Failure, 1, 272-280. doi:10.1161/CIRCHEARTFAILURE.108.802116
[3] Schwartz, B.G., Levine, L.A., Comstock, G., et al. (2012) Cardiac uses of phosphodiesterase-5 inhibitors. Journal of the American College of Cardiology, 59, 9-15. doi:10.1016/j.jacc.2011.07.051
[4] Kanwar, M., Agarwal, R., Barnes, M., et al. (2012) Role of phosphodiesterase-5 inhibitors in heart failure: Emerging data and concepts. Current Heart Failure Reports, 10, 26-35. doi:10.1007/s11897-012-0121-9
[5] Lewis, G.D., Shah, R., Shahzad, K., et al. (2007) Sildenafil improves exercise capacity and quality of life in patients with systolic heart failure and secondary pulmonary hypertension. Circulation, 116, 1555-1562. doi:10.1161/CIRCULATIONAHA.107.716373
[6] Guazzi, M., Samaja, M., Arena, R., et al. (2007) Long-term use of sildenafil in the therapeutic management of heart failure. Journal of the American College of Cardiology, 50, 2136-2144. doi:10.1016/j.jacc.2007.07.078
[7] Reichenbach, A., Al-Hiti, H., Malek, I., et al. (2012) The effects of phosphodiesterase 5 inhibition on hemodynamics, functional status and survival in advanced heart failure and pulmonary hypertension. International Journal of Cardiology, Published Ahead of Print. doi:10.1016/j.ijcard.2012.09.074
[8] Kalogeropoulos, A.P., Vega, J.D., Smith, A.L., et al. (2011) Pulmonary hypertension and right ventricular function in advanced heart failure. Congestive Heart Failure, 17, 189-198. doi:10.1111/j.1751-7133.2011.00234.x
[9] Di Salvo, T.G. (2012) Pulmonary hypertension and right ventricular failure in left ventricular systolic dysfunction. Current Opinion in Cardiology, 27, 262-272. doi:10.1097/HCO.0b013e3283522098

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