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Drug-induced pulmonary artery hypertension

https://doi.org/10.37489/2588-0519-2022-1-53-63

Abstract

Pulmonary arterial hypertension is a condition characterized by an increase in mean pressure in the pulmonary artery. This pathology is associated with high mortality, and specific therapy for pulmonary arterial hypertension does not affect the cause of the disease and is extremely expensive. In this regard, it is especially important to study the modifiable etiological factors of pulmonary arterial hypertension. One such factor is drugs. One of the leading groups of drugs-inductors is anorexigenic drugs. It was the representatives of this group, such as aminorex, who were the first inducers of pulmonary hypertension. Moreover, this adverse reaction was so significant that it led to the withdrawal of these drugs. Currently, the leading role in the context of drug-induced pulmonary hypertension is played by such drugs as anticancer, antiviral drugs, and interferons. These drugs lead to pulmonary hypertension through various pathophysiological mechanisms. The leading measures to prevent this pathology are to limit the use of culprit medications, reduce the spread of HIV infection, since several groups of drugs can be used to treat HIV-infected patients, leading to the development of pulmonary hypertension.

About the Authors

O. D. Ostroumova
FSBEI FPE “Russian Medical Academy of Continuous Professional Education” of the Ministry of Healthcare of the Russian Federation; FSAEI HE I. M. Sechenov First MSMU MOH Russia (Sechenovskiy University)
Russian Federation

Ostroumova Olga D. - Dr. Sci. (Med.), professor, head of the Department of Therapy and Polymorbid Pathology named after academician M. S. Vovsi FSBEI FPE RMACPE MOH Russia; professor of the Department of Clinical Pharmacology and Propaedeutics of Internal Diseases FSAEI HE I. M. Sechenov First MSMU MOH Russia (Sechenovskiy University)
SPIN code: 3910-6585

Moscow



A. I. Listratov
FSBEI FPE “Russian Medical Academy of Continuous Professional Education” of the Ministry of Healthcare of the Russian Federation
Russian Federation

Listratov Alexander I. - 2-year resident of the Department of Therapy and Polymorbid Pathology named after academician M. S. Vovsi

Moscow



A. I. Kochetkov
FSBEI FPE “Russian Medical Academy of Continuous Professional Education” of the Ministry of Healthcare of the Russian Federation
Russian Federation

Kochetkov Alexey I. - Cand. Sci. Med., Associate Professor of the Department of Department of Therapy and Polymorbid Pathology named after academician M. S. Vovsi
SPIN code: 9212-6010

Moscow



S. A. Bliznyuk
Botkin City Clinical Hospital of the Moscow Department of Health
Russian Federation

Bliznyuk Svetlana A. - Cand. Sci. Med., cardiologist, Cardiology Department for Patients with Acute Myocardial Infarction No. 28

Moscow



A. G. Komarova
Botkin City Clinical Hospital of the Moscow Department of Health
Russian Federation

Komarova Anna G. - Cand. Sci. Med., Deputy Chief Physician
SPIN code: 3092-6789

Moscow



D. A. Sychev
FSBEI FPE “Russian Medical Academy of Continuous Professional Education” of the Ministry of Healthcare of the Russian Federation
Russian Federation

Sychev Dmitry A. - Dr. Sci. (Med.), professor, Corresponding Member RAS, Rector, Head Department of the Clinical Pharmacology and Therapy named after academician B. E. Votchal
SPIN code: 4525-7556

Moscow



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Ostroumova O.D., Listratov A.I., Kochetkov A.I., Bliznyuk S.A., Komarova A.G., Sychev D.A. Drug-induced pulmonary artery hypertension. Kachestvennaya Klinicheskaya Praktika = Good Clinical Practice. 2022;(1):53-63. (In Russ.) https://doi.org/10.37489/2588-0519-2022-1-53-63

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