brytfmonline

Complete News World

A new treatment option for pulmonary arterial hypertension has been incorporated into SUS

Another alternative to treating Pulmonary arterial hypertension (PAH), in the Unified Health System (SUS). This is the combined use of sildenafil and bosentan. Both drugs can be used together or alone in treating the disease.

For the National Committee for the Integration of Technologies into the Unified Health System (Conitec), this ruling could contribute to a reduction in clinical decline and, in turn, to an increase in patients’ quality of life, as well as an increase in cost-effectiveness for SUS when compared to other medicines already listed, such as the use of In monotherapy or in combination with each other.

Hypertension

Pulmonary arterial hypertension

The diagnosis of pulmonary arterial hypertension should be based on the anamnesis and the results of detailed clinical examinations, and it is necessary to address the patient’s entire life history since childhood.

In general, there are difficulties in identifying PAHs, and they are recognized at a relatively advanced stage. For diagnosis, in addition to evaluating symptoms, tests such as transthoracic echocardiography, arterial blood gas analysis, pulmonary scintigraphy, physical activity tests and tests of peak oxygen consumption, right heart catheterization, and others should be performed.

The most common symptoms of the disease are shortness of breath, fatigue, crusting of breath, paroxysmal nocturnal dyspnea, palpitations, syncope or syncope, and hemoptysis or haemorrhage.

Thus, to select the most appropriate drug for the patient, the patient’s response to the specific vasodilator test should be evaluated in the hemodynamic evaluation and clinical characteristics presented.

The causes may be related to the presence of underlying diseases, the use of certain drugs or other toxic substances, or to having a genetic background.

See also  Fapeam receives proposals from teachers for the school's science program until April 29 | Amazon

The Clinical Protocol and Therapeutic Guidelines (PCDT) for HAP provide for treatment with medications, such as nifedipine, amlodipine, sildenafil, iloprost, ambrisentan, and bosentan, which are freely available at SUS.

In addition, the PCDT directs non-pharmacological measures, such as dietary salt reduction, physical activities with specialized monitoring and oxygen therapy.

It is also recommended that women with PAH be avoided, as the disease increases the risk of death in pregnancy.

*This article has been reviewed by the PEBMED portal medical team.

See more benefits of being a PEBMED portal user:

See more benefits of being a user
From the PEBMED portal:

7 days free with Whitebook

The request is made to you, Doctor, with the goal of achieving safety and objectivity in your clinical decision.

Free access to Nursebook

Access essential information in your daily life such as anamnesis, biology.

Free entry to the forum

A space for exchanging experiences and constructive comments on topics related to medicine and health.

Unlimited access

Get access to news, studies, updates and more content written and referenced by experts

test your knowledge

Answer our quizzes and study in a simple and fun way

Custom content

Receive studies, updates, new behaviors, and other content segmented by discipline via email