Antagonistes des récepteurs de l'endothéline : Questions médicales fréquentes
Nom anglais: Endothelin Receptor Antagonists
Descriptor UI:D065128
Tree Number:D27.505.519.364
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"name": "Diagnostic",
"headline": "Diagnostic sur Antagonistes des récepteurs de l'endothéline",
"description": "Comment diagnostiquer une hypertension pulmonaire ?\nQuels tests sont utilisés pour évaluer la fonction cardiaque ?\nQuels symptômes indiquent une hypertension pulmonaire ?\nComment évaluer la sévérité de l'hypertension pulmonaire ?\nQuels examens d'imagerie sont recommandés ?",
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"description": "Quels sont les symptômes courants des antagonistes des récepteurs de l'endothéline ?\nComment se manifeste l'essoufflement ?\nQuels signes indiquent une aggravation de l'état ?\nLes antagonistes causent-ils des effets sur le foie ?\nQuels symptômes peuvent survenir avec un surdosage ?",
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"headline": "Prévention sur Antagonistes des récepteurs de l'endothéline",
"description": "Comment prévenir l'hypertension pulmonaire ?\nQuels examens de dépistage sont recommandés ?\nL'exercice physique aide-t-il à prévenir l'hypertension pulmonaire ?\nQuels facteurs de risque doivent être surveillés ?\nLes vaccinations sont-elles importantes pour ces patients ?",
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"headline": "Traitements sur Antagonistes des récepteurs de l'endothéline",
"description": "Quels médicaments sont des antagonistes des récepteurs de l'endothéline ?\nComment les antagonistes améliorent-ils la qualité de vie ?\nQuelle est la posologie habituelle des antagonistes ?\nLes antagonistes sont-ils utilisés en monothérapie ?\nQuels sont les effets à long terme des antagonistes ?",
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"description": "Quelles sont les complications possibles des antagonistes ?\nComment les antagonistes affectent-ils la pression artérielle ?\nLes antagonistes peuvent-ils causer des problèmes pulmonaires ?\nQuelles sont les interactions médicamenteuses à surveiller ?\nLes femmes enceintes peuvent-elles utiliser ces médicaments ?",
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"name": "Facteurs de risque",
"headline": "Facteurs de risque sur Antagonistes des récepteurs de l'endothéline",
"description": "Quels sont les principaux facteurs de risque d'hypertension pulmonaire ?\nLes maladies cardiaques augmentent-elles le risque ?\nLe sexe influence-t-il le risque d'hypertension pulmonaire ?\nL'exposition à des toxines peut-elle être un facteur de risque ?\nLes maladies auto-immunes augmentent-elles le risque ?",
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"@type": "Question",
"name": "Comment diagnostiquer une hypertension pulmonaire ?",
"position": 1,
"acceptedAnswer": {
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"text": "Un diagnostic se fait par échocardiographie, tests d'effort et cathétérisme cardiaque."
}
},
{
"@type": "Question",
"name": "Quels tests sont utilisés pour évaluer la fonction cardiaque ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les tests incluent l'électrocardiogramme (ECG) et l'échocardiographie."
}
},
{
"@type": "Question",
"name": "Quels symptômes indiquent une hypertension pulmonaire ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Essoufflement, fatigue, douleurs thoraciques et palpitations sont des symptômes clés."
}
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{
"@type": "Question",
"name": "Comment évaluer la sévérité de l'hypertension pulmonaire ?",
"position": 4,
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"@type": "Answer",
"text": "La sévérité est évaluée par la pression artérielle pulmonaire mesurée lors du cathétérisme."
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"@type": "Question",
"name": "Quels examens d'imagerie sont recommandés ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "La tomodensitométrie (TDM) et l'IRM cardiaque sont souvent recommandées."
}
},
{
"@type": "Question",
"name": "Quels sont les symptômes courants des antagonistes des récepteurs de l'endothéline ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les effets secondaires incluent maux de tête, œdème et troubles digestifs."
}
},
{
"@type": "Question",
"name": "Comment se manifeste l'essoufflement ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'essoufflement se manifeste par une difficulté à respirer, surtout à l'effort."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent une aggravation de l'état ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une augmentation de l'essoufflement et de la fatigue peut indiquer une aggravation."
}
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{
"@type": "Question",
"name": "Les antagonistes causent-ils des effets sur le foie ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des tests de fonction hépatique sont nécessaires car des anomalies peuvent survenir."
}
},
{
"@type": "Question",
"name": "Quels symptômes peuvent survenir avec un surdosage ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un surdosage peut entraîner des hypotensions et des troubles cardiaques."
}
},
{
"@type": "Question",
"name": "Comment prévenir l'hypertension pulmonaire ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Éviter le tabagisme, maintenir un poids santé et traiter les maladies sous-jacentes."
}
},
{
"@type": "Question",
"name": "Quels examens de dépistage sont recommandés ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des examens réguliers pour les personnes à risque, comme les patients cardiaques, sont conseillés."
}
},
{
"@type": "Question",
"name": "L'exercice physique aide-t-il à prévenir l'hypertension pulmonaire ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'exercice régulier peut améliorer la santé cardiovasculaire et réduire les risques."
}
},
{
"@type": "Question",
"name": "Quels facteurs de risque doivent être surveillés ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Surveiller l'hypertension, le diabète et les maladies pulmonaires chroniques."
}
},
{
"@type": "Question",
"name": "Les vaccinations sont-elles importantes pour ces patients ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les vaccinations contre la grippe et le pneumocoque sont recommandées."
}
},
{
"@type": "Question",
"name": "Quels médicaments sont des antagonistes des récepteurs de l'endothéline ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les médicaments incluent le bosentan, le macitentan et l'ambrisentan."
}
},
{
"@type": "Question",
"name": "Comment les antagonistes améliorent-ils la qualité de vie ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Ils réduisent les symptômes et améliorent la capacité d'exercice des patients."
}
},
{
"@type": "Question",
"name": "Quelle est la posologie habituelle des antagonistes ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "La posologie varie, mais commence souvent à 62,5 mg pour le bosentan, deux fois par jour."
}
},
{
"@type": "Question",
"name": "Les antagonistes sont-ils utilisés en monothérapie ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Ils peuvent être utilisés seuls ou en association avec d'autres traitements pour l'hypertension pulmonaire."
}
},
{
"@type": "Question",
"name": "Quels sont les effets à long terme des antagonistes ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les effets à long terme incluent une amélioration de la survie et une réduction des hospitalisations."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles des antagonistes ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent des problèmes hépatiques et des réactions allergiques."
}
},
{
"@type": "Question",
"name": "Comment les antagonistes affectent-ils la pression artérielle ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Ils peuvent provoquer une hypotension, nécessitant un suivi régulier de la pression."
}
},
{
"@type": "Question",
"name": "Les antagonistes peuvent-ils causer des problèmes pulmonaires ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des effets indésirables pulmonaires, comme une toux, peuvent survenir chez certains patients."
}
},
{
"@type": "Question",
"name": "Quelles sont les interactions médicamenteuses à surveiller ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Surveiller les interactions avec les inhibiteurs du CYP450 et d'autres antihypertenseurs."
}
},
{
"@type": "Question",
"name": "Les femmes enceintes peuvent-elles utiliser ces médicaments ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'utilisation est généralement déconseillée en raison des risques pour le fœtus."
}
},
{
"@type": "Question",
"name": "Quels sont les principaux facteurs de risque d'hypertension pulmonaire ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent l'obésité, le tabagisme et les antécédents familiaux."
}
},
{
"@type": "Question",
"name": "Les maladies cardiaques augmentent-elles le risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les maladies cardiaques, comme l'insuffisance cardiaque, augmentent le risque."
}
},
{
"@type": "Question",
"name": "Le sexe influence-t-il le risque d'hypertension pulmonaire ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les femmes sont plus souvent touchées que les hommes, surtout à un jeune âge."
}
},
{
"@type": "Question",
"name": "L'exposition à des toxines peut-elle être un facteur de risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'exposition à des toxines environnementales, comme l'amiante, est un facteur de risque."
}
},
{
"@type": "Question",
"name": "Les maladies auto-immunes augmentent-elles le risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des maladies comme le lupus et la sclérodermie sont associées à un risque accru."
}
}
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}
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Aprocitentan is a novel, potent, dual endothelin receptor antagonist that recently demonstrated efficacy in the treatment of difficult-to-treat (resistant) hypertension. The aim of this study was to d...
Resistant hypertension (RH) is the state of uncontrolled blood pressure in the face of ostensibly optimal pharmacological intervention. It accounts for roughly one in six cases of hypertension, and is...
Although melasma is highly prevalent, its pathogenesis is not yet fully understood. In the skin, endothelin-1 (ET-1) is primarily produced by keratinocytes in response to UVB exposure, which is mediat...
Cross-sectional study, with 40 skin samples (20: facial melasma; 20: adjacent unaffected skin) from women with facial melasma without treatment for 30 days except for sunscreen. A triple staining immu...
The mean (SD) age of the participants was 44.9 (9.2). The expression of ET-1 was increased in the whole epidermis with melasma when compared to the adjacent skin, being 32.8% (CI95% 14.7%-52.6%) highe...
ET-1 is expressed more intensely on the epidermis from the skin with facial melasma compared to the unaffected adjacent skin....
Treatment of patients diagnosed with angina due to epicardial or microvascular coronary artery spasm (CAS) is challenging because patients often remain symptomatic despite conventional pharmacological...
Patients with CAS diagnosed by invasive spasm provocation testing with >3 anginal attacks per week despite pharmacological treatment were considered for participation. Participants received either 10 ...
28 patients of whom 22 females (79%) and a mean age of 55.3 ± 7.6 completed the entire study protocol (epicardial CAS n = 19 (68), microvascular CAS n = 9 (32)). Change in both indices of anginal burd...
In patients with angina due to epicardial or microvascular CAS despite background pharmacological treatment, 28 days of add-on treatment with the ET-1 receptor antagonist, macitentan 10 mg daily, did ...
Pulmonary arterial hypertension (PAH) affects a wide range of people globally and has a poor prognosis despite many advancements in available treatment options. Among the available treatments, endothe...
Endothelin-1/endothelin A receptor (ET-1/ETAR) pathway plays an important role in the progression of liver fibrosis by activating hepatic stellate cells (HSCs) - a key cell type involved in the pathog...
Endothelin receptor antagonists are commonly used in clinical practice, with concerns about their hepatotoxicity....
This study aimed to conduct a comprehensive pharmacovigilance study based on FDA adverse event reporting system data to evaluate the possible association between endothelin receptor antagonists and dr...
Adverse event reports from FDA adverse event reporting system between January 2004 and December 2022 were analyzed. Disproportionality algorithms, including reporting odds ratio and information compon...
Significant associations between bosentan, macitentan, and liver injury were identified. Bosentan showed a strong link with liver injury, with reporting odds ratios for cholestatic injury at 7.59 (95%...
Both bosentan and macitentan are associated with liver injury. Routine monitoring of serum aminotransferase levels is recommended, especially in patients at higher risk of liver injury. Further resear...
Immunoglobulin A nephropathy (IgAN) is the most common primary glomerulonephritis worldwide and carries a substantial risk of kidney failure. New agency-approved therapies, either specifically for IgA...
Several agents are emerging from five different novel classes of antihypertensive medications. We will focus on endothelin antagonists and non-steroidal mineralocorticoid receptor antagonists. While s...
Pulmonary arterial hypertension (PAH) is a fatal disease characterized by pulmonary vascular remodeling and increased pulmonary artery pressure, leading to impaired lung oxygenation, right heart failu...
We retrieved relevant articles from electronic databases including PubMed, EMBASE, Web of Science, and Cochrane Library until 12 April 2022. To compare the effectiveness and safety of endothelin recep...
A total of 27 randomized controlled trials (RCTs) were included in the meta-analysis with 1,574 pediatric participants. The duration of mechanical ventilation was shorter for patients using bosentan, ...
ERAs were more effective than ProsA in shortening the duration of mechanical ventilation, while ProsA were better for shortening the duration of mechanical ventilation and ICU stay than PDE-5i. PDE-5i...
https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=351505....