Article (Scientific journals)
Growing up with Idiopathic Pulmonary Arterial Hypertension: An Arduous Journey.
DUTILLEUX, Tanguy; Farhat, Nesrine; Heying, Ruth et al.
2023In Pediatric Reports, 15 (2), p. 301-310
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Keywords :
children; idiopathic; pulmonary arterial hypertension; quality of life; treatment; vasoreactivity
Abstract :
[en] Idiopathic pulmonary arterial hypertension (IPAH) is an uncommon and severe disease. We report the case of a 7-year-old boy investigated for cardiac murmur and exercise intolerance. Pulmonary hypertension (PH) was suspected at clinical examination and confirmed by echocardiography and cardiac catheterization. This case of pulmonary hypertension was classified as idiopathic given the negative etiological investigation. Vasoreactive testing with oxygen and nitric oxide was negative. Therefore, treatment with sildenafil (1.4 mg/kg/d) and bosentan (3 mg/kg/d) was initiated. This allowed the stabilization of, but not a decrease in, pulmonary artery pressure for the next 5 years, during which the patient's quality of life was significantly reduced. At a later follow-up, the estimated pulmonary pressure was found to have increased and become supra-systemic, with a consequent deterioration in the child's condition. This led to the decision to enter him into a clinical trial that is still ongoing. Idiopathic pulmonary arterial hypertension is a severe disease that can present with non-specific symptoms, such as asthenia and exercise limitation, which are important not to trivialize. The disease is associated with significantly decreased quality of life in affected children and carries a high burden in terms of mortality and morbidity. The current knowledge about IPAH in children is reviewed, with a particular focus on the future prospects for its treatment and the related quality of life of patients.
Disciplines :
Cardiovascular & respiratory systems
Pediatrics
Author, co-author :
DUTILLEUX, Tanguy ;  Centre Hospitalier Universitaire de Liège - CHU > > Service de pédiatrie ; Department of Pediatric Cardiology, University Hospital Aachen, 52074 Aachen,
Farhat, Nesrine  ;  Centre Hospitalier Universitaire de Liège - CHU > > Service de pédiatrie
Heying, Ruth;  Department of Pediatric Cardiology, University Hospital Leuven, 3000 Leuven,
Seghaye, Marie-Christine  ;  Centre Hospitalier Universitaire de Liège - CHU > > Service de pédiatrie
Beghetti, Maurice ;  Department of Pediatric Cardiology, Children's University Hospital Geneva, 1205
Language :
English
Title :
Growing up with Idiopathic Pulmonary Arterial Hypertension: An Arduous Journey.
Publication date :
05 May 2023
Journal title :
Pediatric Reports
ISSN :
2036-749X
eISSN :
2036-7503
Publisher :
PAGEPress Publications, Pavia, It
Volume :
15
Issue :
2
Pages :
301-310
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 30 January 2024

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