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Bosentan in the treatment of pulmonary arterial hypertension with the focus on the mildly symptomatic patient
Vascular Health and Risk Management, 08/05/09
Valerio CJ et al. – The EARLY trial exclusively enrolled functional class II patients and assessed hemodynamics at 6 months. Though significant, the reduction in pulmonary vascular resistance is merely a surrogate marker for the intended aim of delaying disease progression. Significant adverse effects associated with bosentan include edema, anemia and transaminase elevation. These may preclude a long duration of treatment.
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