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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Treatment with bosentan improves exercise capacity in patients with pulmonary hypertension&#46; Few studies have assessed treatment with this drug over long periods&#46; The aim was therefore to assess long-term treatment with bosentan&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">A group of 22 functional class III patients&#8212;18 women and 4 men&#44; mean age&#44; 45&#46;5 years &#40;range&#44; 19-77 years&#41;&#8212;with pulmonary hypertension were treated with bosentan between April 2002 and June 2005&#46; Pulmonary hypertension was idiopathic in 10 patients&#46; In the remaining patients&#44; etiologies were associated with compensated heart failure &#40;n&#61;4&#41;&#44; scleroderma &#40;n&#61;4&#41;&#44; peripheral embolism &#40;n&#61;3&#41;&#44; and portal hypertension &#40;n&#61;1&#41;&#46; Clinical and hemodynamic variables and their changes between baseline and the end of study were analyzed&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The mean duration of follow-up of the patients was 15&#46;7 months &#40;range&#44; 12&#46;6-31&#46;8 months&#41;&#46; Functional class improved or stabilized after 3 months of treatment in 21 &#40;95&#37;&#41; and after 1 year in 14 &#40;64&#37;&#41;&#46; At 3 months&#44; the distance covered in the 6-minute walk test increased by a mean of 64&#46;5 m&#44; an improvement that was maintained at 6&#44; 12&#44; and 18 months&#46; Treatment was interrupted in 4 patients &#40;18&#37;&#41;&#46; Reasons for discontinuation were death in 2 patients&#44; deterioration in 1 patient&#44; and intolerance of the medication in 1 patient&#46; Treatment was ineffective for 4 patients &#40;18&#37;&#41;&#46; No patient experienced notable liver toxicity&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The results of this study suggest that treatment with bosentan is associated with long-term improvement in clinical variables and exercise capacity in approximately two thirds of the patients with pulmonary hypertension&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">El tratamiento con bosent&#225;n mejora la capacidad de ejercicio de los pacientes con hipertensi&#243;n pulmonar&#46; Son muy escasos los estudios que eval&#250;an este tratamiento a largo plazo&#44; que es el objetivo propuesto en el presente trabajo&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Un grupo de 22 pacientes &#8722;18 mu-jeres y 4 varones&#44; con una edad media de 45&#44;5 a&#241;os &#40;rango&#58; 19-77 a&#241;os&#41;- con hipertensi&#243;n pulmonar en clase funcional III recibieron tratamiento con bosent&#225;n entre abril de 2002 y junio de 2005&#46; La hipertensi&#243;n pulmonar era idiop&#225;tica en 10 casos y estaba asociada a cardiopat&#237;a corregida &#40;n &#61; 4&#41;&#44; escle-rodermia &#40;n &#61; 4&#41;&#44; embolia perif&#233;rica &#40;n &#61; 3&#41; e hipertensi&#243;n portal &#40;n &#61; 1&#41; en los restantes&#46; Se estudiaron los datos cl&#237;nicos y hemodin&#225;micos y los cambios que hab&#237;an experimentado desde el inicio del tratamiento hasta el fin del estudio&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">El seguimiento medio de los pacientes fue de 15&#44;7 meses &#40;rango&#58; 12&#44;6-31&#44;8&#41;&#46; La clase funcional mejor&#243; o se estabiliz&#243; a los 3 meses de tratamiento en 21 &#40;95&#37;&#41; y al a&#241;o en 14 &#40;64&#37;&#41;&#46; La distancia recorrida en la prueba de la mar-cha de 6 min se increment&#243; a los 3 meses de tratamiento una media de 64&#44;5 m&#44; mejor&#237;a que se mantuvo a los 6&#44; 12 y 18 meses&#46; El tratamiento se interrumpi&#243; en 4 pacientes &#40;18&#37;&#41;&#58; por muerte en 2 casos&#44; por empeoramiento en uno y por in-tolerancia a la medicaci&#243;n en otro&#46; En otros 4 pacientes &#40;18&#37;&#41; se objetiv&#243; falta de eficacia&#46; Ning&#250;n paciente present&#243; hepatotoxicidad remarcable&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Los resultados del presente estudio apo-yan la idea de que el tratamiento con bosent&#225;n se asocia a una mejor&#237;a cl&#237;nica y de la capacidad de ejercicio a largo plazo en aproximadamente dos terceras partes de los pacientes con hipertensi&#243;n pulmonar&#46;</p>"
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Original Articles
Long-term Outcomes of Treatment With Bosentan in Pulmonary Hypertension
Antonio Romána,
Corresponding author
aroman@vhebron.net

Correspondence: Dr. A. Román. Servei de Pneumologia. Hospital Universitari Vall d'Hebron. Pg. Vall d'Hebron, 119-129. 08035 Barcelona. España
, Pilar Gisperta, Víctor Monfortea, Carlos Bravoa, Enric Domingob, Ferran Morella
a Servei de Pneumologia, Hospital Universitari Vall d'Hebron, Barcelona, Spain
b Servei de Cardiologia, Hospital Universitari Vall d'Hebron, Barcelona, Spain
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Treatment with bosentan improves exercise capacity in patients with pulmonary hypertension&#46; Few studies have assessed treatment with this drug over long periods&#46; The aim was therefore to assess long-term treatment with bosentan&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">A group of 22 functional class III patients&#8212;18 women and 4 men&#44; mean age&#44; 45&#46;5 years &#40;range&#44; 19-77 years&#41;&#8212;with pulmonary hypertension were treated with bosentan between April 2002 and June 2005&#46; Pulmonary hypertension was idiopathic in 10 patients&#46; In the remaining patients&#44; etiologies were associated with compensated heart failure &#40;n&#61;4&#41;&#44; scleroderma &#40;n&#61;4&#41;&#44; peripheral embolism &#40;n&#61;3&#41;&#44; and portal hypertension &#40;n&#61;1&#41;&#46; Clinical and hemodynamic variables and their changes between baseline and the end of study were analyzed&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The mean duration of follow-up of the patients was 15&#46;7 months &#40;range&#44; 12&#46;6-31&#46;8 months&#41;&#46; Functional class improved or stabilized after 3 months of treatment in 21 &#40;95&#37;&#41; and after 1 year in 14 &#40;64&#37;&#41;&#46; At 3 months&#44; the distance covered in the 6-minute walk test increased by a mean of 64&#46;5 m&#44; an improvement that was maintained at 6&#44; 12&#44; and 18 months&#46; Treatment was interrupted in 4 patients &#40;18&#37;&#41;&#46; Reasons for discontinuation were death in 2 patients&#44; deterioration in 1 patient&#44; and intolerance of the medication in 1 patient&#46; Treatment was ineffective for 4 patients &#40;18&#37;&#41;&#46; No patient experienced notable liver toxicity&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The results of this study suggest that treatment with bosentan is associated with long-term improvement in clinical variables and exercise capacity in approximately two thirds of the patients with pulmonary hypertension&#46;</p>"
      ]
      "es" => array:1 [
        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">El tratamiento con bosent&#225;n mejora la capacidad de ejercicio de los pacientes con hipertensi&#243;n pulmonar&#46; Son muy escasos los estudios que eval&#250;an este tratamiento a largo plazo&#44; que es el objetivo propuesto en el presente trabajo&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Un grupo de 22 pacientes &#8722;18 mu-jeres y 4 varones&#44; con una edad media de 45&#44;5 a&#241;os &#40;rango&#58; 19-77 a&#241;os&#41;- con hipertensi&#243;n pulmonar en clase funcional III recibieron tratamiento con bosent&#225;n entre abril de 2002 y junio de 2005&#46; La hipertensi&#243;n pulmonar era idiop&#225;tica en 10 casos y estaba asociada a cardiopat&#237;a corregida &#40;n &#61; 4&#41;&#44; escle-rodermia &#40;n &#61; 4&#41;&#44; embolia perif&#233;rica &#40;n &#61; 3&#41; e hipertensi&#243;n portal &#40;n &#61; 1&#41; en los restantes&#46; Se estudiaron los datos cl&#237;nicos y hemodin&#225;micos y los cambios que hab&#237;an experimentado desde el inicio del tratamiento hasta el fin del estudio&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">El seguimiento medio de los pacientes fue de 15&#44;7 meses &#40;rango&#58; 12&#44;6-31&#44;8&#41;&#46; La clase funcional mejor&#243; o se estabiliz&#243; a los 3 meses de tratamiento en 21 &#40;95&#37;&#41; y al a&#241;o en 14 &#40;64&#37;&#41;&#46; La distancia recorrida en la prueba de la mar-cha de 6 min se increment&#243; a los 3 meses de tratamiento una media de 64&#44;5 m&#44; mejor&#237;a que se mantuvo a los 6&#44; 12 y 18 meses&#46; El tratamiento se interrumpi&#243; en 4 pacientes &#40;18&#37;&#41;&#58; por muerte en 2 casos&#44; por empeoramiento en uno y por in-tolerancia a la medicaci&#243;n en otro&#46; En otros 4 pacientes &#40;18&#37;&#41; se objetiv&#243; falta de eficacia&#46; Ning&#250;n paciente present&#243; hepatotoxicidad remarcable&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Los resultados del presente estudio apo-yan la idea de que el tratamiento con bosent&#225;n se asocia a una mejor&#237;a cl&#237;nica y de la capacidad de ejercicio a largo plazo en aproximadamente dos terceras partes de los pacientes con hipertensi&#243;n pulmonar&#46;</p>"
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