Published in:
Open Access 01-12-2016 | Case report
Case report: a patient with pulmonary arterial hypertension transitioning from a PDE-5 inhibitor to Riociguat
Published in: BMC Pulmonary Medicine | Issue 1/2016
Login to get accessAbstract
Background
We present here the case of a patient with pulmonary arterial hypertension and NYHA Class II symptoms who transitioned from PDE-5i therapy to riociguat. No protocol currently exists for transitioning between these PAH medications.
Case presentation
A 59-year old male with a history of anorexigen use initially presented in 2008 and was felt to have non-operable small vessel disease. His care was transitioned to our center after insurance would not cover high-dose sildenafil in addition to ERA therapy.
Conclusion
This case demonstrates a safe and successful transition from higher dose PDE-5is to riociguat with no interruption in therapy.