vasoreactive test in PH

Q: All of the following can be used for vasoreactivity test in pulmonary hypertension except? 

 A) inhaled nitric oxide 
B) epoprostenol 
C) adenosine 
D) inhaled iloprost 
 E) sildenafil


Answer: E

Many times vasoreactive test in pulmonary hypertension is carried out in ICU setting as it requires close hemodynamic monitoring and right heart catheterization. Vasoreactivity test helps in determining the right agent for treatment. Drugs commonly used for vasoreactivity testing include inhaled nitric oxide, epoprostenol, adenosine, and inhaled iloprost. Sildenafil is not appropriate for this purpose.

#pulmonary
#procedure


Reference:

Badesch DB, Abman SH, Ahearn GS, et al. Medical therapy for pulmonary arterial hypertension: ACCP evidence-based clinical practice guidelines. Chest 2004; 126:35S.