
Global Heart, Journal Year: 2023, Volume and Issue: 18(1), P. 58 - 58
Published: Oct. 26, 2023
Background: This systematic review and meta-analysis aimed to determine the efficacy of macitentan in patients with pulmonary hypertension (PH). Methods: A search was made PubMed, Embase, Cochrane Library, clinicaltrials.gov, without language restrictions. Randomized controlled trials (RCTs) on treatment PH macitentan, compared placebo or blank, were reviewed. Studies pooled weighted mean differences (WMDs) risk ratios (RRs), 95% confidence intervals (CIs). Results: Six RCTs (enrolling 1,003 participants) met inclusion criteria. Macitentan showed significant effects 6-min walk distance (6MWD) (WMD 12.06 m, CI 2.12 21.99 m), vascular resistance (PVR) –186.51 dyn·s/cm–5, –232.72 –140.29 dyn·s/cm–5), artery pressure (mPAP) –3.20 mmHg, –5.93 –0.47 mmHg), N-terminal pro-brain natriuretic peptide (NT-proBNP) –232.47 ng/L, wCI –318.22 –146.72 ng/L), cardiac index 0.39 L/min/m2, 0.20 0.58 L/min/m2). Conclusion: significantly improved 6MWD, PVR, mPAP, NT-proBNP, PH. should be further validated
Language: Английский