Pulmonary hypertension (PH) occurs when blood vessels to the lungs become narrowed, resulting in higher pressure through the arteries. The heart works harder to pump blood to the lungs as the disease get progressively worse, causing fatigue (particularly while exercising), a racing pulse, heart palpitations, swelling, and other challenges.
While no cure is yet available, endothelin receptor blockers, or antagonists, generally referred to as ERAs, are often able to slow PH progression and restore some health by reducing the amount of endothelin in the blood. Too much endothelin is what causes the blood vessels to constrict, so the introduction of ERAs heralded a new era in treatment options for PH.
Photos: Dr. Masashi Yanagisawa (left) and Dr. Fernando Torres