<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">kpccz</journal-id><journal-title-group><journal-title xml:lang="ru">Комплексные проблемы сердечно-сосудистых заболеваний</journal-title><trans-title-group xml:lang="en"><trans-title>Complex Issues of Cardiovascular Diseases</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2306-1278</issn><issn pub-type="epub">2587-9537</issn><publisher><publisher-name>Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17802/2306-1278-2016-4-87-95</article-id><article-id custom-type="elpub" pub-id-type="custom">kpccz-241</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>АНАЛИТИЧЕСКИЙ ОБЗОР</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ANALYTICAL REVIEW</subject></subj-group></article-categories><title-group><article-title>ИННОВАЦИЯ В МЕДИКАМЕНТОЗНОМ ЛЕЧЕНИИ ПАЦИЕНТОВ С ЛЕГОЧНОЙ АРТЕРИАЛЬНОЙ ГИПЕРТЕНЗИЕЙ И НЕОПЕРАБЕЛЬНОЙ, ПЕРСИСТИРУЮЩЕЙ/ РЕЗИДУАЛЬНОЙ ФОРМАМИ ХРОНИЧЕСКОЙ ТРОМБОЭМБОЛИЧЕСКОЙ ЛЕГОЧНОЙ ГИПЕРТЕНЗИИ: СТИМУЛЯТОР РАСТВОРИМОЙ ГУАНИЛАТЦИКЛАЗЫ – РИОЦИГУАТ</article-title><trans-title-group xml:lang="en"><trans-title>INNOVATION IN THE MEDICAL TREATMENT Of PATIENTS WITH PULMONARY ARTERIAL HYPERTENSION AND INOPERABLE, PERSISTENT/RECURRENT CHRONIC THROMBOEMBOLIC PULMONARY HYPERTENSION: SOLUBLE GUANILATE CYCLASE STIMULATOR – RIOCIGUAT</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>ТАРАН</surname><given-names>И. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>TARAN</surname><given-names>I. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Адрес: 121552, Москва, 3-я Черепковская улица, 15а Тел.: +7-968-654-94-06</p></bio><bio xml:lang="en"><p>Address: 15A, 3-ya Cherepkovskaya st., Moscow, 121552, Russian Federation Tel.: +7-968-654-94-06</p></bio><email xlink:type="simple">zaviirina@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>МАРТЫНЮК</surname><given-names>Т. В.</given-names></name><name name-style="western" xml:lang="en"><surname>MARTYNUK</surname><given-names>T. V.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>НАКОНЕЧНИКОВ</surname><given-names>С. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>NAKONECHNIKOV</surname><given-names>S. N.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>ЧАЗОВА</surname><given-names>И. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>CHAZOVA</surname><given-names>I. E.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Федеральное государственное бюджетное учреждение&#13;
«Российский кардиологический научно-производственный комплекс» Минздрава РФ;&#13;
&#13;
Научно-исследовательский институт кардиологии им. А. Л. Мясникова, лаборатория легочной гипертензии, отдел гипертонии. Москва, Россия<country>Россия</country></aff><aff xml:lang="en">Federal State Budgetary Institution Russian Cardiology Research and Production Complex, Scientific research institute of clinical cardiology of A. L. Myasnikov;&#13;
&#13;
Laboratory of a pulmonary hypertension, Department of a hypertension, Moscow, Russia<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2016</year></pub-date><pub-date pub-type="epub"><day>02</day><month>12</month><year>2016</year></pub-date><volume>0</volume><issue>4</issue><fpage>87</fpage><lpage>95</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; ТАРАН И.Н., МАРТЫНЮК Т.В., НАКОНЕЧНИКОВ С.Н., ЧАЗОВА И.Е., 2016</copyright-statement><copyright-year>2016</copyright-year><copyright-holder xml:lang="ru">ТАРАН И.Н., МАРТЫНЮК Т.В., НАКОНЕЧНИКОВ С.Н., ЧАЗОВА И.Е.</copyright-holder><copyright-holder xml:lang="en">TARAN I.N., MARTYNUK T.V., NAKONECHNIKOV S.N., CHAZOVA I.E.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.nii-kpssz.com/jour/article/view/241">https://www.nii-kpssz.com/jour/article/view/241</self-uri><abstract><p>Легочная артериальная гипертензия (ЛАГ) и хроническая тромбоэмболическая легочная гипертензия (ХТЭЛГ ) являются заболеваниями, чаще всего диагностируемыми на поздней стадии, с функциональным классом (ФК) легочной гипертензии III или IV по классификации Всемирной организации здравоохранения (ВОЗ), и приводящими к тяжелой правожелудочковой недостаточности с последующим летальным исходом. Cовременные исследования направлены на изучение фундаментальных терапевтических мишеней и на создание новых лекарственных препаратов, воздействующих на ранее установленные мишени. Риоцигуат – первый представитель нового класса лекарственных препаратов-стимуляторов растворимой гуанилатциклазы (рГЦ ). В обзоре проводится анализ основных исследований, в которых оценивалась эффективность/безопасность риоцигуата у пациентов с Л АГ и неоперабельной, персистирующей/резидульной формами ХТЭЛГ.</p></abstract><trans-abstract xml:lang="en"><p>Pulmonary arterial hypertension (PAH) and chronic thromboembolic pulmonary hypertension (CTEPH) are diseases, diagnosed at a late stage with functional class III or IV according to World health organization (WHO). PAH and CTEPH leads to severe right heart failureand ultimately, death. The modern researches aim at exploring the potential therapeutic targets, as at developing new drugs that can affect the previously set target. Riociguat is the first in a new class of soluble guanylatecyclase stimulators. The analysis of main researches, which reflect the evidence of riociguat efficiacy and safety in patients with PAH and inoperable, persistent/recurrent CTEPH, is presented in this rewiew.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>легочная артериальная гипертензия</kwd><kwd>хроническая тромбоэмболическая легочная гипертензия</kwd><kwd>оксид азота</kwd><kwd>стимуляторы гуанилатциклазы</kwd><kwd>риоцигуат</kwd></kwd-group><kwd-group xml:lang="en"><kwd>pulmonary arterial hypertension</kwd><kwd>chronic thromboembolic pulmonary hypertension</kwd><kwd>nitric oxide</kwd><kwd>guanylatecyclase stimulators</kwd><kwd>riociguat.</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Galie N., Hoeper M. M., Humbert M., Torbicki A., Vachiery J. L., Barbera J. A. et al. Guidelines for the diagnosis and treatment of pulmonary hypertension: the Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology and the European Respiratory Society, endorsed by the International Society of Heart and Lung Transplantation. Eur. Heart. J. 2009; 30 (20): 2493–2537. DOI: 10.1093/eurheartj/ehp297.</mixed-citation><mixed-citation xml:lang="en">Galie N., Hoeper M. M., Humbert M., Torbicki A., Vachiery J. L., Barbera J. A. et al. Guidelines for the diagnosis and treatment of pulmonary hypertension: the Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology and the European Respiratory Society, endorsed by the International Society of Heart and Lung Transplantation. Eur. Heart. J. 2009; 30 (20): 2493–2537. DOI: 10.1093/eurheartj/ehp297.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Kim N. H., Delcroix M., Jenkins D. P., Channick R., Dartevelle P., Jansa P. et al. Chronic Thromboembolic Pulmonary Hypertension. J. Am. Coll. Cardiol. 2013; 62 (Suppl): 92–99. DOI: 10.1016/j.jacc.2013.10.024.</mixed-citation><mixed-citation xml:lang="en">Kim N. H., Delcroix M., Jenkins D. P., Channick R., Dartevelle P., Jansa P. et al. Chronic Thromboembolic Pulmonary Hypertension. J. Am. Coll. Cardiol. 2013; 62 (Suppl): 92–99. DOI: 10.1016/j.jacc.2013.10.024.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Чазова И. Е., Мартынюк Т. В., Чернявский А. М., Мершин К. В., Данилов Н. М., Матчин Ю. Г. Федеральные клинические рекомендации по диагностике и лечению хронической тромбоэмболической легочной гипертензии – 2015. Режим доступа: http://www.cardioweb.ru/klinicheskie-rekomendatsii. Chazova I. E., Martynyuk T. V., Chernyavskiy A. M., Mershin K. V., Danilov N. M., Matchin Yu. G. Federal’nye klinicheskie rekomendatsii po diagnostike i lecheniyu khronicheskoy tromboembolicheskoy legochnoy gipertenzii – 2015. [Internet]. Avaliable from: http://www.cardioweb.ru/klinicheskie-rekomendatsii.</mixed-citation><mixed-citation xml:lang="en">Чазова И. Е., Мартынюк Т. В., Чернявский А. М., Мершин К. В., Данилов Н. М., Матчин Ю. Г. Федеральные клинические рекомендации по диагностике и лечению хронической тромбоэмболической легочной гипертензии – 2015. Режим доступа: http://www.cardioweb.ru/klinicheskie-rekomendatsii. Chazova I. E., Martynyuk T. V., Chernyavskiy A. M., Mershin K. V., Danilov N. M., Matchin Yu. G. Federal’nye klinicheskie rekomendatsii po diagnostike i lecheniyu khronicheskoy tromboembolicheskoy legochnoy gipertenzii – 2015. [Internet]. Avaliable from: http://www.cardioweb.ru/klinicheskie-rekomendatsii.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Humbert M., Sitbon O., Chaouat A., Bertocchi M., Habib G., Gressin V. et al. Survival in patients with idiopathic, familial, and anorexigen-associated pulmonary arterial hypertension in the modern management era. Circulation. 2010; 122: 156–163. DOI: 10.1161/CIRCULATIONAHA.109.911818.</mixed-citation><mixed-citation xml:lang="en">Humbert M., Sitbon O., Chaouat A., Bertocchi M., Habib G., Gressin V. et al. Survival in patients with idiopathic, familial, and anorexigen-associated pulmonary arterial hypertension in the modern management era. Circulation. 2010; 122: 156–163. DOI: 10.1161/CIRCULATIONAHA.109.911818.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Ottawa (ON): Canadian Agency for Drugs and Technologies in Health Riociguat (Adempas): Management of Inoperable Chronic Thromboembolic Pulmonary Hypertension; 2015 Jul.</mixed-citation><mixed-citation xml:lang="en">Ottawa (ON): Canadian Agency for Drugs and Technologies in Health Riociguat (Adempas): Management of Inoperable Chronic Thromboembolic Pulmonary Hypertension; 2015 Jul.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Чазова И. Е., Авдеев С. Н., Царева Н. А., Мартынюк Т. В., Волков А. В., Наконечников С. Н. Клинические рекомендации по диагностике и лечению легочной гипертензии. Терапевтический архив. 2014; 9: 4–23. Chazova I. E., Avdeev S. N., Tsareva N. A., Martynyuk T. V., Volkov A. V., Nakonechnikov S. N. Klinicheskie rekomendatsii po diagnostike i lecheniyu legochnoy gipertenzii. Terapevticheskiy arkhiv. 2014; 9: 4–23.</mixed-citation><mixed-citation xml:lang="en">Чазова И. Е., Авдеев С. Н., Царева Н. А., Мартынюк Т. В., Волков А. В., Наконечников С. Н. Клинические рекомендации по диагностике и лечению легочной гипертензии. Терапевтический архив. 2014; 9: 4–23. Chazova I. E., Avdeev S. N., Tsareva N. A., Martynyuk T. V., Volkov A. V., Nakonechnikov S. N. Klinicheskie rekomendatsii po diagnostike i lecheniyu legochnoy gipertenzii. Terapevticheskiy arkhiv. 2014; 9: 4–23.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Giaid A., Saleh D. Reduced expression of endothelial nitric oxide synthase in the lungs of patients with pulmonary hypertension. N. Engl. J. Med. 1995; 333: 214–221.</mixed-citation><mixed-citation xml:lang="en">Giaid A., Saleh D. Reduced expression of endothelial nitric oxide synthase in the lungs of patients with pulmonary hypertension. N. Engl. J. Med. 1995; 333: 214–221.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Stasch J. P., Pacher P., Evgenov O. V. Soluble guanylate cyclase as an emerging therapeutic target in cardiopulmonary disease. Circulation. 2011; 123: 2263–2273.</mixed-citation><mixed-citation xml:lang="en">Stasch J. P., Pacher P., Evgenov O. V. Soluble guanylate cyclase as an emerging therapeutic target in cardiopulmonary disease. Circulation. 2011; 123: 2263–2273.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Leuchte H. H., Schwaiblmair M., Baumgartner R. A., Neurohr C. F., Kolbe T., Behr J. Hemodynamic response to sildenafil, nitric oxide, and iloprost in primary pulmonary hypertension. Chest. 2004; 125: 580–586.</mixed-citation><mixed-citation xml:lang="en">Leuchte H. H., Schwaiblmair M., Baumgartner R. A., Neurohr C. F., Kolbe T., Behr J. Hemodynamic response to sildenafil, nitric oxide, and iloprost in primary pulmonary hypertension. Chest. 2004; 125: 580–586.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Mittendorf J., Weigand S., Alonso-Alija C., Bischoff E., Feurer A., Gerisch M. et al. Discovery of riociguat (BAY 63-2521): a potent, oral stimulator of soluble guanylate cyclase for the treatment of pulmonary hypertension. Chem. Med. Chem. 2009; 4: 853–865. DOI: 10.1002/cmdc.200900014.</mixed-citation><mixed-citation xml:lang="en">Mittendorf J., Weigand S., Alonso-Alija C., Bischoff E., Feurer A., Gerisch M. et al. Discovery of riociguat (BAY 63-2521): a potent, oral stimulator of soluble guanylate cyclase for the treatment of pulmonary hypertension. Chem. Med. Chem. 2009; 4: 853–865. DOI: 10.1002/cmdc.200900014.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Evgenov O. V., Ichinose F., Evgenov N. V., Gnoth M. J., Falkowski G. E. et al. Soluble guanylate cyclase activator reverses acute pulmonary hypertension and augments the pulmonary vasodilator response to inhaled nitric oxide in awake lambs. Circulation. 2004; 110: 2253–2259.</mixed-citation><mixed-citation xml:lang="en">Evgenov O. V., Ichinose F., Evgenov N. V., Gnoth M. J., Falkowski G. E. et al. Soluble guanylate cyclase activator reverses acute pulmonary hypertension and augments the pulmonary vasodilator response to inhaled nitric oxide in awake lambs. Circulation. 2004; 110: 2253–2259.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Dumitrascu R., Weissmann N., Ghofrani H. A., Dony E., Beuerlein K. et al. Activation of soluble guanylate cyclase reverses experimental pulmonary hypertension and vascular remodeling. Circulation. 2006; 113: 286–290.</mixed-citation><mixed-citation xml:lang="en">Dumitrascu R., Weissmann N., Ghofrani H. A., Dony E., Beuerlein K. et al. Activation of soluble guanylate cyclase reverses experimental pulmonary hypertension and vascular remodeling. Circulation. 2006; 113: 286–290.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Grimminger F., Weimann G., Frey R., Voswinckel R., Thamm M., Bölkow D. et al. First acute haemodynamic study of soluble guanylatecyclase stimulator riociguat in pulmonary hypertension. Eur. Respir. J. 2009; 33: 785–792. DOI: 10.1183/09031936.00039808.</mixed-citation><mixed-citation xml:lang="en">Grimminger F., Weimann G., Frey R., Voswinckel R., Thamm M., Bölkow D. et al. First acute haemodynamic study of soluble guanylatecyclase stimulator riociguat in pulmonary hypertension. Eur. Respir. J. 2009; 33: 785–792. DOI: 10.1183/09031936.00039808.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Lang M., Kojonazarov B., Weissmann N., Grimminger F., Stasch J. P., Seeger W., Ghofrani H. A. et al. The soluble guanylate cyclase stimulator riociguat ameliorates pulmonary hypertension induced by hypoxia and SU5416 in rats. BMC Pharmacology. 2011; 11 (Suppl 1): 43.</mixed-citation><mixed-citation xml:lang="en">Lang M., Kojonazarov B., Weissmann N., Grimminger F., Stasch J. P., Seeger W., Ghofrani H. A. et al. The soluble guanylate cyclase stimulator riociguat ameliorates pulmonary hypertension induced by hypoxia and SU5416 in rats. BMC Pharmacology. 2011; 11 (Suppl 1): 43.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Ghofrani H. A., Hoeper M. M., Halank M., Meyer F. J., Staehler G., Behr J., Ewert R. et al. Riociguat for chronic thromboembolic pulmonary hypertension and pulmonary arterial hypertension: a phase II study. Eur. Respir. J. 2010; 36: 792–799. DOI: 10.1183/09031936.00182909.</mixed-citation><mixed-citation xml:lang="en">Ghofrani H. A., Hoeper M. M., Halank M., Meyer F. J., Staehler G., Behr J., Ewert R. et al. Riociguat for chronic thromboembolic pulmonary hypertension and pulmonary arterial hypertension: a phase II study. Eur. Respir. J. 2010; 36: 792–799. DOI: 10.1183/09031936.00182909.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Rubin L. J., Galiè N., Grimminger F., Grünig E., Humbert M., Jing Z. C. et al. Riociguat for the treatment of pulmonary arterial hypertension: a long-term extension study (PATENT- 2). Eur. Respir. J. 2015; 45 (5): 1303–1313.</mixed-citation><mixed-citation xml:lang="en">Rubin L. J., Galiè N., Grimminger F., Grünig E., Humbert M., Jing Z. C. et al. Riociguat for the treatment of pulmonary arterial hypertension: a long-term extension study (PATENT- 2). Eur. Respir. J. 2015; 45 (5): 1303–1313.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Ghofrani H. A., Grimminger F., Grünig E., Huang Y., Jansa P., Jing Z. C. et al. Predictors of long-term outcomes in patients treated with riociguat for pulmonary arterial hypertension: data from the PATENT-2 open-label, randomised, longterm extension trial. The Lancet Respiratory Medicine. 2016; 2213–2600.</mixed-citation><mixed-citation xml:lang="en">Ghofrani H. A., Grimminger F., Grünig E., Huang Y., Jansa P., Jing Z. C. et al. Predictors of long-term outcomes in patients treated with riociguat for pulmonary arterial hypertension: data from the PATENT-2 open-label, randomised, longterm extension trial. The Lancet Respiratory Medicine. 2016; 2213–2600.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Simonneau G., D’Armini A. M., Ghofrani H. A., Grimminger F., Hoeper M. M., Jansa P., Kim N. H. et al. Riociguat for the treatment of chronic thromboembolic pulmonary hypertension: a long-term extension study (CHEST-2). Europian Respiratory Journal. 2015; 45 (5): 1293–1302.</mixed-citation><mixed-citation xml:lang="en">Simonneau G., D’Armini A. M., Ghofrani H. A., Grimminger F., Hoeper M. M., Jansa P., Kim N. H. et al. Riociguat for the treatment of chronic thromboembolic pulmonary hypertension: a long-term extension study (CHEST-2). Europian Respiratory Journal. 2015; 45 (5): 1293–1302.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Minai O. A., Bonner N., Mathai S. C., Busse D., Brockmann B., Teal S. et al. Assessment Of Patient-Reported Health Status In Chronic Thromboembolic Pulmonary Arterial HypertensionPatients Treated With Riociguat: 2-Year Results From The Chest-2 Extension Study. Value Health. 2015; 18 (7): 398–399. DOI: 10.1016/j.jval.2015.09.911.</mixed-citation><mixed-citation xml:lang="en">Minai O. A., Bonner N., Mathai S. C., Busse D., Brockmann B., Teal S. et al. Assessment Of Patient-Reported Health Status In Chronic Thromboembolic Pulmonary Arterial HypertensionPatients Treated With Riociguat: 2-Year Results From The Chest-2 Extension Study. Value Health. 2015; 18 (7): 398–399. DOI: 10.1016/j.jval.2015.09.911.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Hoeper M. M., McLaughlin V. V., Dalaan A. M., Satoh T., Galiè N. Treatment of pulmonary hypertension. Lancet Respir. Med. 2016; 4 (4): 323–336.</mixed-citation><mixed-citation xml:lang="en">Hoeper M. M., McLaughlin V. V., Dalaan A. M., Satoh T., Galiè N. Treatment of pulmonary hypertension. Lancet Respir. Med. 2016; 4 (4): 323–336.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Simonneau G., D’Armini A. M., Ghofrani H. A., Grimminger F., Hoeper M. M., Jansaet P. et al. Latebreaking abstract: Riociguat for the treatment of chronic thromboembolic pulmonary hypertension (CTEPH): 2-year results from the CHEST-2 long-term extension [Internet]. European Respiratory Journal. 2014; 44 (Suppl 58). Avaliable from: http://erj.ersjournals.com/content/44/Suppl_58/P1802.</mixed-citation><mixed-citation xml:lang="en">Simonneau G., D’Armini A. M., Ghofrani H. A., Grimminger F., Hoeper M. M., Jansaet P. et al. Latebreaking abstract: Riociguat for the treatment of chronic thromboembolic pulmonary hypertension (CTEPH): 2-year results from the CHEST-2 long-term extension [Internet]. European Respiratory Journal. 2014; 44 (Suppl 58). Avaliable from: http://erj.ersjournals.com/content/44/Suppl_58/P1802.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Hoeper M. M., Corris P. A., Kinger J. R., Langleben D., Naeije R., Simonneau G. et al. The RESPITE Study: Riociguat In Patients With PAH And An Inadequate Response To Phosphodiesterase 5 Inhibitors. Am. J. Crit. Care. Med. 2016; 193: 6315.</mixed-citation><mixed-citation xml:lang="en">Hoeper M. M., Corris P. A., Kinger J. R., Langleben D., Naeije R., Simonneau G. et al. The RESPITE Study: Riociguat In Patients With PAH And An Inadequate Response To Phosphodiesterase 5 Inhibitors. Am. J. Crit. Care. Med. 2016; 193: 6315.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
