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Intermittent epoprostenol (prostacyclin) infusion in patients with Raynaud's syndrome: a double-blind controlled trial

  • Jill J. F. Belch
  • , John K. Drury
  • , Hilary Capell
  • , Charles D. Forbes
  • , Peter Newman
  • , Fiona McKenzie
  • , Paul Leiberman
  • , Colin R. M. Prentice

    Research output: Contribution to journal › Article › peer-review

    Abstract

    Two groups of outpatients (7 in each group) with Raynaud's syndrome, matched for severity of illness, were randomly allocated to receive at weekly intervals for three weeks either a 5 h intravenous infusion of buffer or epoprostenol (prostacyclin, PGI2) in buffer (7.5 ng/kg/min after the first hour). PGI2 reduced the frequency and duration of ischaemic attacks (both p less than 0.01). Hand temperature measurements with a thermocouple were significantly improved at 1 week; 6 weeks after the last infusion hand temperatures had returned to baseline. There was a corresponding loss of clinical response 8-10 weeks after the last infusion.
    Original languageEnglish
    Pages (from-to)313-315
    Number of pages3
    JournalLancet
    Volume1
    Issue number8320
    DOIs
    Publication statusPublished - 1983

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