... hypertension(Systolic PAP=60mmHg)
She has history of 4 times spontaneous abortion,but now she really wants to continue pregnancy
I have explained her dangerous of her decision but she is rsolut to
Which kind of targeting treatment for PH do you recommend?
Bosentan is category of X
Sildenafil is category of C but i think is not enough useful
In my country iloprost(IV)is avilable and i can infuse her by monthly and follow her by level of BNP and Echocardiography
Do you agree with me to manage her by monthly infusion of iloprost?
and would you mind let me know any other institute which can help her to her dicision?or can get her a new treatment to control her pulmonary hypertension?
She really hope to have her baby

Sinserely,yours
Dr.Mirdamadi
cardiologist of Iran

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