Advanced Imaging in Pulmonary Hypertension

Oct 1, 2016 by in RESPIRATORY Comments Off on Advanced Imaging in Pulmonary Hypertension

Fig. 12.1 2D echocardiogram – Short axis view of a patient with idiopathic pulmonary arterial hypertension showing RV dilatation (red arrow) Volume calculations of the right ventricle are essential for…

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Surgery, Devices, Transplantation and Other Interventional Options for the Treatment of Advanced Pulmonary Hypertension

Oct 1, 2016 by in RESPIRATORY Comments Off on Surgery, Devices, Transplantation and Other Interventional Options for the Treatment of Advanced Pulmonary Hypertension

Fig. 19.1 Jamieson surgical classification of chronic thromboembolic disease (Reprinted from [36] with permission from Elsevier) The surgical technique of sequential PTE with circulatory arrest was developed and standardized at…

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Pulmonary Circulatory – Right Ventricular Uncoupling: New Insights Into Pulmonary Hypertension Pathophysiology

Oct 1, 2016 by in RESPIRATORY Comments Off on Pulmonary Circulatory – Right Ventricular Uncoupling: New Insights Into Pulmonary Hypertension Pathophysiology

Fig. 15.1 Simplified representation of “unfolded circulation” with representation of right atrium (RA), right ventricle (RV), lungs, left atrium (LA), left ventricle (LV) and systemic organs. Concepts related to coupling…

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The Future of Pulmonary Hypertension

Oct 1, 2016 by in RESPIRATORY Comments Off on The Future of Pulmonary Hypertension

Knowledge gap Strategy Example of present or future state Unifying theory of PH across WHO groups Cross-sectional deep phenotyping; consensus phenotypic definitions NHLBI PVD phenomics; consensus documents [1] Predicting PAH…

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Determining the Optimal Approach to Initiating Oral, Inhaled, and Intravenous Therapies in Clinical Practice: Sequential Goal-Directed Therapy Is Best

Oct 1, 2016 by in RESPIRATORY Comments Off on Determining the Optimal Approach to Initiating Oral, Inhaled, and Intravenous Therapies in Clinical Practice: Sequential Goal-Directed Therapy Is Best

Fig. 17.1 Two approaches to initiation of therapy in PAH: sequential combination therapy or up-front combination therapy A. Sequential Combination Therapy. Treatment is initiated with monotherapy and the outcome assessed….

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Renin-Angiotensin-Aldosterone and Other Neurohumoral Factors in the Pathogenesis of Pulmonary Hypertension

Oct 1, 2016 by in RESPIRATORY Comments Off on Renin-Angiotensin-Aldosterone and Other Neurohumoral Factors in the Pathogenesis of Pulmonary Hypertension

Vessel type Artery Mean α1-AR density (fmol/mg protein) Arteries Central Aorta 9.8 ± 1.8 Small somatic Mammary 6.0 ± 1.3 Splanchnic Mesenteric 13 ± 6.1  Splenic 28 ± 7.7  Hepatic 28 ± 5.9 Renal Renal 23 ± 5.9 Pulmonary Pulmonary artery 24 ± 5.2…

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