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Historical Perspective on the Classification and Nomenclature of Pulmonary Hypertension
Pages 3-15
This book provides the framework for a singular reference in the field of pulmonary hypertension. Pulmonary vascular disease is a complex and heterogeneous condition characterized by remodeling of distal pulmonary arterioles that increases pulmonary vascular resistance to affect cardiopulmonary hemodynamic and right ventricular function adversely, resulting in a clinical syndrome of diminished exercise tolerance, shortness of breath, and heart failure-associated morbidity and mortality. Owing to the availability of novel pulmonary circulation-selective pharmacotherapies over the previous decade, the number of pulmonary hypertension patients eligible for treatment has increased substantially. Despite this progress, under-awareness persists within the practicing pulmonary, cardiovascular, and general internal medicine communities. This is due, in part, to the complex array of molecular mechanisms implicated in the pathobiology of PH, as well as cutting-edge discoveries from translational scientific works that provide a new framework by which to understand pulmonary vascular-right ventricular coupling. Taken together, a key educational opportunity is exposed to bridge this knowledge gap through the synthesis of a contemporary text that emphasizes basic science, translational and clinical principles, and treatment strategies for understanding pulmonary hypertension.
Historical Perspective on the Classification and Nomenclature of Pulmonary Hypertension
Pages 3-15
The Defining Characteristics of Pulmonary Arterial Hypertension
Pages 17-28
Pulmonary Hypertension in Patients Without Pulmonary Arterial Hypertension
Pages 29-61
Epidemiology of Pulmonary Hypertension: From Quaternary Referral Centre to the Community
Pages 63-79
The Effects of Chronic Hypoxia on Inflammation and Pulmonary Vascular Function
Pages 83-103
Genetics of Pulmonary Vascular Disease
Pages 105-121
Novel Mechanisms of Disease: Network Biology and MicroRNA Signaling in Pulmonary Hypertension
Pages 123-133
Pulmonary Hypertension as a Metabolic Disease
Pages 135-145
Renin-Angiotensin-Aldosterone and Other Neurohumoral Factors in the Pathogenesis of Pulmonary Hypertension
Pages 147-158
Animal Models of Pulmonary Hypertension
Pages 161-172
The Cardiopulmonary Hemodynamic Evaluation of Pulmonary Hypertension
Pages 173-198
Advanced Imaging in Pulmonary Hypertension
Pages 199-217
Assessing Disease State in the Pulmonary Vasculature in Clinical Practice and Research
Pages 219-229
Biomarkers and Other Methods for Assessing Patient Progress
Pages 231-240
Pulmonary Circulatory – Right Ventricular Uncoupling: New Insights Into Pulmonary Hypertension Pathophysiology
Pages 241-253
Contemporary Pharmacotherapies Involving Nitric Oxide, Prostacyclin, and Endothelin Receptor Signaling Pathways
Pages 257-270
Determining the Optimal Approach to Initiating Oral, Inhaled, and Intravenous Therapies in Clinical Practice: Sequential Goal-Directed Therapy Is Best
Pages 271-276
Determining the Optimal Approach to Initiating Oral, Inhaled, and Intravenous Therapies in Clinical Practice: Maximal Upfront Therapy Is Best
Pages 277-282
Surgery, Devices, Transplantation and Other Interventional Options for the Treatment of Advanced Pulmonary Hypertension
Pages 283-306
Patient Registries in Pulmonary Arterial Hypertension: the Role of Survival Equations and Risk Calculators
Pages 307-325
Support Care for the Pulmonary Hypertension Patient
Pages 327-343
Special Considerations for the Pulmonary Hypertension Patient
Pages 345-358
The Future of Pulmonary Hypertension
Pages 359-367
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