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This timely volume addresses the areas of pathophysiology and therapy of pulmonary hypertension, which have seen exciting developments over the past decade. The discoveries of endothelin overexpression as well as prostacyclin and nitric oxide deficiency in association with pulmonary hypertension have led to important therapeutic insights. The new therapies have led to significant improvements in patient function, quality of life and survival. In this book, expert authors describe these new therapies. It will be of interest not only to cardiologists, pulmonary specialists and rheumatologists, but also many nurses and pharmacotherapists.
This book provides an overview of pulmonary hypertensive diseases, the current understanding of their pathobiology, and a contemporary approach to diagnosis and treatment. It discusses the definition and classification of these disorders and the epidemiology of pulmonary arterial hypertension (PAH); explores the approach to diagnosis and evaluation via methods such as echocardiography, right heart catheterization, and cardiopulmonary exercise testing; describes the major drug classes used to treat PAH and the cell signaling pathways that they target as well as adjunct and investigative therapies; and highlights special situations that are particularly challenging in the management of PAH. Written by experts in their respective fields, Diagnosis and Management of Pulmonary Hypertension is a valuable resource for pulmonologists, cardiologists, and practitioners in internal medicine and critical care.
Clinically, pregnancy acts as a stress test that unmasks maternal disease and may have long-term implications for maternal and fetal health. In Pulmonary Problems in Pregnancy, the editors provide a state-of-the art, comprehensive text focusing on common or complex pulmonary issues occurring in pregnancy. For the first time, leading experts in the fields of obstetric, pulmonary, and critical care medicine provide novel and practical insights into improving the respiratory care of the pregnant patient. The book is divided into three sections. The first few chapters introduce the reader to the normal physiologic changes that occur during pregnancy. A chapter on high altitude is included to ill...
This Monograph aims to provide an in-depth overview of our current understanding of the various forms of pulmonary hypertension, their diagnosis and their treatment.
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This issue of Heart Failure Clinics--edited by Dr. Eduardo Bossone--will cover The Right Heart Pulmonary Circulation Unit. Topics include Pathophysiology, Increased Systemic versus Increased Pulmonary Pressures, Pulmonary Arterial Hypertension, Right Heart Pulmonary Circulation Unit in Connective Tissue Disease, Right Heart Pulmonary Circulation Unit in Congenital Heart Diseases, Pulmonary Hypertension and Heart Failure, Right Heart Pulmonary Circulation Unit in Cardiomyopathies and Storage Diseases, Pulmonary Hypertension, Right Heart Pulmonary Circulation Unit at High Altitude, Chronic Thromboembolic Pulmonary Hypertension, Combining Invasive and Non-Invasive Evaluation for the Diagnosis of Pulmonary Hypertension, Imaging the Right Heart Pulmonary Circulation Unit: The Role of Ultrasound, Imaging the Right Heart Pulmonary Circulation Unit: The Role of CT and MRI, Biomarkers in Pulmonary Hypertension, Pulmonary Hypertension Related to Diffuse Parenchymal Lung Disease, Chronic Right Heart Failure, Exercise Training and Rehabilitation in Pulmonary Hypertension, and Right Heart Circulation Unit and Left Heart Valvular Diseases.
Pulmonary arterial hypertension (PAH) continues to be a condition associated with a high morbidity and mortality despite the advances in treatment strategies over the past 25 years. Although defined by strict hemodynamic criteria, PAH is a syndrome based on diverse etiologies and pathogenesis. PAH is characterized by excessive pulmonary vascular remodeling, pulmonary arterial obstruction and elevated pulmonary vascular resistance (PVR), which result in a marked increase in right ventricle (RV) afterload. Eventually, the RV is not able to cope with the increased load and HF develops.
This issue of the Cardiology Clinics entitled "Pulmonary Hypertension" is an in-depth review on the subject edited by Dr. Ronald J. Oudiz. The topics covered will include: classification of pulmonary hypertension, epidemiology and pathophysiology, diagnosis, and management in Groups I-V. There are also sections devoted to issues faced in pediatrics and pregnancy, as well as a section on patient support, among other topics.