Pulmonary Circulation From Basic Mechanisms To Clinical Practice
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Pulmonary Circulation: From Basic Mechanisms To Clinical Practice
This new book with 35 chapters is a comprehensive account of the important features of the pulmonary circulation which will appeal to (1) clinical and non-clinical students who want a broad-based introduction to the subject, (2) postgraduates involved in or contemplating research on the pulmonary circulation, (3) specialists in chest medicine, cardiology and intensive and critical care whose clinical work concerns diseases affecting the pulmonary blood vessels.Pulmonary circulation is well illustrated with 132 figures, 43 tables and learning points highlighted at the end of each chapter. There are two main sections: “Basic Mechanisms” and “Clinical Practice”. All the important features of the pulmonary circulation are reviewed — genetics, cell biology, vascular remodelling, anatomy, physiology, pharmacology, pulmonary hypertension, pulmonary oedema, etc.
Pulmonary Hypertension
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.
Regulation of Tissue Oxygenation, Second Edition
Author: Roland N. Pittman
language: en
Publisher: Biota Publishing
Release Date: 2016-08-18
This presentation describes various aspects of the regulation of tissue oxygenation, including the roles of the circulatory system, respiratory system, and blood, the carrier of oxygen within these components of the cardiorespiratory system. The respiratory system takes oxygen from the atmosphere and transports it by diffusion from the air in the alveoli to the blood flowing through the pulmonary capillaries. The cardiovascular system then moves the oxygenated blood from the heart to the microcirculation of the various organs by convection, where oxygen is released from hemoglobin in the red blood cells and moves to the parenchymal cells of each tissue by diffusion. Oxygen that has diffused into cells is then utilized in the mitochondria to produce adenosine triphosphate (ATP), the energy currency of all cells. The mitochondria are able to produce ATP until the oxygen tension or PO2 on the cell surface falls to a critical level of about 4–5 mm Hg. Thus, in order to meet the energetic needs of cells, it is important to maintain a continuous supply of oxygen to the mitochondria at or above the critical PO2 . In order to accomplish this desired outcome, the cardiorespiratory system, including the blood, must be capable of regulation to ensure survival of all tissues under a wide range of circumstances. The purpose of this presentation is to provide basic information about the operation and regulation of the cardiovascular and respiratory systems, as well as the properties of the blood and parenchymal cells, so that a fundamental understanding of the regulation of tissue oxygenation is achieved.