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Author: Kazuo Maruyama Publisher: ISBN: Category : Electronic books Languages : en Pages : 0
Book Description
Since the discovery of nitric oxide (NO) as a physiological substance produced in the endothelium, the impairment of endothelial NO production and reactivity of the pulmonary vasculature to NO have been described in animal models and patients with pulmonary hypertension (PH). The NO synthase-NO-cyclic guanosine monophosphate (cGMP) pathway is impaired in pulmonary arterial hypertension (PAH), pulmonary veno-occlusive disease (PVOD), pulmonary capillary hemangiomatosis (PCH), chronic obstructive pulmonary disease (COPD), and idiopathic pulmonary fibrosis (IPF). Pioneering clinicians conceived that NO can be administered to the lung by inhalation and used this strategy to treat PH in humans and acute hypoxic PH in animal models. Inhaled NO (iNO) selectively decreases pulmonary arterial pressure with no changes in systemic arterial pressure. When iNO diffuses into the blood, it is converted to NO3,àí, thereby losing its vasodilatory effects. NO might then be recycled in hypoxic remote organs, where NO3,àí and NO2,àí are reduced to NO.¬†In the present chapter, the metabolic fate of iNO, based on previous air pollution research in Japan, is discussed. Then, we describe recent clinical applications of iNO in pediatric patients with various diseases, including bronchopulmonary dysplasia (BPD), persistent PH of neonates, and congenital diaphragmatic hernia (CDH). We also summarize the role of iNO in the catheterization lab, including acute vasoreactivity testing to assess prognosis, indications for specific PH therapy, and operability of congenital heart disease.
Author: Kazuo Maruyama Publisher: ISBN: Category : Electronic books Languages : en Pages : 0
Book Description
Since the discovery of nitric oxide (NO) as a physiological substance produced in the endothelium, the impairment of endothelial NO production and reactivity of the pulmonary vasculature to NO have been described in animal models and patients with pulmonary hypertension (PH). The NO synthase-NO-cyclic guanosine monophosphate (cGMP) pathway is impaired in pulmonary arterial hypertension (PAH), pulmonary veno-occlusive disease (PVOD), pulmonary capillary hemangiomatosis (PCH), chronic obstructive pulmonary disease (COPD), and idiopathic pulmonary fibrosis (IPF). Pioneering clinicians conceived that NO can be administered to the lung by inhalation and used this strategy to treat PH in humans and acute hypoxic PH in animal models. Inhaled NO (iNO) selectively decreases pulmonary arterial pressure with no changes in systemic arterial pressure. When iNO diffuses into the blood, it is converted to NO3,àí, thereby losing its vasodilatory effects. NO might then be recycled in hypoxic remote organs, where NO3,àí and NO2,àí are reduced to NO.¬†In the present chapter, the metabolic fate of iNO, based on previous air pollution research in Japan, is discussed. Then, we describe recent clinical applications of iNO in pediatric patients with various diseases, including bronchopulmonary dysplasia (BPD), persistent PH of neonates, and congenital diaphragmatic hernia (CDH). We also summarize the role of iNO in the catheterization lab, including acute vasoreactivity testing to assess prognosis, indications for specific PH therapy, and operability of congenital heart disease.
Author: Maria G. Belvisi Publisher: Springer ISBN: 3034884745 Category : Medical Languages : en Pages : 250
Book Description
Nitric oxide is an endogenously produced gas with a wide range of biological effects and has been implicated in many physiological and pathophysiological processes. It is released by many cell types in various organs but is particularly important in the maintenance of normal lung function. Nitric oxide in exhaled breath has been identified as a marker for lung disease in some patients. Thus, it is appropriate to consider the lung separately for the role and functioning of nitric oxide. The authors identify key areas in the history, biochemistry, physiology, pathophysiology, immunology and clinical applications of nitric oxide in the lung. The contents of this book will be of particular importance to scientists and clinicians with an interest in lung disease. Moreover, the authors encompass state of the art opinions of and rational for the therapeutic potential of nitric oxide and its inhibitors.
Author: Bengt Robertson Publisher: Elsevier Publishing Company ISBN: Category : Medical Languages : en Pages : 800
Book Description
There has been a spectacular development in both basic research on the pulmonary surfactant system and the clinical use of surfactant for treatment of lung diseases, especially in the neonatal period. In particular, the molecular biology and physiological roles of the surfactant-associated proteins (SP-A) have been clarified during the last few years; the structure and functions of these proteins therefore constitute an important hot topic, and are reviewed in several chapters of this volume. including surface chemistry and ultrastructure of surfactant components, the role of surfactant in lung mechanics and alveolar liquid homeostasis, and surfactant metabolism and its hormonal control. However, as mentioned above, clinical applications of surfactant research have become increasingly important and are therefore dealt with extensively in the remaining chapters. during the last few years to illustrate the fascinating complexity of the surfactant system. Hence, the main mission of this volume is to catalyze the future development in this field with the exchange of ideas between scientific workers from different disciplines.
Author: R. Peter Alston Publisher: Oxford Textbook in Anaesthesia ISBN: 019965347X Category : Medical Languages : en Pages : 545
Book Description
Part of the Oxford Textbooks in Anaesthesia series, this title covers the anatomy and physiology, pharmacology, post-operative complications, critical care, and all clinical aspects of cardiac and thoracic anaesthesia. Practical aspects, such as team working, and designing and equipping cardiothoracic theatre and critical care, are also included. The expert and international author team use their experience to ensure this title reflects current world-wide practice across the globe.
Author: Kaneez Fatima Shad Publisher: BoD – Books on Demand ISBN: 1789855519 Category : Medical Languages : en Pages : 168
Book Description
Microcirculation is key to providing enough nutrition and oxygen from head to toe. This is possible only through an extensive network of blood vessels spread around the body. Effect of microcirculation abnormalities stretch beyond one’s comprehension. The effects could be felt at any age, from the foetal life to the adulthood. The chapters present in this book describe how these abnormalities could lead to diseases such as atherosclerosis, thrombosis, diabetes, hypertension. Disorders of microcirculation could be related to the structural and/or functional damage to the inner lining of the blood vessels. Early identification of these disorders could benefit many ailments including cardiovascular and cerebrovascular diseases such as heart attack and stroke.
Author: Jaroslav F. Stark Publisher: John Wiley & Sons ISBN: 047009317X Category : Medical Languages : en Pages : 754
Book Description
Over 10 years after the publication of the second edition, Wiley now publishes the third edition of the popular volume Surgery for Congenital Heart Defects. Completely updated and expanded, this new edition describes step-by-step the surgical procedures for congenital heart defects and includes detailed illustrations for each operation. New in this edition are chapters on exercise testing, MRI, EP studies and catheter ablation of arrhythmias, extracorporeal circulatory support and paediatric lung transplantation. A greatly expanded ultrasound chapter contains numerous colour Doppler’s of many conditions. Surgery for Congenital Heart Defects, Third Edition: Provides complete coverage of the current issues in paediatric cardiac surgery Offers tips and surgical techniques to master difficult surgical situations Uniquely displays detailed illustrations for each operation, allowing surgeons to follow all operating procedures step-by-step Serves both as reference and training manual
Author: Kazuo Maruyama
Author: Kazuo Maruyama
Author: Maria G. Belvisi
Author: Junko Maruyama
Author: Deborah Urich Frank
Author: Jeff L. Myers
Author: Bengt Robertson
Author: Maila Turanlahti
Author: R. Peter Alston
Author: Kaneez Fatima Shad
Author: Jaroslav F. Stark