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Publication : Pulmonary arterial hypertension: the clinical syndrome.

First Author  Lai YC Year  2014
Journal  Circ Res Volume  115
Issue  1 Pages  115-30
PubMed ID  24951762 Mgi Jnum  J:247930
Mgi Id  MGI:5919014 Doi  10.1161/CIRCRESAHA.115.301146
Citation  Lai YC, et al. (2014) Pulmonary arterial hypertension: the clinical syndrome. Circ Res 115(1):115-30
abstractText  Pulmonary arterial hypertension is a progressive disorder in which endothelial dysfunction and vascular remodeling obstruct small pulmonary arteries, resulting in increased pulmonary vascular resistance and pulmonary pressures. This leads to reduced cardiac output, right heart failure, and ultimately death. In this review, we attempt to answer some important questions commonly asked by patients diagnosed with pulmonary arterial hypertension pertaining to the disease, and aim to provide an explanation in terms of classification, diagnosis, pathophysiology, genetic causes, demographics, and prognostic factors. Furthermore, important molecular pathways that are central to the pathogenesis of pulmonary arterial hypertension are reviewed, including nitric oxide, prostacyclin, endothelin-1, reactive oxygen species, and endothelial and smooth muscle proliferation.
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