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Pulmonary arterial hypertension is a disease of the pulmonary vasculature, resulting in elevated pressure in the pulmonary arteries and disrupting the physiological coordination between the right heart and the pulmonarycirculation. Journal of the American Heart Association, Ahead of Print.
ObjectiveClinical practice currently faces a significant shortfall in specific biomarkers needed for diagnosing right ventricular (RV) remodeling in patients with pulmonary hypertension (PH).
Bioelectronic medicine scientists at The Feinstein Institutes for Medical Research used noninvasive, splenic focused ultrasound stimulation (sFUS) and found they can reduce inflammation and improve symptoms of pulmonary arterial hypertension (PAH). The research team delivered sFUS to cohorts of preclinical models with the disease.
Results of Tenax Therapeutics’ Phase 2 HELP study of levosimendan in patients with pulmonary hypertension (PH) with heart failure with preserved ejection fraction (HFpEF) demonstrated that I.V. Getty Images milla1cf Mon, 05/06/2024 - 10:48 May 6, 2024 — Tenax Therapeutics, Inc. ,
Up to 50% of patients with pulmonary embolism (PE) experience hemodynamic instability and approximately 70% of patients who die of PE experience an accelerated cascade of symptoms within the first hours of onset of symptoms, thus necessitating rapid evaluation and intervention. Journal of the American Heart Association, Ahead of Print.
If pulmonary hypertension is additionally involved with vasoplegic syndrome, circulation management becomes much more complicated. The aim of this study is to investigate whether pituitrin is beneficial for the postoperative outcomes in patients with pulmonary hypertension undergoing cardiac surgery.
Circulation, Volume 150, Issue Suppl_1 , Page A4120743-A4120743, November 12, 2024. However, the most recurrent cardiac complication in RASopathies is pulmonary valve stenosis (PVS). Backgound:The RASopathies are developmental syndromes resulting from variants in the RAS/mitogen-activated protein (MAPK) cascade.
Background Pulmonary embolism is a condition of right cardiac dysfunction due to pulmonarycirculation obstruction. Malignant tumor-induced pulmonary embolism, which has a poor therapeutic outcome and a significant impact on hemodynamics, is the cause of sudden death in patients with malignant tumors.
Circulation: Cardiovascular Interventions, Ahead of Print. BACKGROUND:Prior clinical trials have demonstrated the efficacy of ultrasound-facilitated catheter-directed thrombolysis (USCDT) for the treatment of acute intermediate-risk pulmonary embolism (PE) using reduced thrombolytic doses and shorter infusion durations.
Valvular heart disease (VHD) leading to inadequate hemodynamic circulation is a major cause of cardiovascular morbidity and mortality worldwide. Right ventricular-pulmonary artery (RVPA) coupling integrates the ability of RV contractility to adapt to increased pulmonary arterial afterload.
This is where coronary circulation comes into play. Coronary circulation refers to the movement of blood through the network of coronary arteries and veins that supply the heart muscle (myocardium) itself. Step-by-Step Breakdown of Coronary Circulation 1.
Patients with pulmonary hypertension associated with a left-right shunt include a wide spectrum of pathophysiological substrates, ranging from those characterized by pulmonary over-circulation to those with advanced pulmonary vascular disease.
BackgroundData on the use of implanted hemodynamic monitoring (IHM) in patients with Fontan circulation are limited. Procedural complications (access site hematomas, pulmonary artery staining) occurred in 3 patients, without device‐related procedural complications. versus 0.6 [0–2.3];P=0.268), Device‐related complications were low.
Circulation, Ahead of Print. Balloon pulmonary angioplasty continues to gain traction as a treatment option for patients with chronic thromboembolic pulmonary disease with and without pulmonary hypertension.
Objective In Fontan circulation, pulmonary arterial hypertension (PAH)-targeted therapies could improve the patients’ exercise capacity. This study aimed to investigate the effects of PAH agents on different exercise parameters in stable Fontan patients by synthesising evidence of randomised controlled trials (RCTs).
Massive pulmonary embolism (MPE) carries significant 30-day mortality and is characterized by acute right ventricular failure, hypotension, and hypoxia, leading to cardiovascular collapse and cardiac arrest. Veno-venous ECMO can support oxygenation but is not designed to help circulation.
This approach allowed us to evaluate the effect of childhood body size on 11 measures of right heart and pulmonarycirculation independent of other anthropometric traits at various stages in the lifecourse. 0.33];P=3×10−7) independent of adulthood body size.
High-risk acute pulmonary embolism affects around 5% of all pulmonary embolisms and can take a dramatic course even in young people. Acute obstruction of the pulmonarycirculation by a blood clot can lead to circulatory failure with a high mortality rate.
Circulation, Ahead of Print. The dysfunction of pulmonary artery endothelial cells plays a pivotal role in the initiation and progression of pulmonary hypertension (PH). BACKGROUND:Pulmonary hypertension, characterized by vascular remodeling, currently lacks curative therapeutic options.
Circulation, Volume 150, Issue Suppl_1 , Page A4146398-A4146398, November 12, 2024. Rationale:Pulmonary arterial hypertension (PAH) is a devastating disease characterized by a progressive rise in pulmonary vascular resistance and occlusive vascular remodeling, leading to right heart failure and premature death.
BackgroundAcute pulmonary embolism (APE) is a common and potentially fatal cardiovascular disease that can lead to sudden cardiac arrest in severe cases. For patients with concurrent main pulmonary artery embolism and bleeding, balloon pulmonary angioplasty may be an option.
Circulation, Volume 150, Issue Suppl_1 , Page A4143390-A4143390, November 12, 2024. Introduction:Obesity is rising in prevalence worldwide and co-exists in patients with group 1 pulmonary hypertension (PH). Despite having group 1 PH, pulmonary capillary wedge pressure (PCWP) was higher with obesity (13.8 ± 6.3 vs 10.4 ± 6.5
Circulation, Volume 150, Issue Suppl_1 , Page A4142839-A4142839, November 12, 2024. Introduction:Inflammation is a key driver in the development of pulmonary arterial hypertension (PAH). The pulmonary vasculature was evaluated histologically. The gut microbiome is a complex ecosystem consisting of trillions of organisms, 0.1%
Circulation: Heart Failure, Ahead of Print. Overall, the mean pulmonary capillary wedge pressure before LVAD implantation was 259 mm Hg. The primary outcome was 1-year survival. The median follow-up was 364 days (interquartile range, 326381 days).
BackgroundLifethreatening pulmonary arterial hypertension (PAH) still lacks a direct therapeutic approach targeted to the molecular defects associated with the disease. Journal of the American Heart Association, Ahead of Print. No effect of rimeporide was detected in control rats.
Inhaled NO has the unique ability to exert its vasodilatory effects in the pulmonary vasculature without any hypotensive side-effects in the systemic circulation. We will move on to the popular use of inhaled NO and will talk about the evidence base of the use of this selective pulmonary vasodilator.
Circulation: Cardiovascular Imaging, Ahead of Print. Very preterm-born young adults are at risk for developing pulmonary arterial (PA) hypertension later in life. BACKGROUND:Very preterm-born infants are at risk for developing bronchopulmonary dysplasia (BPD), a chronic lung disease. m/s [1.453.05] versus 1.61
Circulation, Volume 150, Issue Suppl_1 , Page A4146445-A4146445, November 12, 2024. Rationale:Previously we identified a mouse modelTie2Cre-mediated disruption ofEgln1of Pulmonary arterial hypertension (PAH) with progressive obliterative vascular remodeling including vascular occlusion and plexiform-like lesions and right heart failure.
Circulation, Volume 150, Issue Suppl_1 , Page A4145487-A4145487, November 12, 2024. reported several cases in which right lower pulmonary vein (RLPV) thrombi extended into the left atrium (LA). Thrombi are difficult to visualize directly and are recognized as lacking in pulmonary vein blood flow. This study had two limitations.
BACKGROUND:The pathogenesis of chronic thromboembolic pulmonary hypertension (CTEPH) is multifactorial and growing evidence has indicated that hematological disorders are involved. Hypertension, Ahead of Print. of patients with CTEPH are associated with a severe inflammatory state and confer a poorer prognosis in long-term follow-up.
Circulation, Ahead of Print. Small hairpin RNA and ME1 enzymatic inhibitor (ME1*) were used to study the mechanism of ME1 in pulmonary artery endothelial cells. Endothelial-specificME1deletion similarly attenuated pulmonary vascular remodeling and PH development in mice, suggesting a critical role of endothelial ME1 in PH.
Circulation: Cardiovascular Interventions, Ahead of Print. BACKGROUND:Varying rates of nonsustained ventricular tachycardia (NSVT) have been reported early after transcatheter pulmonary valve replacement (TPVR) with the Harmony valve, but data regarding rhythm outcomes beyond hospital discharge are limited.
Background Pulmonary artery (PA) strain is associated with structural and functional alterations of the vessel and is an independent predictor of cardiovascular events. Circulating metabolites were measured by cross-sectional targeted metabolomics analysis. Results Among n = 170 adults (mean age 71 ± 6.3
Circulation, Volume 150, Issue Suppl_1 , Page A4140751-A4140751, November 12, 2024. this clinical case, we discussed sub-massive pulmonary embolism (PE) complicated by a right heart clot-in-transit presenting insidiously. On arrival, his troponins were elevated 373, elevated BNP 934.
Circulation, Volume 150, Issue Suppl_1 , Page A4122350-A4122350, November 12, 2024. Pulmonary vein thrombi (PVTs) are common and are underestimated. Background:Retrieved thrombus studies have shown that retrieved thrombi have calcifications, indicating that the thrombi are old. In 2022, we reported that 98.6% from 50 y.o. from 50 y.o.
Chronic Pulmonary Disease Lung diseases like chronic obstructive pulmonary disease (COPD) can lead to pulmonary hypertension, which in turn can cause the right side of the heart to enlarge, a condition known as cor pulmonale. Regular physical activity can strengthen the heart and improve circulation.
Circulation, Volume 150, Issue Suppl_1 , Page A4141118-A4141118, November 12, 2024. Metabolic abnormalities play a crucial role in the pathophysiological process of pulmonary vascular remodeling. ng/ml; idiopathic pulmonary arterial hypertension group: 5.28 ± 0.77
As the aorta is small in hypoplastic left heart syndrome, proximal portion of the pulmonary artery is taken and along with the valve, it is used to reconstruct the proximal aorta, this region, and it is connected to the right ventricle. So right ventricle maintains both systemic and pulmonarycirculation after a Norwood procedure.
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