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Diseases of the Lung and Respiratory Tract Part

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Pulmonary Hypertension<br />

• Emphysema<br />

– Hypoxia <strong>and</strong> alveolar destruction reduce <strong>the</strong> number <strong>of</strong><br />

capillaries, causing increased arterial resistance,<br />

• Congenital heart disease<br />

– Elevated pressures due to valvular disease<br />

• Recurrent PE<br />

– Reduced area <strong>of</strong> vascular bed with consistent pressures<br />

• VOD<br />

• Fenfluramine/phenterimine<br />

• Idiopathic<br />

– Decreased production <strong>of</strong> nitric oxide <strong>and</strong> prostacyclin <strong>and</strong><br />

increased levels <strong>of</strong> endo<strong>the</strong>lin, leading to endo<strong>the</strong>lial cell<br />

activation <strong>and</strong> thrombogenesis<br />

– Women 20-40

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