Diseases of the Lung and Respiratory Tract Part
Diseases of the Lung and Respiratory Tract Part
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