Document Detail


Chronic cyanosis and vascular function: implications for patients with cyanotic congenital heart disease.
MedLine Citation:
PMID:  20416139     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In patients with cyanotic congenital heart disease, chronic hypoxaemia leads to important changes in blood vessel function and structure. Some of these alterations are maladaptive and probably contribute to impaired cardiopulmonary performance and an increased incidence of thrombotic and embolic events. Recent evidence suggests that deranged endothelial function, a sequel of chronic cyanosis, could be an important factor in the pathogenesis of cyanosis-associated cardiovascular risk. In this article, we discuss the physiological and mechanical consequences of compensatory erythrocytosis and possible pathophysiological mechanisms of vascular dysfunction in chronic cyanosis.
Authors:
Rachael L Cordina; David S Celermajer
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Publication Detail:
Type:  Journal Article; Review     Date:  2010-04-26
Journal Detail:
Title:  Cardiology in the young     Volume:  20     ISSN:  1467-1107     ISO Abbreviation:  Cardiol Young     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-12     Completed Date:  2010-09-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9200019     Medline TA:  Cardiol Young     Country:  England    
Other Details:
Languages:  eng     Pagination:  242-53     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Royal Prince Alfred Hospital and University of Sydney, Australia.
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MeSH Terms
Descriptor/Qualifier:
Anoxia / blood,  complications*,  physiopathology
Blood Viscosity
Chronic Disease
Cyanosis / etiology*,  physiopathology
Disease Progression
Endothelium, Vascular / physiopathology*
Heart Defects, Congenital / complications*,  physiopathology
Humans
Microcirculation
Muscle, Smooth, Vascular / physiopathology*
Polycythemia / blood,  complications,  physiopathology
Vascular Diseases / complications,  physiopathology*
Vasoconstriction / physiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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