Tibetans have been reported to present with a unique phenotypic adaptation to high altitude characterized by higher resting ventilation and arterial oxygen saturation, no excessive polycythemia, and lower pulmonary arterial pressures (Ppa) compared with other high-altitude populations. How this affects exercise capacity is not exactly known. We measured aerobic exercise capacity during an incre...

now-a-days truncus arteriosus has been known as “common arterial trunk” (cat) and is an uncommon congenital cardiac defect presenting in about 1-3% congenital heart disease. environmental and genetic factors effects on incidence of cat and other conotruncal anomalies. the majority patients with cat and 22q11 deletion have other anomalies such as hypoplasia or aplasia of the thymus or parath...

conclusions increasing evidence supports the use of ecmo as a bridge to lt, reporting good outcomes. in the modern era of pah therapy, it is feasible to use prolonged ecmo support as a bridge to lung transplant, with the aim of weaning off this support; however, its use requires more experience and knowledge of long-term outcomes. introduction the use of extracorporeal membrane oxygenation (ecm...

Hypertension is the result of interaction between genetic vulnerability and exposure to unhealthy lifestyle. However, studies investigating the impact of cardiovascular adaptive response to hypobaric hypoxia and extreme cold in natives of high altitude on the development of hypertension have yielded conflicting results. A community based cross-sectional study was carried out in an unique popula...

KAY, JOHN MICHAEL, JACK C. WAYMIRE, AND ROBERT F. GROVER. -Lung mast cell h..perplasia and pulmonary histamine-forming capacity in hypoxic rats. Am. J. Physiol. 226(l): 178-184. 1974.We have studied lung mast cells (MC), histamine, and pulmonary histamine-forming capacity (PHFC) in acute and chronic hypoxic pulmonary hypertension in rats. Histochemical examination of lung tissue showed no evide...

conclusions based on the results of this study, we suggest the use of a novel “time from the beginning of isovolumetric contraction to the peak of the s wave” (ttp) parameter in the tdi of the base of the rv free wall to predict ph with acceptable accuracy in comparison with rhc. results in our study, the ttp showed a significant inverse relationship with the pap. based on our results, a ttp of...

Some of the most valuable contributions to science have come about serendipitously, and, in 1913, when George Glover and Issac Newsom were commissioned by Colorado cattle ranchers to study high mountain disease, there was no way to anticipate the tremendous impact they would have on the study of high-altitude cardiopulmonary physiology. It was through the study of this agricultural malady that ...

The increased hemoglobin concentration in high-altitude dwellers is a double-edged sword. Increasing hemoglobin concentration is a response long considered to be a beneficial adaptation, whereby an increase in the oxygen-carrying capacity of the blood compensates for the arterial hypoxemia of altitude. Without such an adaptation, maintenance of the arterial oxygen delivery to the tissues would ...