The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.
Pulmonary vascular abnormalities and ventilation-perfusion relationships in mild chronic obstructive pulmonary disease.
Abstract
Morphologic changes in pulmonary muscular arteries may modify the mechanisms that regulate the pulmonary vascular tone and contribute to maintaining an adequate ventilation-perfusion (VA/Q) matching in patients with chronic obstructive pulmonary disease (COPD). To analyze the relationships between the abnormalities of pulmonary muscular arteries and the degree of VA/Q inequality, and to assess the effect of these abnormalities on the changes in VA/Q relationships induced by oxygen breathing, we studied a group of patients with mild COPD undergoing resective lung surgery. According to the degree of airflow obstruction and the increase in VA/Q mismatch produced by 100% O2 breathing (delta logSD Q), patients were divided into three groups: (A) patients with normal lung function, (B) patients with airflow obstruction and a high response to oxygen (delta logSD Q > 0.4), and (C) patients with airflow obstruction and a low response to oxygen (delta logSD Q < 0.4). Pulmonary arteries in Groups B and C showed narrower lumens and thicker walls than in Group A. These morphologic changes were produced mainly by an enlargement of the intimal layer and were more pronounced in Group C than in Group B. The assessment of intimal area as a function of artery diameter showed that the increase in intima in Group C took place predominantly in arteries with small diameters (< 500 microns). The mean intimal area on each subject correlated with both the PaO2 value (r = -0.46, p < 0.05) and the overall index of VA/Q mismatching (r = 0.51, p < 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)
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Cites
The Lung: Scientific Foundations
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The Relations between Structural Changes in Small Airways and Pulmonary-Function Tests
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Impairment of Endothelium-Dependent Pulmonary-Artery Relaxation in Chronic Obstructive Lung Disease
Dinh-Xuan, A. T., Higenbottam, T. W., Clelland, C. A., Pepke-Zaba, J., Cremona, G., Butt, A. Y., Large, S. R., Wells, F. C., & Wallwork, J. (1991) · New England Journal of Medicine · doi:10.1056/nejm199105303242203 · Cited by 528
Ventilation-perfusion inequality in chronic obstructive pulmonary disease.
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Self-citationQuantitative Structural Analysis of Peripheral Airways and Arteries in Sudden Fatal Asthma
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Mechanisms of Gas-exchange Impairment in Idiopathic Pulmonary Fibrosis
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Self-citationSmall Airway Dimensions in Smokers with Obstruction to Airflow
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Inflammation, Growth Factors, and Pulmonary Vascular Remodeling
Hassoun, P. M., Mouthon, L., Barberà, J. A., Eddahibi, S., Flores, S. C., Grimminger, F., Jones, P. L., Maitland, M. L., Michelakis, E. D., Morrell, N. W., et al. (2009) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2009.04.006 · Cited by 710
Self-citationCD8 + ve Cells in the Lungs of Smokers with Chronic Obstructive Pulmonary Disease
SAETTA, M., BARALDO, S., CORBINO, L., TURATO, G., BRACCIONI, F., REA, F., CAVALLESCO, G., TROPEANO, G., MAPP, C. E., MAESTRELLI, P., et al. (1999) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.160.2.9812020 · Cited by 489
Ofir, D., Laveneziana, P., Webb, K. A., Lam, Y.-M., & O'Donnell, D. E. (2008) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200707-1064oc · Cited by 358
Endothelial dysfunction in pulmonary arteries of patients with mild COPD
Peinado, V. I., Barberà, J. A., Ramírez, J., Gómez, F. P., Roca, J., Jover, L., Gimferrer, J. M., & Rodriguez-Roisin, R. (1998) · American Journal of Physiology-Lung Cellular and Molecular Physiology · doi:10.1152/ajplung.1998.274.6.l908 · Cited by 334
Self-citationPulmonary Vascular Involvement in COPD
Peinado, V. I., Pizarro, S., & Barberà, J. A. (2008) · Chest · doi:10.1378/chest.08-0820 · Cited by 260
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Metadata
- Authors
- Barberà, J. A., Riverola, A., Roca, J., Ramirez, J., Wagner, P. D., Ros, D., Wiggs, B. R., & Rodriguez-Roisin, R.
- Venue
- American Journal of Respiratory and Critical Care Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 1994-02
- Volume
- 149
- Issue
- 2
- Pages
- 423-429
- ISSN
- 1073-449X (ISSN-L)
- 1535-4970
- OpenAlex
- W2053205239
- Cited by
- 260
- References
- 20
- FWCI
- 6.07
- Type
- journal article
- Language
- en
- Open access
- closed
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- Barberà, J. A., Riverola, A., Roca, J., Ramirez, J., Wagner, P. D., Ros, D., Wiggs, B. R., & Rodriguez-Roisin, R. (1994). Pulmonary vascular abnormalities and ventilation-perfusion relationships in mild chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine. https://doi.org/10.1164/ajrccm.149.2.8306040
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