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Published byEdwina Booth Modified over 6 years ago
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Fig. 1 Microvascular dysfunction, characterized by vasomotor alterations and tissue ischaemia, and subsequent microvessel damage is the primum movens of the pathogenetic chain leading to clinically overt cardiovascular involvement in SSc patients. From: Right ventricular overload and cardiovascular neuroendocrine derangement in systemic sclerosis Eur Heart J Suppl. 2004;6(suppl_F):F68-F73. doi: /j.ehjsup Eur Heart J Suppl | The European Society of Cardiology
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Fig. 2 Association between systolic pulmonary artery pressure in SSc patients, plasma level of brain natriuretic peptide (BNP) (a) and plasma renin activity (PRA) (b). From: Right ventricular overload and cardiovascular neuroendocrine derangement in systemic sclerosis Eur Heart J Suppl. 2004;6(suppl_F):F68-F73. doi: /j.ehjsup Eur Heart J Suppl | The European Society of Cardiology
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Fig. 3 The subset of 11 SSc patients with pulmonary systolic pressure >40 mmHg is characterized by overactivity of the main vasoconstrictor systems (adrenergic – top right, renin–angiotensin–aldosterone system – bottom) and by the counteregulatory secretion of cardiac natriuretic hormones (top left brain natriuretic peptide concentration), as compared to patients without pulmonary hypertension and healthy controls. **p<0.01, ***p<0.001 vs healthy subjects; #p<0.05, ###p<0.001 vs patients with PAP <40 mmHg. From: Right ventricular overload and cardiovascular neuroendocrine derangement in systemic sclerosis Eur Heart J Suppl. 2004;6(suppl_F):F68-F73. doi: /j.ehjsup Eur Heart J Suppl | The European Society of Cardiology
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