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Medical Journal

Winter 2003, Vol. 2, No. 4

Editor’s Memo
 

Predicting Future Directions in Pulmonary Hypertension

The future of the diagnosis and treatment of pulmonary arterial hypertension (PAH) is uncertain, but it si much more promising than it was a decade ago. Intravenous prostacyclin has changed the course of this disease, and now one oral agent is approved for use and clearly has an impact on PAH.

Our experts took aim in this issue at what may come to be - in terms of understanding the pathobiology, possible advances in therapy, and new thinking on end points. So much of hte effort driving new approaches to therapy stems from teh hope that a yet-to-be discovered agent could unlock the secret of reversing the disease process, addressing the core issue of cell proliferation. How convenient it would be if we could identify switches that mgiht be turned off, thereby directing the vasculature to reverse proliferation as we solve the riddle of restoring vessel architecture and lung function. These topics and much more are addressed in the Roundtable discussion.

I wish to thank two esteemed colleagues who served as guest editors, Sean Gaine, MD, and Richard N. Channick, MD, not only for organizing the Roundtable but for recruiting the experts who contributed their articles as well. Many of the advances foreseen by our experts are still theoretical, yet some are tantalizingly imminent. We need translational research to turn them into clinical applications. Although work is progressing swiftly to find a cure for PAH, this issue of Advances in Pulmonary Hypertension seeks to "freeze" the moving target, at least for the moment, or for as long as is required to read these pages. After that, the elusive target will move on, as will our relentless effort to find and hit it.

Victor F. Tapson, MD
Editor-in-Chief

 

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Articles
 
Advances in Pulmonary Hypertension, Winter 2003, Vol. 2, No. 4

Click titles to read stories...

Profiles in Pulmonary Hypertension:
In the Pantheon of PH Research, Tim Higenbottam Sets the Pace
He vividly remembers the first patient.... She was among the patients seen in the early 1980s at a Cambridge, United Kingdom, hospital who were dying, the focus of frenetic activity by Tim Higenbottam, MD, FRCP, and his colleagues in a lung transplantation program...

Severe Angioproliferative Pulmonary Hypertension: The Lung Circulation Between Vasoconstriction and Cancer
The rather recent development of specific antibodies and molecular probes allows the identification, localization, and colocalization of growth factor genes and proteins, transcription factors, enzymes, oncogenes, and markers of cell growth and cell death....

What's on the Horizon in Therapy, From Current Approaches to Experimental Agents
The past several years have seen dramatic changes in the therapeutic options and outlook for patients with pulmonary arterial hypertension (PAH). Increasing experience with existing therapies, development of new therapies, and expanding knowledge of how to follow patients undergoing therapy have ushered in great excitement for patients and healthcare professionals alike....

New Directions in Pulmonary Hypertension: Expanding the Spectrum of End Points to Enhance Clinical Evaluation
As new therapies emerge and reshape the future of management in pulmonary arterial hypertension (PAH), the end points used to diagnose PAH and evaluate the safety and efficacy of these new treatments are also evolving....

Pulmonary Hypertension Roundtable

Future Directions: An Expert Panel Explores the Challenge of Halting Progression and Reversing the Pathology of PAH

Featuring:

Sean Gaine, MD
Nicholas W. Morrell, MD
Stuart Rich, MD
Norbert Voelkel, MD

Clinical Algorithm

Trigger Factors Leading to Death of Vascular Endothelial Cells (PDF)

 
 

PHA Announcements
 

From Puzzle to Picture:
6th International Pulmonary Hypertension Conference and Scientific Session
(PDF)

 

   
Notes
 

Editorial Advisory Board

Editor-in-Chief
Ronald J. Oudiz, MD
Associate Professor of Medicine
UCLA School of Medicine
Director, Liu Center for Pulmonary Hypertension
Division of Cardiology
Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center
Torrance, California

Immediate Past Editor
Vallerie V. McLaughlin, MD
Associate Professor of Medicine
Director, Pulmonary Hypertension Program
University of Michigan Health System
Ann Arbor, Michigan

Editor-in-Chief Elect
Richard Channick, MD
Professor of Clinical Medicine
Pulmonary and Critical Care Division
University of California, San Diego Medical Center
San Diego, California

Associate Editors
Erika Berman Rosenzweig, MD
Assistant Professor of Pediatrics
Department of Pediatrics
Columbia College of Physicians and Surgeons
New York, New York

Robert Frantz, MD
Consultant in Cardiovascular
Diseases and Internal Medicine
Assistant Professor of Medicine
Mayo Clinic College of Medicine
Rochester, Minnesota

Srinivas Murali, MD, FACC
Professor of Medicine
Drexel University College of Medicine
Director, Division of Cardiovascular Medicine
Medical Director, Gerald McGinnis Cardiovascular Institute
Allegheny General Hospital
Pittsburgh, Pennsylvania

Publisher
Pulmonary Hypertension Association
Jack Stibbs, Board Chair
Rino Aldrighetti, President
Rachel Pokorney, Medical Services Associate Director

Publishing Staff
Stu Chapman, Executive Editor
Susan Chapman, Managing Editor
Heidi Green, Associate Editor
Gloria Catalano, Production Director
Michael McClain, Design Director

PHA Office
Pulmonary Hypertension Association
801 Roeder Road., St.e 400
Silver Spring, MD 20910
301-565-3004, 301-565-3994 (fax)
www.PHAssociation.org

Provided with an unrestricted educational grant from Actelion Pharmaceuticals, U.S., Inc. and Accredo Therapeuticss.

© 2006 by Pulmonary Hypertension Association and DataMedica. All rights reserved. None of the contents may be reproduced in any form whatsoever without the written permission of PHA.

Editorial Offices
Advances in Pulmonary Hypertension
DataMedica
424 Dune Road
Westhampton Beach, NY 11978
Tel: 631-288-7733
Fax: 631- 288-7744

Advances in Pulmonary Hypertension is circulated to cardiologists, pulmonologists, rheumatologists and other selected physicians by the Pulmonary Hypertension Association . The contents of the articles are independently determined ly the Editor and the Editorial Advisory Board.

PHA's Scientific Leadership Council

Editorial Mission
Advances in Pulmonary Hypertension is committed to help physicians in their clinical decision making by informing them of important trends affecting their practice. Analyzing the impact of new findings and covering current information in the peer-reviewed literature, Advances in Pulmonary Hypertension is published four times a year. Advances in Pulmonary Hypertension is the official journal of the Pulmonary Hypertension Association.

Each article in this journal has been reviewed and approved by members of the Editorial Advisory Board.
 

Editorial Board

Todd Bull, MD
Division of Pulmonary Sciences and Critical Care Medicine
University of Colorado Health Sciences Center
Denver, Colorado

Murali Chakinala, MD
Director, Pulmonary Hypertension Clinic
Washington University School of Medicine
St. Louis, Missouri

Kristin Highland, MD
Assistant Professor
Division of Pulmonary and Critical Care
Director, Pulmonary Hypertension Clinic
Medical University of South Carolina
Charleston, South Carolina

Jim Maloney, MD
Associate Professor of Pulmonary and Critical Care Medicine
University of Colorado Health Sciences Center
Denver, Colorado

Ioana Preston, MD
Assistant Professor of Medicine
Tufts - New England Medical Center
Boston, Massachusetts

Zeenat Safdar, MD
Assistant Professor of Medicine
Department of Medicine, Pulmonary & Critical Care Section
Pulmonary Hypertension Center
Baylor College of Medicine
Houston, Texas

Rajan Saggar, MD
Assistant Professor
Division of Pulmonary and Critical Care
Medicine and Hospitalists
David Geffen School of Medicine
UCLA
Los Angeles, California

Robert Schilz, DO, PhD
Medical Director of Lung
Transplantation and Pulmonary Vascular Disease
University Hospital of Cleveland
Case Western Reserve University
Cleveland, Ohio

Francisco Soto, MD, MS
Assistant Professor
Director, Pulmonary Hypertension Program
Medical College of Wisconsin
Milwaukee, Wisconsin

Roxana Sulica, MD
Assistant Professor of Medicine
Albert Einstein College of Medicine
Director, Beth Israel Pulmonary Hypertension Program
Beth Israel Medical Center
New York, New York

 

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