Abstract:Patients with hemolytic diseases (i.e. sickle cell anemia) exhibit severely compromised exercise capacity and quality of life. This is likely due, at least in part, to chronic exposure to free hemoglobin (Hb) which results in a robust reduction in nitric oxide (NO) bioavailability and, particularly when combined with systemic hypoxia, enacts a proinflammatory cascade that causes vascular dysfunction and remodeling within the pulmonary circulation. Similar downstream effects may occur which could disrupt the QO… Show more
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