RT Book, Section A1 Sachdev, Vandana A1 Malik, Punam A1 Wood, John A1 Detterich, Jon A2 Gladwin, Mark T. A2 Kato, Gregory J. A2 Novelli, Enrico M. SR Print(0) ID 1179344262 T1 Cardiac Complications T2 Sickle Cell Disease YR 2021 FD 2021 PB McGraw-Hill Education PP New York, NY SN 9781260458596 LK hemonc.mhmedical.com/content.aspx?aid=1179344262 RD 2024/09/16 AB The heart, lungs, and blood vessels represent an integrally coupled system. Sickle cell disease (SCD) is characterized by a diffuse, progressive vascular disease that not only directly damages cardiac microvasculature but also places abnormal mechanical stressors on the heart by increasing preload (anemia) and afterload (peripheral and pulmonary vascular damage). The heart may also be damaged by the sequelae of treatments for SCD, such as chronic transfusions. In this section, we focus on how the primary vascular physiology described in earlier sections impacts the integrated cardiovascular system.