RT Book, Section A1 Bissonnette, Bruno A1 Luginbuehl, Igor A1 Engelhardt, Thomas SR Print(0) ID 1164066319 T1 Complex Disease/Deficiency: An Overview T2 Syndromes: Rapid Recognition and Perioperative Implications, 2e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259861789 LK accessanesthesiology.mhmedical.com/content.aspx?aid=1164066319 RD 2024/04/18 AB Complex disorder or mitochondrial disease comprises a steadily growing group of genetically and clinically heterogenous enzyme-complex defects characterized by altered energy metabolism (mitochondrial oxidative phosphorylation) and a wide range of neurological, cardiac, muscular, and endocrine disorders. The system of oxidative phosphorylation is composed of the respiratory chain multi-protein enzyme complexes I-V and the two electron-carriers coenzyme Q (CoQ or ubiquinone) and cytochrome c. The symptoms associated with mitochondrial disease are primarily due to a lack of energy in tissues and thus organs with the highest energy requirements suffer first and foremost.