Myofilament dysfunction as an emerging mechanism of volume overload heart failure

Autor: Pamela A. Lucchesi, Kristin Wilson
Rok vydání: 2014
Předmět:
Zdroj: Pflugers Archiv : European journal of physiology. 466(6)
ISSN: 1432-2013
Popis: Two main hemodynamic overload mechanisms [i.e., volume and pressure overload (VO and PO, respectively] result in heart failure (HF), and these two mechanisms have divergent pathologic alterations and different pathophysiological mechanisms. Extensive evidence from animal models and human studies of PO demonstrate a clear association with alterations in Ca(2+) homeostasis. By contrast, emerging evidence from animal models and patients with regurgitant valve disease and dilated cardiomyopathy point toward a more prominent role of myofilament dysfunction. With respect to VO HF, key features of excitation-contraction coupling defects, myofilament dysfunction, and extracellular matrix composition will be discussed.
Databáze: OpenAIRE