Left atrial dysfunction as the major driver of heart failure with preserved ejection fraction syndrome.


Journal

Journal of clinical ultrasound : JCU
ISSN: 1097-0096
Titre abrégé: J Clin Ultrasound
Pays: United States
ID NLM: 0401663

Informations de publication

Date de publication:
Oct 2022
Historique:
revised: 21 07 2022
received: 30 06 2022
accepted: 23 07 2022
entrez: 11 10 2022
pubmed: 12 10 2022
medline: 13 10 2022
Statut: ppublish

Résumé

Left atrial (LA) dysfunction seems to play a central role in the pathophysiology of heart failure with preserved ejection fraction (HFpEF), is associated with disease severity and poor outcomes and potentially impacts management. Identifying LA myopathy can help guide tailored therapy for HFpEF. Echocardiography allows the accurate measurement of atrial size and function, where LA strain appears to be a sensitive measure of intrinsic LA myopathy. Several therapies and devices that decompress of left atrium are being tested for HFpEF. Further investigation is required to understand the specific atrial effects of statins, mineralocorticoid receptor antagonists, and other therapies.

Identifiants

pubmed: 36218205
doi: 10.1002/jcu.23318
doi:

Substances chimiques

Hydroxymethylglutaryl-CoA Reductase Inhibitors 0
Mineralocorticoid Receptor Antagonists 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1073-1083

Informations de copyright

© 2022 Wiley Periodicals LLC.

Références

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Auteurs

Artem G Ovchinnikov (AG)

Out-Patient Department, Institute of Clinical Cardiology, National Medical Research Center of Cardiology named after Academician E.I. Chazov, Moscow, Russia.
Department of Clinical Functional Diagnostics, A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia.

Alexandra Potekhina (A)

Out-Patient Department, Institute of Clinical Cardiology, National Medical Research Center of Cardiology named after Academician E.I. Chazov, Moscow, Russia.

Evgeny Belyavskiy (E)

Department of Internal Medicine and Cardiology, Charité - Universitätsmedizin Berlin, Campus Virchow - Klinikum - Universitätsmedizin Berlin, Berlin, Germany.

Anna Gvozdeva (A)

Out-Patient Department, Institute of Clinical Cardiology, National Medical Research Center of Cardiology named after Academician E.I. Chazov, Moscow, Russia.

Fail Ageev (F)

Out-Patient Department, Institute of Clinical Cardiology, National Medical Research Center of Cardiology named after Academician E.I. Chazov, Moscow, Russia.

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