Valvular heart disease and cardiomyopathy: reappraisal of their interplay.


Journal

Nature reviews. Cardiology
ISSN: 1759-5010
Titre abrégé: Nat Rev Cardiol
Pays: England
ID NLM: 101500075

Informations de publication

Date de publication:
Jan 2024
Historique:
accepted: 03 07 2023
pubmed: 11 8 2023
medline: 11 8 2023
entrez: 10 8 2023
Statut: ppublish

Résumé

Cardiomyopathies and valvular heart diseases are typically considered distinct diagnostic categories with dedicated guidelines for their management. However, the interplay between these conditions is increasingly being recognized and they frequently coexist, as in the paradigmatic examples of dilated cardiomyopathy and hypertrophic cardiomyopathy, which are often complicated by the occurrence of mitral regurgitation. Moreover, cardiomyopathies and valvular heart diseases can have a shared aetiology because several genetic or acquired diseases can affect both the cardiac valves and the myocardium. In addition, the association between cardiomyopathies and valvular heart diseases has important prognostic and therapeutic implications. Therefore, a better understanding of their shared pathophysiological mechanisms, as well as of the prevalence and predisposing factors to their association, might lead to a different approach in the risk stratification and management of these diseases. In this Review, we discuss the different scenarios in which valvular heart diseases and cardiomyopathies coexist, highlighting the need for an improved classification and clustering of these diseases with potential repercussions in the clinical management and, particularly, personalized therapeutic approaches.

Identifiants

pubmed: 37563454
doi: 10.1038/s41569-023-00911-0
pii: 10.1038/s41569-023-00911-0
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

37-50

Informations de copyright

© 2023. Springer Nature Limited.

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Auteurs

Nina Ajmone Marsan (N)

Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands. n.ajmone@lumc.nl.

Francesca Graziani (F)

Department of Cardiovascular Science, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Maria Chiara Meucci (MC)

Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands.
Department of Cardiovascular Science, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Hoi W Wu (HW)

Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands.

Rosa Lillo (R)

Department of Cardiovascular Science, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Catholic University of the Sacred Heart, Rome, Italy.

Jeroen J Bax (JJ)

Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands.
Heart Center, University of Turku and Turku University Hospital, Turku, Finland.

Francesco Burzotta (F)

Department of Cardiovascular Science, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Catholic University of the Sacred Heart, Rome, Italy.

Massimo Massetti (M)

Department of Cardiovascular Science, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Catholic University of the Sacred Heart, Rome, Italy.

J Wouter Jukema (JW)

Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands.
Netherlands Heart Institute, Utrecht, The Netherlands.

Filippo Crea (F)

Department of Cardiovascular Science, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Catholic University of the Sacred Heart, Rome, Italy.

Classifications MeSH