Аннотация
Abnormalities of diastolic function are common to virtually all forms
of cardiac failure. However, their underlying mechanisms, precise
role in the generation and phenotypic expression of heart failure,
and value as specific therapeutic targets remain poorly understood.
A growing proportion of heart failure patients, particularly among
the elderly, have apparently preserved systolic function, and this
is fueling interest for better understanding and treating diastolic
abnormalities. Much of the attention in clinical and experimental
studies has focused on relaxation and filling abnormalities of the
heart, whereas chamber stiffness has been less well studied, particularly
in humans. Nonetheless, new insights from basic and clinical research
are helping define the regulators of diastolic dysfunction and illuminate
novel targets for treatment. This review puts these developments
into perspective with the major aim of highlighting current knowledge
gaps and controversies.
- 15217918
- adult,
- aged,
- biomechanics,
- calcium
- cardiac,
- congestive,
- contraction,
- diastole,
- elasticity,
- failure,
- female,
- fibrosis,
- gov't,
- heart
- humans,
- kinases,
- male,
- middle
- muscle
- myocardial
- myocardium,
- myocytes,
- p.h.s.,
- protein
- proteins,
- relaxation,
- research
- signaling,
- support,
- u.s.
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