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Stage B, a Pre-cursor of Heart Failure, An Issue of Heart Failure Clinics - E-Book

Stage B, a Pre-cursor of Heart Failure, An Issue of Heart Failure Clinics - E-Book

Jay N. Cohn | Gary S. Francis

(2012)

Additional Information

Book Details

Abstract

In the joint American College of Cardiology /American Heart Association classification system, Stage B heart failure refers to patients with structural heart disease but no symptoms of heart failure.  Preventing progression of heart failure in Stage B patients is a central concern to heart failure specialists, so two issues have been devoted to this topic.  Part I focuses on an understanding of structural heart disease and the factors that cause progression from risk of heart failure to development of structural changes.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Heart Failure Clinics i
Copyright Page ii
Table of Contents v
Contributors iii
Heart Failure Clinics ix
Editorial: Reducing the Burden of Stage B Heart Failure Will Require Connecting the Dots Between “Knowns” and“ Known Unknowns” xi
REFERENCES xiv
Preface: Stage B, a Pre-cursor of Heart Failure xvii
Chapter 1. Myocyte Changes in Heart Failure 1
STRUCTURAL REMODELING OF THE HEART REFLECTS CHANGES IN MYOCYTE MORPHOLOGY 1
PATHOLOGIC CHANGES IN MYOCYTE SHAPE 2
MYOCYTE SHAPE AND VENTRICULAR WALL STRESS 2
HUMAN GENETICS 3
MOLECULAR MECHANISMS OF CARDIOMYOCYTE GROWTH REGULATION 3
REVERSE REMODELING IN HUMAN AND ANIMAL STUDIES 4
SUMMARY 5
REFERENCES 5
Chapter 2. Changes in the Myocardial Interstitium and Contribution to the Progression of Heart Failure 7
MYOCARDIAL INTERSTITIUM STRUCTURE AND FUNCTION 7
EXTRACELLULAR REMODELING IN CARDIAC DISEASE 11
CLINICAL APPLICATION OF THE MYOCARDIAL INTERSTITIUM 16
REFERENCES 16
Chapter 3. Pressure Overload 21
PRESSURE OVERLOAD: DEFINITION 21
CARDIAC CONSEQUENCES OF PRESSURE OVERLOAD 22
CLINICAL CORRELATES 25
MOLECULAR MECHANISMS OF VH 26
TRANSITION FROM COMPENSATED HYPERTROPHY TO HF 27
SUMMARY 28
REFERENCES 28
Chapter 4. Volume Overload 33
ETIOLOGY OF DIFFERENT VOLUME OVERLOADS AND RELATION TO PATHOPHYSIOLOGY 33
SUMMARY 39
REFERENCES 39
Chapter 5. Ischemia/Infarction 43
FACTORS CONTRIBUTING TO STRUCTURAL ABNORMALITIES POST-MI 43
INFARCT SIZE, TRANSMURALITY, AND EARLY VENTRICULAR REMODELING 43
INFARCT EXPANSION 43
TRANSLATION OF ANIMAL DATA TO HUMANS 45
CORONARY REPERFUSION, INFARCT SIZE, AND EARLY REMODELING 46
NEW INSIGHTS INTO MECHANISMS OF EARLY REMODELING POSTREPERFUSION 47
AGING 49
SUMMARY 49
ACKNOWLEDGMENTS 49
REFERENCES 49
Chapter 6. Cardiomyopathies: Classification, Diagnosis, and Treatment 53
HYPERTROPHIC CARDIOMYOPATHIES 55
DILATED CARDIOMYOPATHY 60
ENTEROVIRAL MYOCARDITIS 65
PARVOVIRUS B19–ASSOCIATED HEART DISEASE 69
HUMAN HERPESVIRUS 6 HEART DISEASE 69
CYTOMEGALOVIRUS MYOCARDITIS 69
HEPATITIS AND MYOCARDITIS 69
HUMAN IMMUNODEFICIENCY VIRUS 70
INFECTIOUS MONONUCLEOSIS 70
INFLUENZA 70
MUMPS 70
POLIOMYELITIS 70
RESPIRATORY SYNCYTIAL VIRUS 70
RUBELLA 70
VARICELLA 70
VARIOLA AND VACCINIA 71
ADENOVIRUS 71
ARRHYTHMOGENIC RIGHT VENTRICULAR CARDIOMYOPATHY 71
REFERENCES 73
Chapter 7. Role of Apoptosis in Adverse Ventricular Remodeling 79
BIOCHEMICAL AND MOLECULAR ALTERATIONS OF THE REMODELED MYOCARDIUM 80
CASPASE 3: THE LINK BETWEEN DEGENERATION AND CELL DEATH 81
APOPTOSIS 81
APOPTOSIS INTERRUPTUS AND REMODELED MYOCARDIUM 82
APOPTOSIS-TARGETED INTERVENTIONS IN HEART FAILURE 83
MOLECULAR IMAGING OF CARDIAC APOPTOSIS 84
SUMMARY 84
REFERENCES 84
Chapter 8. Neurohumoral Stimulation 87
ARTERIAL BAROREFLEXES 87
LOW PRESSURE REFLEXES 89
THE CENTRAL RAS AND SYMPATHOEXCITATION IN CHF 92
SYMPATHOEXCITATORY REFLEXES 92
SUMMARY 94
REFERENCES 95
Chapter 9. Role of Oxidative Stress in Disease Progression in Stage B, a Pre-cursor of Heart Failure 101
ROLE OF OXIDATIVE STRESS IN DISEASE PROGRESSION OF HEART FAILURE 102
BIOMARKERS OF OXIDATIVE STRESS 104
THERAPEUTIC CONSIDERATIONS 105
SUMMARY 106
REFERENCES 107
Chapter 10. From Risk Factors to Structural Heart Disease: The Role of Inflammation 113
RISK FACTORS ASSOCIATED WITH LOWGRADE INFLAMMATORY ACTIVITY 114
INFLAMMATION AND PROGRESSION OF STRUCTURAL HEART DISEASE: OVERVIEW 116
DIRECT EFFECTS OF PROINFLAMMATORY CYTOKINES ON MYOCARDIAL CONTRACTILITY 116
INFLAMMATION AND LEFT VENTRICULAR REMODELING 117
ROLE OF INFLAMMATION IN FIBROSIS AND DIASTOLIC DYSFUNCTION 118
VASCULAR EFFECTS OF INFLAMMATION AND VENTRICULAR DYSFUNCTION 119
SUMMARY AND FUTURE DIRECTIONS 120
REFERENCES 120
Chapter 11. Diabetes and the Risk of Heart Failure 125
INCIDENCE AND PREVALENCE OF DIABETES AND HEART FAILURE: 2 CONDITIONS INCREASING IN MAGNITUDE WORLDWIDE 125
DIABETES AS AN INDEPENDENT RISK FACTOR FOR HEART FAILURE 125
DIABETES, IMPAIRED FASTING GLUCOSE, AND LV REMODELING 126
SYSTOLIC AND DIASTOLIC DYSFUNCTION IN DIABETES 126
DIABETES AND VASCULAR STIFFNESS 126
ASSOCIATION OF DIABETES WITH OTHER CLINICAL RISK FACTORS 126
MECHANISMS FOR DIABETES-ASSO\\CIATED HEART FAILURE RISK 127
SUMMARY 129
REFERENCES 129
Chapter 12. Arterial Stiffness/Elasticity in the Contribution to Progression of Heart Failure 135
CONCEPT OF ARTERIAL STIFFNESS/ELASTICITY 135
MEASUREMENT OF ARTERIAL STIFFNESS 137
PREDICTIVE VALUE FOR PROGRESSION TO HEART FAILURE 138
EFFECT OF CARDIOVASCULAR THERAPY ON ARTERIAL STIFFNESS/ELASTICITY 139
SUMMARY 140
REFERENCES 140
Chapter 13. Aging-Associated Cardiovascular Changes and Their Relationship to Heart Failure 143
CARDIOVASCULAR CHANGES WITH AGING 144
CLINICAL APPROACH TO HEART FAILURE IN AGED PERSONS 159
SUMMARY 161
REFERENCES 161
Index 165