Advancing knowledge of right ventricular pathophysiology in chronic pressure overload: Insights from experimental studies
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Advancing knowledge of right ventricular pathophysiology in chronic pressure overload: Insights from experimental studies. / Guihaire, Julien; Noly, Pierre Emmanuel; Schrepfer, Sonja; Mercier, Olaf.
in: ARCH CARDIOVASC DIS, Jahrgang 108, Nr. 10, 10.2015, S. 519-529.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung
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TY - JOUR
T1 - Advancing knowledge of right ventricular pathophysiology in chronic pressure overload: Insights from experimental studies
AU - Guihaire, Julien
AU - Noly, Pierre Emmanuel
AU - Schrepfer, Sonja
AU - Mercier, Olaf
N1 - Copyright © 2015 Elsevier Masson SAS. All rights reserved.
PY - 2015/10
Y1 - 2015/10
N2 - The right ventricle (RV) has to face major changes in loading conditions due to cardiovascular diseases and pulmonary vascular disorders. Clinical experience supports evidence that the RV better compensates for volume than for pressure overload, and for chronic than for acute changes. For a long time, right ventricular (RV) pathophysiology has been restricted to patterns extrapolated from left heart studies. However, the two ventricles are anatomically, haemodynamically and functionally distinct. RV metabolic properties may also result in a different behaviour in response to pathological conditions compared with the left ventricle. In this review, current knowledge of RV pathophysiology is reported in the setting of chronic pressure overload, including recent experimental findings and emerging concepts. After a time-varying compensated period with preserved cardiac output despite overload conditions, RV failure finally occurs, leading to death. The underlying mechanisms involved in the transition from compensatory hypertrophy to maladaptive remodelling are not completely understood.
AB - The right ventricle (RV) has to face major changes in loading conditions due to cardiovascular diseases and pulmonary vascular disorders. Clinical experience supports evidence that the RV better compensates for volume than for pressure overload, and for chronic than for acute changes. For a long time, right ventricular (RV) pathophysiology has been restricted to patterns extrapolated from left heart studies. However, the two ventricles are anatomically, haemodynamically and functionally distinct. RV metabolic properties may also result in a different behaviour in response to pathological conditions compared with the left ventricle. In this review, current knowledge of RV pathophysiology is reported in the setting of chronic pressure overload, including recent experimental findings and emerging concepts. After a time-varying compensated period with preserved cardiac output despite overload conditions, RV failure finally occurs, leading to death. The underlying mechanisms involved in the transition from compensatory hypertrophy to maladaptive remodelling are not completely understood.
KW - Animals
KW - Blood Pressure
KW - Cardiac Output
KW - Chronic Disease
KW - Humans
KW - Hypertension/complications
KW - Hypertrophy, Right Ventricular/etiology
KW - Pulmonary Circulation
KW - Risk Factors
KW - Treatment Outcome
KW - Ventricular Dysfunction, Right/diagnosis
KW - Ventricular Function, Right
KW - Ventricular Remodeling
U2 - 10.1016/j.acvd.2015.05.008
DO - 10.1016/j.acvd.2015.05.008
M3 - SCORING: Review article
C2 - 26184869
VL - 108
SP - 519
EP - 529
JO - ARCH CARDIOVASC DIS
JF - ARCH CARDIOVASC DIS
SN - 1875-2136
IS - 10
ER -