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Microvascular Dysfunction across the Spectrum of Heart Failure Pathology: Pathophysiology, Clinical Features and Therapeutic Implications

Title: Microvascular Dysfunction across the Spectrum of Heart Failure Pathology: Pathophysiology, Clinical Features and Therapeutic Implications
Authors: Giulia La Vecchia; Isabella Fumarulo; Andrea Caffè; Mario Chiatto; Rocco A. Montone; Nadia Aspromonte
Source: International Journal of Molecular Sciences, Vol 25, Iss 14, p 7628 (2024)
Publisher Information: MDPI AG
Publication Year: 2024
Collection: Directory of Open Access Journals: DOAJ Articles
Subject Terms: microvascular dysfunction; heart failure; chronic inflammation; Biology (General); QH301-705.5; Chemistry; QD1-999
Description: Coronary microvascular dysfunction (CMD) plays a crucial role across the spectrum of heart failure (HF) pathology, contributing to disease development, progression, and outcomes. The pathophysiological mechanisms linking CMD to HF are complex and still not completely understood and include chronic inflammation, oxidative stress, and neurohormonal activation. Despite the diagnostic and prognostic relevance in patients with HF, there is no specific therapeutic strategy targeting CMD to date. Moreover, the diagnosis of this clinical condition is challenging. In this review article, we aim to discuss the different clinical pathogenetic mechanisms linking CMD to HF across the different spectra of these diseases, their prognostic relevance, and the possible therapeutic targets along with the remaining knowledge gaps in the field.
Document Type: article in journal/newspaper
Language: English
Relation: https://www.mdpi.com/1422-0067/25/14/7628; https://doaj.org/toc/1661-6596; https://doaj.org/toc/1422-0067; https://doaj.org/article/20316eb7c90e49c99d6d800c36a63b8f
DOI: 10.3390/ijms25147628
Availability: https://doi.org/10.3390/ijms25147628; https://doaj.org/article/20316eb7c90e49c99d6d800c36a63b8f
Accession Number: edsbas.6ABE4DA9
Database: BASE