Ventriculovascular coupling in systolic and diastolic heart failure.

被引:30
作者
Fox J.M. [1 ]
Maurer M.S. [1 ]
机构
[1] Clinical Cardiovascular Research Laboratory for the Elderly, Allen Pavilion of New York Presbyterian Hospital, Room, 3 Field West, Broadway, 10034, NY
关键词
Total Peripheral Resistance; Systolic Heart Failure; Diastolic Heart Failure; Normal Ejection Fraction; Arterial Elastance;
D O I
10.1007/BF02696651
中图分类号
学科分类号
摘要
Pressure-volume analysis has provided critical insight into ventricular mechanics, and it has elucidated the underlying mechanisms of heart failure (HF). Renewed interest in ventriculovascular coupling, the interaction of the left ventricle and the arterial system, has developed from recent investigations focusing on the importance of heart rate control in systolic HF, blood pressure lability in the elderly, and acute pulmonary edema in patients with HF and a normal ejection fraction. These data suggest that abnormal ventriculovascular coupling may be an additional pathophysiological mechanism underlying the development of HF with a normal ejection fraction and may provide a target for novel therapies.
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页码:204 / 211
页数:7
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共 174 条
[41]  
Cohen-Solal A(2001)Heart rate and cardiac rhythm relationships with bisoprolol benefit in chronic heart failure in CIBIS II Trial Circulation 103 1428-1433
[42]  
Caviezel B(2000)MIC trial: metoprolol in patients with mild to moderate heart failure: effects on ventricular function and cardiopulmonary exercise testing Eur J Heart Fail 2 175-181
[43]  
Laperche T(2005)Ventricular pump function in patients with heart failure: stroke work and its relation to myocardial mass [abstract] J Card Fail 11 S112-S112
[44]  
Gourgon R(2003)Heart failure with a normal ejection fraction: is it really a disorder of diastolic function? Circulation 107 656-658
[45]  
Chen CH(2002)New concepts in diastolic dysfunction and diastolic heart failure: Part II: causal mechanisms and treatment Circulation 105 1503-1508
[46]  
Nakayama M(2004)Hospitalization for heart failure in the presence of a normal left ventricular ejection fraction: results of the New York Heart Failure Registry J Am Coll Cardiol 43 1432-1438
[47]  
Nevo E(1998)Left ventricular contractile performance, ventriculoarterial coupling, and left ventricular efficiency in hypertensive patients with left ventricular hypertrophy Am J Hypertens 11 1188-1198
[48]  
Baan J(1994)Left ventricular-arterial coupling in systemic hypertension: analysis by means of arterial effective and left ventricular elastances J Hypertens 12 591-600
[49]  
Jong TT(2003)Combined ventricular systolic and arterial stiffening in patients with heart failure and preserved ejection fraction: implications for systolic and diastolic reserve limitations Circulation 107 714-720
[50]  
Kerkhof PL(2005)Left ventricular systolic performance, function, and contractility in patients with diastolic heart failure Circulation 111 2306-2312