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Cited by 261

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Metabolic remodelling of the failing heart: the cardiac burn-out syndrome?

VANBILSEN, M, SMEETS, P, GILDE, A, VANDERVUSSE, G·2004·Cardiovascular Research

Abstract

It has been postulated that the failing heart suffers from chronic energy starvation, and that derangements in cardiac energy conversion are accessory to the progressive nature of this disease. The molecular mechanisms driving this 'metabolic remodelling' process and their significance for the development of cardiac failure are still open to discussion. Next to changes in mitochondrial function, the hypertrophied heart is characterized by a marked shift in substrate preference away from fatty acids towards glucose. It has been argued that the decline in fatty acid oxidation is not fully compensated for by a rise in glucose oxidation, thereby imposing an additional burden on overall ATP generating capacity. Several lines of evidence suggest that these metabolic adaptations are brought about, at least in part, by alterations in the rate of transcription of genes encoding for proteins involved in substrate transport and metabolism. Here, the principal metabolic changes are reviewed and the various molecular mechanisms that are likely to play a role are discussed. In addition, the potential significance of these changes for the aetiology of heart failure is evaluated.

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Metadata

Authors
VANBILSEN, M., SMEETS, P., GILDE, A., & VANDERVUSSE, G.
Venue
Cardiovascular Research
Published
2004-02-01
Volume
61
Issue
2
Pages
218-226
ISSN
0008-6363 (ISSN-L)
OpenAlex
W2104740972
Cited by
261
References
5
FWCI
6.91
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Metabolic remodelling of the failing heart: the cardiac burn-out syndrome? https://app.cochat.ai/papers/10.1016/j.cardiores.2003.11.014
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VANBILSEN, M., SMEETS, P., GILDE, A., & VANDERVUSSE, G. (2004). Metabolic remodelling of the failing heart: the cardiac burn-out syndrome? Cardiovascular Research. https://doi.org/10.1016/j.cardiores.2003.11.014

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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