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Cited by 267

The DOI matches its Crossref record; 117 of the 117 references it cites were found in a registry or an index.

Dilated cardiomyopathy: causes, mechanisms, and current and future treatment approaches

Heymans, Stephane, Lakdawala, Neal K, Tschöpe, Carsten, Klingel, Karin·2023·The Lancet

Abstract

Dilated cardiomyopathy is conventionally defined as the presence of left ventricular or biventricular dilatation or systolic dysfunction in the absence of abnormal loading conditions (eg, primary valve disease) or significant coronary artery disease sufficient to cause ventricular remodelling. This definition has been recognised as overly restrictive, as left ventricular hypokinesis without dilation could be the initial presentation of dilated cardiomyopathy. The causes of dilated cardiomyopathy comprise genetic (primary dilated cardiomyopathy) or acquired factors (secondary dilated cardiomyopathy). Acquired factors include infections, toxins, cancer treatment, endocrinopathies, pregnancy, tachyarrhythmias, and immune-mediated diseases. 5-15% of patients with acquired dilated cardiomyopathy harbour a likely pathogenic or pathogenic gene variant (ie, gene mutation). Therefore, the diagnostic tests and therapeutic approach should always consider both genetic and acquired factors. This Seminar will focus on the current multidimensional diagnostic and therapeutic approach and discuss the underlying pathophysiology that could drive future treatments aiming to repair or replace the existing gene mutation, or target the specific inflammatory, metabolic, or pro-fibrotic drivers of genetic or acquired dilated cardiomyopathy.

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Metadata

Authors
Heymans, S., Lakdawala, N. K., Tschöpe, C., & Klingel, K.
Venue
The Lancet
Publisher
Elsevier BV
Published
2023-09
Volume
402
Issue
10406
Pages
998-1011
ISSN
  • 0099-5355 (ISSN-L)
  • 0140-6736
OpenAlex
W4386788823
Cited by
267
References
117
FWCI
47.49
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Dilated cardiomyopathy: causes, mechanisms, and current and future treatment approaches. https://app.cochat.ai/papers/10.1016/s0140-6736(23)01241-2
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Heymans, S., Lakdawala, N. K., Tschöpe, C., & Klingel, K. (2023). Dilated cardiomyopathy: causes, mechanisms, and current and future treatment approaches. The Lancet. https://doi.org/10.1016/s0140-6736(23)01241-2

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

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

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.