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
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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Self-citationDapagliflozin in Patients with Heart Failure and Reduced Ejection Fraction
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Cited by
Heart failure in low-income and middle-income countries
Mbanze, I., Spracklen, T. F., Jessen, N., Damasceno, A., & Sliwa, K. (2025) · Heart · doi:10.1136/heartjnl-2024-324176 · Cited by 21
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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- 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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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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