The DOI matches its Crossref record; 89 of the 89 references it cites were found in a registry or an index.
Pathophysiology of heart failure
Open accessAbstract
Heart failure is an epidemic disease which affects about 1% to 2% of the population worldwide. Both, the etiology and phenotype of heart failure differ largely. Following a cardiac injury (e.g., myocardial infarction, increased preload or afterload) cellular, structural and neurohumoral modulations occur that affect the phenotype being present. These processes influence the cell function among intra- as well as intercellular behavior. In consequence, activation of the sympathoadrenergic and renin-angiotensin-aldosterone-system takes place leading to adaptive mechanisms, which are accompanied by volume overload, tachycardia, dyspnoea and further deterioration of the cellular function (vicious circle). There exists no heart failure specific clinical sign; the clinical symptomatic shows progressive deterioration acutely or chronically. As a measure of cellular dysfunction, the level of neurohormones (norepinephrine) and natriuretic peptides (e.g., NT-pro BNP) increase. For the diagnosis of heart failure, noninvasive (echocardiography, NMR, NT-proBNP) and invasive (heart catheterization, biopsy) diagnostic procedures are implemented. Modulation of the activated systems by ß-blocker, ACE-inhibitors and ARNI improve outcome and symptoms in heart failure patients with left ventricular dysfunction. Interventional and surgical therapy options may be performed as well. The understanding of the underlying pathophysiology of heart failure is essential to initiate the adequate therapeutic option individually for each patient. Furthermore, prevention of cardiovascular risk factors is essential to lower the risk of heart failure.
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Calcium-induced release of calcium from the cardiac sarcoplasmic reticulum
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Early Detection of Anthracycline Cardiotoxicity and Improvement With Heart Failure Therapy
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Cited by
Pingitore, A., Galli, E., Barison, A., Iervasi, A., Scarlattini, M., Nucci, D., L’Abbate, A., Mariotti, R., & Iervasi, G. (2008) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2007-2210 · Cited by 279
Weight Trajectory Impacts Risk for 10 Distinct Cardiometabolic Diseases
Swartz, A. Z., Wood, K., Farber-Eger, E., Petty, A., & Silver, H. J. (2025) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgaf348 · Cited by 10
Automated HFrEF Diagnosis Using an Optimized TimeSformer Model in Echocardiography
Petmezas, G., Papageorgiou, V. E., Vassilikos, V., Pagourelias, E., Tachmatzidis, D., Tsaklidis, G., Katsaggelos, A. K., & Maglaveras, N. (2025) · Journal of Imaging Informatics in Medicine · doi:10.1007/s10278-025-01758-2 · Cited by 3
García-Niño, W. R., Zúñiga-Muñoz, A. M., & Maldonado-Macías, X. P. (2026) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2026.178715 · Cited by 1
Metadata
- Authors
- Schwinger, R. H. G.
- Venue
- Cardiovascular Diagnosis and Therapy
- Publisher
- AME Publishing Company
- Published
- 2021-02
- Volume
- 11
- Issue
- 1
- Pages
- 263-276
- ISSN
- 2223-3652 (ISSN-L)
- 2223-3660
- OpenAlex
- W3043107334
- Cited by
- 428
- References
- 89
- FWCI
- 31.31
- Type
- journal article
- Language
- en
- Open access
- diamond
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