Epigenetics, inflammation and metabolism in right heart failure associated with pulmonary hypertension.

Abstract:

:Right ventricular failure (RVF) is the most important prognostic factor for both morbidity and mortality in pulmonary arterial hypertension (PAH), but also occurs in numerous other common diseases and conditions, including left ventricle dysfunction. RVF remains understudied compared with left ventricular failure (LVF). However, right and left ventricles have many differences at the morphological level or the embryologic origin, and respond differently to pressure overload. Therefore, knowledge from the left ventricle cannot be extrapolated to the right ventricle. Few studies have focused on the right ventricle and have permitted to increase our knowledge on the right ventricular-specific mechanisms driving decompensation. Here we review basic principles such as mechanisms accounting for right ventricle hypertrophy, dysfunction, and transition toward failure, with a focus on epigenetics, inflammatory, and metabolic processes.

journal_name

Pulm Circ

journal_title

Pulmonary circulation

authors

Samson N,Paulin R

doi

10.1177/2045893217714463

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

572-587

issue

3

eissn

2045-8932

issn

2045-8940

journal_volume

7

pub_type

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