Role of endothelins in congestive heart failure.

Abstract:

:Despite major advances in conventional medical therapy, patients with heart failure continue to experience significant morbidity and mortality. Endothelin-1 (ET-1) is a potent vasocontrictor and mitogenic peptide that is activated in heart failure. There is increasing experimental and clinical evidence in support of an important role of ET-1 in the pathophysiology of heart failure. Manipulation of the activity of ET-1, especially using endothelin receptor blockers, has allowed for the further elucidation of the role of this neurohormonal system and development of novel therapeutic strategies in heart failure. Published clinical studies of these agents to date have involved relatively small numbers of patients with severe heart failure, followed for a relatively short period of time, and have mainly examined surrogate endpoints. Large-scale trials that address to hard clinical outcomes are ongoing and their results forthcoming. A key question that remains concerns whether selective ETA or dual ETA-ETB receptor blockade will be more effective.

authors

Moe GW,Rouleau JL,Nguyen QT,Cernacek P,Stewart DJ

doi

10.1139/y03-011

subject

Has Abstract

pub_date

2003-06-01 00:00:00

pages

588-97

issue

6

eissn

0008-4212

issn

1205-7541

pii

y03-011

journal_volume

81

pub_type

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