Heart failure with preserved ejection fraction: molecular pathways of the aging myocardium.

Abstract:

:Age-related diastolic dysfunction is a major factor in the epidemic of heart failure. In patients hospitalized with heart failure, HFpEF is now as common as heart failure with reduced ejection fraction. We now have many successful treatments for heart failure with reduced ejection fraction, while specific treatment options for HFpEF patients remain elusive. The lack of treatments for HFpEF reflects our very incomplete understanding of this constellation of diseases. There are many pathophysiological factors in HFpEF, but aging appears to play an important role. Here, we propose that aging of the myocardium is itself a specific pathophysiological process. New insights into the aging heart, including hormonal controls and specific molecular pathways, such as microRNAs, are pointing to myocardial aging as a potentially reversible process. While the overall process of aging remains mysterious, understanding the molecular pathways of myocardial aging has never been more important. Unraveling these pathways could lead to new therapies for the enormous and growing problem of HFpEF.

journal_name

Circ Res

journal_title

Circulation research

authors

Loffredo FS,Nikolova AP,Pancoast JR,Lee RT

doi

10.1161/CIRCRESAHA.115.302929

subject

Has Abstract

pub_date

2014-06-20 00:00:00

pages

97-107

issue

1

eissn

0009-7330

issn

1524-4571

pii

CIRCRESAHA.115.302929

journal_volume

115

pub_type

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