Right Ventricular Fibrosis.

Abstract:

:The role of right ventricular (RV) fibrosis in pulmonary hypertension (PH) remains a subject of ongoing discussion. Alterations of the collagen network of the extracellular matrix may help prevent ventricular dilatation in the pressure-overloaded RV. At the same time, fibrosis impairs cardiac function, and a growing body of experimental data suggests that fibrosis plays a crucial role in the development of RV failure. In idiopathic pulmonary arterial hypertension and chronic thromboembolic PH, the RV is exposed to a ≈5 times increased afterload, which makes these conditions excellent models for studying the impact of pressure overload on RV structure. With this review, we present clinical evidence of RV fibrosis in idiopathic pulmonary arterial hypertension and chronic thromboembolic PH, explore the correlation between fibrosis and RV function, and discuss the clinical relevance of RV fibrosis in patients with PH. We postulate that RV fibrosis has a dual role in patients with pressure-overloaded RVs of idiopathic pulmonary arterial hypertension and chronic thromboembolic PH: as part of an adaptive response to prevent cardiomyocyte overstretch and to maintain RV shape for optimal function, and as part of a maladaptive response that increases diastolic stiffness, perturbs cardiomyocyte excitation-contraction coupling, and disrupts the coordination of myocardial contraction. Finally, we discuss potential novel therapeutic strategies and describe more sensitive techniques to quantify RV fibrosis, which may be used to clarify the causal relation between RV fibrosis and RV function in future research.

journal_name

Circulation

journal_title

Circulation

authors

Andersen S,Nielsen-Kudsk JE,Vonk Noordegraaf A,de Man FS

doi

10.1161/CIRCULATIONAHA.118.035326

subject

Has Abstract

pub_date

2019-01-08 00:00:00

pages

269-285

issue

2

eissn

0009-7322

issn

1524-4539

journal_volume

139

pub_type

杂志文章
  • Destruction of contrast microbubbles by ultrasound: effects on myocardial function, coronary perfusion pressure, and microvascular integrity.

    abstract:BACKGROUND:Recent experimental data indicate that ultrasound-induced destruction of ultrasound contrast microbubbles can cause immediate rupture of the microvessels in which these microbubbles are located. METHODS AND RESULTS:To examine the functional and morphological significance of these findings in the heart, isol...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc3001.092038

    authors: Ay T,Havaux X,Van Camp G,Campanelli B,Gisellu G,Pasquet A,Denef JF,Melin JA,Vanoverschelde JL

    更新日期:2001-07-24 00:00:00

  • Inhibition of phosphodiesterase 2 augments cGMP and cAMP signaling to ameliorate pulmonary hypertension.

    abstract:BACKGROUND:Pulmonary hypertension (PH) is a life-threatening disorder characterized by increased pulmonary artery pressure, remodeling of the pulmonary vasculature, and right ventricular failure. Loss of endothelium-derived nitric oxide (NO) and prostacyclin contributes to PH pathogenesis, and current therapies are tar...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.114.009751

    authors: Bubb KJ,Trinder SL,Baliga RS,Patel J,Clapp LH,MacAllister RJ,Hobbs AJ

    更新日期:2014-08-05 00:00:00

  • Effect of distension of the gallbladder on plasma renin activity in anesthetized pigs.

    abstract:BACKGROUND:Gallbladder pathology has been associated with cardiovascular disease. Recently, we showed that gallbladder distension in anesthetized pigs reflexly increased heart rate, arterial pressure, and coronary and renal vascular resistance through efferent sympathetic mechanisms. Renin release is affected by sympat...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.101.21.2539

    authors: Molinari C,Grossini E,Mary DA,Vacca G

    更新日期:2000-05-30 00:00:00

  • Quantitative relationship between left ventricular function and serum cardiac myosin light chain I levels after coronary reperfusion in patients with acute myocardial infarction.

    abstract::To estimate the extent of myocardial infarction after coronary artery reperfusion, serum levels of cardiac myosin light chain (LC) I and creatine kinase (CK) were determined serially in 49 patients with acute myocardial infarction. Intracoronary thrombolysis was successful in 25 patients (reperfusion group), and 24 pa...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.76.6.1251

    authors: Isobe M,Nagai R,Ueda S,Tsuchimochi H,Nakaoka H,Takaku F,Yamaguchi T,Machii K,Nobuyoshi M,Yazaki Y

    更新日期:1987-12-01 00:00:00

  • Relations of insulin sensitivity to longitudinal blood pressure tracking: variations with baseline age, body mass index, and blood pressure.

    abstract:BACKGROUND:The relations of insulin sensitivity (IS) to hypertension incidence may vary according to baseline age, body mass index (BMI), and blood pressure (BP). METHODS AND RESULTS:We investigated the relations of IS (insulin sensitivity index, ISI(0,120)) to 4-year incidence of hypertension and BP progression in 19...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.535039

    authors: Arnlöv J,Pencina MJ,Nam BH,Meigs JB,Fox CS,Levy D,D'Agostino RB,Vasan RS

    更新日期:2005-09-20 00:00:00

  • Fish oil treatment decreases superoxide anions in the myocardium and coronary arteries of atherosclerotic monkeys.

    abstract:BACKGROUND:This experiment sought to determine the effects of fish oil on superoxide anion production in the myocardium and coronary arteries of atherosclerotic monkeys. Recent evidence indicates that dietary supplementation with fish oil preserves normal vasomotion of atherosclerotic coronary arteries and reduces dama...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.91.4.1123

    authors: Supari F,Ungerer T,Harrison DG,Williams JK

    更新日期:1995-02-15 00:00:00

  • Troglitazone inhibits voltage-dependent calcium currents in guinea pig cardiac myocytes.

    abstract:BACKGROUND:It has been suggested that intracellular Ca2+ overload in cardiac myocytes leads to the development of diabetic cardiomyopathy. Troglitazone, an insulin-sensitizing agent, is a promising therapeutic agent for diabetes and has been shown to prevent diabetes-induced myocardial changes. To elucidate the underly...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.99.22.2942

    authors: Nakajima T,Iwasawa K,Oonuma H,Imuta H,Hazama H,Asano M,Morita T,Nakamura F,Suzuki J,Suzuki S,Kawakami Y,Omata M,Okuda Y

    更新日期:1999-06-08 00:00:00

  • Role of Rho-associated kinase in neointima formation after vascular injury.

    abstract:BACKGROUND:The Rho/Rho-associated kinase (Rho-kinase) system is implicated in various cellular functions, including migration, proliferation, and apoptosis. Because a possible role of the system is suggested in neointima formation after vascular injury, we sought to examine whether a new specific Rho-kinase inhibitor, ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.103.2.284

    authors: Shibata R,Kai H,Seki Y,Kato S,Morimatsu M,Kaibuchi K,Imaizumi T

    更新日期:2001-01-16 00:00:00

  • Complete functional recovery after 24-hour heart preservation with University of Wisconsin solution and modified reperfusion.

    abstract::Successful long-term myocardial preservation is dependent on optimizing conditions during arrest, storage, and reperfusion. Neonatal piglet hearts were arrested and stored in University of Wisconsin solution (UW) at 4 degrees C for 24 hours and reperfused on a blood-perfused, adult animal-supported isolated circuit. R...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Stein DG,Permut LC,Drinkwater DC Jr,Bhuta S,Chang P,Wu A,Laks H

    更新日期:1991-11-01 00:00:00

  • Sex-Specific Trends in Acute Myocardial Infarction Within an Integrated Healthcare Network, 2000 Through 2014.

    abstract:BACKGROUND:In recent decades, the rates of incident acute myocardial infarction (AMI) have declined in the United States, yet disparities by sex remain. In an integrated healthcare delivery system, we examined temporal trends in incident AMI among women and men. METHODS:We identified hospitalized AMI among members ≥35...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.119.044738

    authors: Mefford MT,Li BH,Qian L,Reading SR,Harrison TN,Scott RD,Cavendish JJ,Jacobsen SJ,Kanter MH,Woodward M,Reynolds K

    更新日期:2020-02-18 00:00:00

  • Adenovirus-mediated transfer of human placental ectonucleoside triphosphate diphosphohydrolase to vascular smooth muscle cells suppresses platelet aggregation in vitro and arterial thrombus formation in vivo.

    abstract:BACKGROUND:Platelet-rich thrombus formation is a critical event in the onset of cardiovascular disease. Because ADP plays a significant role in platelet aggregation, its metabolism is important in the regulation of platelet activation and recruitment. Ectonucleoside triphosphate diphosphohydrolase (E-NTPDase) is a key ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000155239.46511.79

    authors: Furukoji E,Matsumoto M,Yamashita A,Yagi H,Sakurai Y,Marutsuka K,Hatakeyama K,Morishita K,Fujimura Y,Tamura S,Asada Y

    更新日期:2005-02-15 00:00:00

  • Relationship of echocardiographic dyssynchrony to long-term survival after cardiac resynchronization therapy.

    abstract:BACKGROUND:The ability of echocardiographic dyssynchrony to predict response to cardiac resynchronization therapy (CRT) has been unclear. METHODS AND RESULTS:A prospective, longitudinal study was designed with predefined dyssynchrony indexes and outcome variables to test the hypothesis that baseline dyssynchrony is as...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.110.954768

    authors: Gorcsan J 3rd,Oyenuga O,Habib PJ,Tanaka H,Adelstein EC,Hara H,McNamara DM,Saba S

    更新日期:2010-11-09 00:00:00

  • Ventricular function after atrial cardioplegia.

    abstract::Continuous retrograde coronary sinus cardioplegia (CSCP) has previously been carefully evaluated experimentally and shown to be efficacious during ischemia, even in the presence of coronary lesions and in the hypertrophied state. A new technique of retrograde cardioplegia delivery through the right atrium, using right...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Salter DR,Goldstein JP,Abd-Elfattah A,Murphy CE,Brunsting LA,Wechsler AS

    更新日期:1987-11-01 00:00:00

  • Calcineurin splicing variant calcineurin Aβ1 improves cardiac function after myocardial infarction without inducing hypertrophy.

    abstract:BACKGROUND:Calcineurin is a calcium-regulated phosphatase that plays a major role in cardiac hypertrophy. We previously described that alternative splicing of the calcineurin Aβ (CnAβ) gene generates the CnAβ1 isoform, with a unique C-terminal region that is different from the autoinhibitory domain present in all other...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.110.012211

    authors: Felkin LE,Narita T,Germack R,Shintani Y,Takahashi K,Sarathchandra P,López-Olañeta MM,Gómez-Salinero JM,Suzuki K,Barton PJ,Rosenthal N,Lara-Pezzi E

    更新日期:2011-06-21 00:00:00

  • Defining the optimal activated clotting time during percutaneous coronary intervention: aggregate results from 6 randomized, controlled trials.

    abstract:BACKGROUND:Unfractionated heparin has been the primary anticoagulant therapy for percutaneous coronary intervention for >20 years. Despite the availability of rapid "point of care" testing, little clinical data defining the optimal level of anticoagulation are available. Furthermore, recent reports have advocated the u...

    journal_title:Circulation

    pub_type: 杂志文章,meta分析

    doi:10.1161/01.cir.103.7.961

    authors: Chew DP,Bhatt DL,Lincoff AM,Moliterno DJ,Brener SJ,Wolski KE,Topol EJ

    更新日期:2001-02-20 00:00:00

  • Changing clinical characteristics of coronary surgery patients. Differences between men and women.

    abstract:BACKGROUND:There is uncertainty as to the relative efficacy of coronary artery bypass graft surgery (CABG) in men and women. Differences between sexes may be of greater importance than heretofore because of increased frequency of risk factors for adverse outcome. It is the purpose of this study to examine the changing ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Weintraub WS,Wenger NK,Jones EL,Craver JM,Guyton RA

    更新日期:1993-11-01 00:00:00

  • Geometric determinants of electrocardiographic left ventricular hypertrophy.

    abstract::Experimental studies have suggested that electrocardiographic recognition of left ventricular hypertrophy depends on geometric relationships involving wall thickness and chamber size. To determine the clinical significance of these observations, we studied the effects of echocardiographic LV mass (LVM), posterior wall...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.67.4.907

    authors: Devereux RB,Phillips MC,Casale PN,Eisenberg RR,Kligfield P

    更新日期:1983-04-01 00:00:00

  • Intravascular ultrasound assessment of ulcerated ruptured plaques: a comparison of culprit and nonculprit lesions of patients with acute coronary syndromes and lesions in patients without acute coronary syndromes.

    abstract:BACKGROUND:It is not clear why some plaque ruptures lead to acute coronary syndromes (ACS) but others do not. METHODS AND RESULTS:We analyzed 80 plaque ruptures in 74 patients and compared culprit lesions of ACS patients with nonculprit lesions of ACS patients and lesions of non-ACS patients; both culprit and nonculpr...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.CIR.0000097121.95451.39

    authors: Fujii K,Kobayashi Y,Mintz GS,Takebayashi H,Dangas G,Moussa I,Mehran R,Lansky AJ,Kreps E,Collins M,Colombo A,Stone GW,Leon MB,Moses JW

    更新日期:2003-11-18 00:00:00

  • Age-dependent impairment of reendothelialization after arterial injury: role of vascular endothelial growth factor.

    abstract:BACKGROUND:The mechanisms responsible for the association between advanced age and atherosclerotic diseases are not clear. Because atherosclerosis develops in response to local endothelial injuries, we investigated the effect of aging on vascular healing and reendothelialization. METHODS AND RESULTS:Endothelium denuda...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000050652.47145.4c

    authors: Gennaro G,Ménard C,Michaud SE,Rivard A

    更新日期:2003-01-21 00:00:00

  • Atrial electrogram characteristics in patients with and without atrioventricular nodal reentrant tachycardia.

    abstract:BACKGROUND:Multicomponent atrial electrograms and "slow pathway potentials" are helpful in identifying target sites for radiofrequency catheter ablation of the slow pathway in patients with atrioventricular (AV) nodal reentrant tachycardia. The purpose of this study was to compare the atrial electrograms recorded at va...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.1.77

    authors: Niebauer MJ,Daoud E,Williamson B,Man KC,Strickberger A,Hummel J,Morady F

    更新日期:1995-07-01 00:00:00

  • Epidermal growth factor receptor blockade mediates smooth muscle cell apoptosis and improves survival in rats with pulmonary hypertension.

    abstract:BACKGROUND:We previously reported that administration of elastase inhibitors reverses fatal pulmonary arterial hypertension (PAH) in rats by inducing smooth muscle cell (SMC) apoptosis. We showed in pulmonary artery (PA) organ culture that the mechanism by which elastase inhibitors induce SMC apoptosis involves repress...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.540542

    authors: Merklinger SL,Jones PL,Martinez EC,Rabinovitch M

    更新日期:2005-07-19 00:00:00

  • Magnetic resonance and echocardiographic imaging of pulmonary artery size throughout stages of Fontan reconstruction.

    abstract:BACKGROUND:Because pulmonary artery size is considered by most investigators to be a major prognosticator of outcome in patients undergoing staged Fontan reconstruction, the objective of the present study was to determine the efficacy of noninvasive measures in determining pulmonary artery size. METHODS AND RESULTS:Th...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.90.6.2927

    authors: Fogel MA,Donofrio MT,Ramaciotti C,Hubbard AM,Weinberg PM

    更新日期:1994-12-01 00:00:00

  • The effects of a cardioselective (metoprolol) and a nonselective (propranolol) beta-adrenergic blocker on the response to dynamic exercise in normal men.

    abstract::We compared the effects of a cardioselective beta-adrenergic blocking drug, metoprolol, with a nonselective beta-adrenergic blocker, propranolol, on the response of 10 normal men to dynamic treadmill exercise. The volunteers underwent a standard graded exercise test to exhaustion while receiving placebo; propranolol, ...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.65.5.894

    authors: Sklar J,Johnston GD,Overlie P,Gerber JG,Brammell HL,Gal J,Nies AS

    更新日期:1982-05-01 00:00:00

  • Paclitaxel balloon coating, a novel method for prevention and therapy of restenosis.

    abstract:BACKGROUND:Drug-eluting stents have shown promising antirestenotic effects in clinical trials. Non-stent-based local delivery of antiproliferative drugs may offer additional flexibility and also reach vessel areas beyond the immediate stent coverage. The aim of the present study was to evaluate a novel method of local ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000138929.71660.E0

    authors: Scheller B,Speck U,Abramjuk C,Bernhardt U,Böhm M,Nickenig G

    更新日期:2004-08-17 00:00:00

  • Effect of Ferric Carboxymaltose on Exercise Capacity in Patients With Chronic Heart Failure and Iron Deficiency.

    abstract:BACKGROUND:Iron deficiency is common in patients with heart failure (HF) and is associated with reduced exercise capacity and poor outcomes. Whether correction of iron deficiency with (intravenous) ferric carboxymaltose (FCM) affects peak oxygen consumption [peak VO2], an objective measure of exercise intolerance in HF...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.117.027497

    authors: van Veldhuisen DJ,Ponikowski P,van der Meer P,Metra M,Böhm M,Doletsky A,Voors AA,Macdougall IC,Anker SD,Roubert B,Zakin L,Cohen-Solal A,EFFECT-HF Investigators.

    更新日期:2017-10-10 00:00:00

  • Canadian implantable defibrillator study (CIDS) : a randomized trial of the implantable cardioverter defibrillator against amiodarone.

    abstract:BACKGROUND:Patients surviving ventricular fibrillation (VF) or sustained ventricular tachycardia (VT) are at a high risk of death due to a recurrence of arrhythmia. The implantable cardioverter defibrillator (ICD) terminates VT or VF, but it is not known whether this device prolongs life in these patients compared with...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.101.11.1297

    authors: Connolly SJ,Gent M,Roberts RS,Dorian P,Roy D,Sheldon RS,Mitchell LB,Green MS,Klein GJ,O'Brien B

    更新日期:2000-03-21 00:00:00

  • Assessment of submaximal exercise capacity in patients with left ventricular assist devices.

    abstract:BACKGROUND:Long-term implantable left ventricular assist devices (LVADs) are increasingly used as a bridge to cardiac transplantation and may be used as long-term therapy for end-stage heart failure. After insertion of an LVAD, patients frequently become ambulatory. Sensors contained within these devices can measure th...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Foray A,Williams D,Reemtsma K,Oz M,Mancini D

    更新日期:1996-11-01 00:00:00

  • Perioperative myocardial infarction after coronary artery bypass surgery. Clinical significance and approach to risk stratification.

    abstract::The clinical significance of perioperative myocardial infarction (MI) after coronary artery bypass surgery is not known. Therefore, strategies for the risk stratification of these patients do not exist. This study was undertaken to define the effect of perioperative MI on prognosis after discharge from the hospital an...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.82.3.903

    authors: Force T,Hibberd P,Weeks G,Kemper AJ,Bloomfield P,Tow D,Josa M,Khuri S,Parisi AF

    更新日期:1990-09-01 00:00:00

  • Paclitaxel-Coated Balloons and Eluting Stents: Is There a Mortality Risk in Patients With Peripheral Artery Disease?

    abstract::Paclitaxel drug-coated balloons and drug-eluting stents became commercially available for the treatment of intermittent claudication in 2015 and 2012, respectively. Both devices demonstrated superiority in limb revascularization compared with non-paclitaxel-coated devices and were rapidly accepted into clinical practi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.119.041099

    authors: Beckman JA,White CJ

    更新日期:2019-10-15 00:00:00

  • An enantiomer-enantiomer interaction of (S)- and (R)-propafenone modifies the effect of racemic drug therapy.

    abstract:BACKGROUND:Therapy with racemic compounds produces effects that can be attributed to both (S)- and (R)-enantiomers. Here we have tested the hypothesis that an enantiomer-enantiomer interaction would modulate the effects of treatment with a racemate, the antiarrhythmic propafenone. Previous studies have shown that while...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.89.5.2396

    authors: Kroemer HK,Fromm MF,Bühl K,Terefe H,Blaschke G,Eichelbaum M

    更新日期:1994-05-01 00:00:00