Document Detail


Left ventricular remodeling: pathophysiology and treatment.
MedLine Citation:
PMID:  14724719     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Left ventricular (LV) remodeling, which can result from myocardial damage or ventricular pressure or volume overload, has genomic, cellular, and interstitial components with associated changes in ventricular size, shape, wall thickness, and function. It is a process that is detectable and measurable clinically, generally progressive, and associated with adverse outcomes. However, it is amenable to intervention, prevention, or reversal. Following myocardial infarction (MI), LV remodeling is particularly likely in patients with transmural or anterior infarction and in those with failed reperfusion or LV failure. Infarct artery patency and neurohormonal blockade are key management considerations for prevention or reversal of LV remodeling. Combination treatment with angiotensin-converting enzyme inhibition and beta-blockade is of proven benefit following MI, improving LV remodeling and long-term outcomes.
Authors:
Norman Sharpe
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Heart failure monitor     Volume:  4     ISSN:  1470-8590     ISO Abbreviation:  Heart Fail Monit     Publication Date:  2003  
Date Detail:
Created Date:  2004-01-15     Completed Date:  2004-04-09     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  101140283     Medline TA:  Heart Fail Monit     Country:  England    
Other Details:
Languages:  eng     Pagination:  55-61     Citation Subset:  IM    
Affiliation:
Department of Medicine, University of Auckland, Auckland, New Zealand. n.sharpe@auckland.ac.nz
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MeSH Terms
Descriptor/Qualifier:
Adrenergic beta-Antagonists / therapeutic use*
Angiotensin-Converting Enzyme Inhibitors / therapeutic use*
Collagen / therapeutic use
Drug Therapy, Combination
Humans
Myocardial Infarction / drug therapy*,  physiopathology*
Nitroglycerin / therapeutic use
Ventricular Remodeling / physiology*
Chemical
Reg. No./Substance:
0/Adrenergic beta-Antagonists; 0/Angiotensin-Converting Enzyme Inhibitors; 55-63-0/Nitroglycerin; 9007-34-5/Collagen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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