Spotlight on metabolic remodelling in heart failure.
Department of Cardiothoracic Surgery, University of Jena, 07747 Jena, Germany.Cardiovascular Research (Impact Factor: 5.81). 03/2011; 90(2):191-3. DOI: 10.1093/cvr/cvr077
- Circulation 07/2012; 126(2):230-41. · 15.20 Impact Factor
Dataset: Eur J Heart Fail-2013-Stride-150-7
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ABSTRACT: Although the management of chronic heart failure (CHF) has made enormous progress over the past decades, CHF is still a tremendous medical and societal burden. Metabolic remodeling might play a crucial role in the pathophysiology of CHF. The characteristics and mechanisms of metabolic remodeling remained unclear, and the main hypothesis might include the changes in the availability of metabolic substrate and the decline of metabolic capability. In the early phases of the disease, metabolism shifts toward carbohydrate utilization from fatty acids (FAs) oxidation. Along with the progress of the disease, the increasing level of the hyperadrenergic state and insulin resistance cause the changes that shift back to a greater FA uptake and oxidation. In addition, a growing body of experimental and clinical evidence suggests that the improvement in the metabolic capability is likely to be more significant than the selection of the substrate.Journal of Zhejiang University SCIENCE B 08/2013; 14(8):688-95. · 1.11 Impact Factor
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