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Cardiac Adaptation in Heart Failure - Risks due to myocardial phenotype changes (Paperback, Softcover reprint of the original 1st ed. 1992)
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Cardiac Adaptation in Heart Failure - Risks due to myocardial phenotype changes (Paperback, Softcover reprint of the original 1st ed. 1992)
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Traditionally, cardiac hypertrophy is regarded as an adaptation of
the heart to permanent mechanical overload. Regardless of the fact
that many different and often unknown primary causes can result in
heart failure, mechanical overload and myocardial hypertrophy is
found in almost all forms of manifest chronic heart failure (apart
from failure due to extramyocardial hindrances to inflow or to
relaxation). However, the reactive enlargement of myocardial mass
in response to an enhanced hemodynamic burden appears to be a
double-edged sword. Obviously, the hypertrophy helps to reduce the
enhanced ventricular wall stress in heart failure by adding
contractile units to the overdistended chamber wall. However, in
recent years it became clear that this adaptive hypertrophic
process is rather complex and may include problematic facets. The
adaptive hypertrophy includes proliferation of the nonmyocyte
cardiac cells as well as substantial alterations in the phenotype
of the growing myocytes due to differential changes in gene
expression.
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