Heart Failure with Preserved vs. Reduced Ejection Fraction: Patient Characteristics, In-hospital Treatment and Mortality —DanAHF, a Nationwide Prospective Study
This study aims to describe baseline characteristics and in-hospital management of a patient cohort hospitalized with acute heart failure (AHF). Adult patients in Denmark admitted with a medical diagnosis during a 7-day period were reviewed for symptoms and clinical findings suggestive of AHF. HFpEF was defined as LVEF  ≥ 45%. Of 5194 patients, 290 (6%) had AHF. Sixty-two percent (n = 179) was diagnosed with HFpEF. Compared to HFrEF patients, HFpEF patients were more often women (48% vs. 31%,p = 0.004), less likely to have ischemic heart disease (31% vs. 53%,p = 0.002) and a pacemaker/ICD (7% vs. 21%,p ...
Source: Journal of Cardiovascular Translational Research - April 13, 2023 Category: Cardiology Source Type: research

Danlou Tablet Protects Against Cardiac Remodeling and Dysfunction after Myocardial Ischemia/Reperfusion Injury through Activating AKT/FoxO3a Pathway
In this study, both preventive and therapeutic administration of Dan attenuated ventricular remodeling and cardiac dysfunction at 3  weeks after myocardial I/RI. Dan inhibited Bax/Bcl2 ratio and Caspase3 cleavage in heart tissues and also inhibited apoptosis of human AC16 cells and neonatal rat cardiomyocytes stressed by oxygen and glucose deprivation/reperfusion. Mechanistically, Dan inhibited myocardial apoptosis through phos phorylating AKT and FoxO3a, thereby inhibiting downstream BIM and PUMA expressions. Collectively, these results demonstrate that Dan treatment is effective to protect against cardiac remodeling and...
Source: Journal of Cardiovascular Translational Research - April 10, 2023 Category: Cardiology Source Type: research

Negative Impact of Acute Reloading after Mechanical Left Ventricular Unloading
AbstractMechanical LV unloading for acute myocardial infarction (MI) is a promising supportive therapy to reperfusion. However, no data is available on exit strategy. We evaluated hemodynamic and cellular effects of reloading after Impella-mediated LV unloading in Yorkshire pigs. First, we conducted an acute study in normal heart to observe effects of unloading and reloading independent of MI-induced ischemic effects. We then completed an MI study to investigate optimal exit strategy on one-week infarct size, no-reflow area, and LV function with different reloading speeds. Initial studies showed that acute reloading causes...
Source: Journal of Cardiovascular Translational Research - April 6, 2023 Category: Cardiology Source Type: research

Assessing Complex Left Ventricular Adaptations in Aortic Stenosis Using Personalized 3D  + time Cardiac MRI Modeling
This study proposed and assessed the feasibility of using a motion-corrected personalized 3D  + time LV modeling technique to evaluate the adaptive and maladaptive LV response to aid treatment decision-making. A total of 22 AS patients were analyzed and compared against 10 healthy subjects. The 3D + time analysis showed a highly distinct and personalized pattern of remodeling in ind ividual AS patients which is associated with comorbidities and fibrosis. Patients with AS alone showed better wall thickening and synchrony than those comorbid with hypertension. Ischemic heart disease in AS caused impaired wall thicken...
Source: Journal of Cardiovascular Translational Research - April 6, 2023 Category: Cardiology Source Type: research

Negative Impact of Acute Reloading after Mechanical Left Ventricular Unloading
AbstractMechanical LV unloading for acute myocardial infarction (MI) is a promising supportive therapy to reperfusion. However, no data is available on exit strategy. We evaluated hemodynamic and cellular effects of reloading after Impella-mediated LV unloading in Yorkshire pigs. First, we conducted an acute study in normal heart to observe effects of unloading and reloading independent of MI-induced ischemic effects. We then completed an MI study to investigate optimal exit strategy on one-week infarct size, no-reflow area, and LV function with different reloading speeds. Initial studies showed that acute reloading causes...
Source: Journal of Cardiovascular Translational Research - April 6, 2023 Category: Cardiology Source Type: research

Assessing Complex Left Ventricular Adaptations in Aortic Stenosis Using Personalized 3D  + time Cardiac MRI Modeling
This study proposed and assessed the feasibility of using a motion-corrected personalized 3D  + time LV modeling technique to evaluate the adaptive and maladaptive LV response to aid treatment decision-making. A total of 22 AS patients were analyzed and compared against 10 healthy subjects. The 3D + time analysis showed a highly distinct and personalized pattern of remodeling in ind ividual AS patients which is associated with comorbidities and fibrosis. Patients with AS alone showed better wall thickening and synchrony than those comorbid with hypertension. Ischemic heart disease in AS caused impaired wall thicken...
Source: Journal of Cardiovascular Translational Research - April 6, 2023 Category: Cardiology Source Type: research

Long-Term Training Increases Atrial Fibrillation Sustainability in Standardbred Racehorses
AbstractAtrial fibrillation (AF) is more prevalent in athletes, and currently, the mechanisms are not fully understood. Atrial fibrillation inducibility and stability was investigated in trained and untrained Standardbred racehorses. The horses underwent echocardiography for evaluation of atrial size. High-density mapping during AF was performed, and the presence of structural remodeling, as well as the expression of inflammatory and pro-inflammatory markers in the atria, was studied. Atrial fibrillation sustained significantly longer after tachypacing in the trained horses, whereas no difference in AF inducibility was fou...
Source: Journal of Cardiovascular Translational Research - April 4, 2023 Category: Cardiology Source Type: research

FAM3A Deficiency  − Induced Mitochondrial Dysfunction Underlies Post-Infarct Mortality and Heart Failure
This study aims to explore the roles and mechanisms of FAM3A after myocardial infarction (MI). FAM3A-deficient (Fam3a−/−) mice were implemented with MI injury and showed lower survival rates at 4  weeks as well as decreased cardiac systolic function. Isolated cardiomyocytes ofFam3a−/− mice showed reduced basal, ATP-linked respiration and respiratory reserve compared to that of wild-type mice. Transmission electron microscopy studies showedFam3a−/− mice had a larger size and elevated density of mitochondria. FAM3A deficiency also induced elevated mitochondrial Ca2+, higher opening level of mPTP, lower mitochond...
Source: Journal of Cardiovascular Translational Research - April 4, 2023 Category: Cardiology Source Type: research

Long-Term Training Increases Atrial Fibrillation Sustainability in Standardbred Racehorses
AbstractAtrial fibrillation (AF) is more prevalent in athletes, and currently, the mechanisms are not fully understood. Atrial fibrillation inducibility and stability was investigated in trained and untrained Standardbred racehorses. The horses underwent echocardiography for evaluation of atrial size. High-density mapping during AF was performed, and the presence of structural remodeling, as well as the expression of inflammatory and pro-inflammatory markers in the atria, was studied. Atrial fibrillation sustained significantly longer after tachypacing in the trained horses, whereas no difference in AF inducibility was fou...
Source: Journal of Cardiovascular Translational Research - April 4, 2023 Category: Cardiology Source Type: research

FAM3A Deficiency  − Induced Mitochondrial Dysfunction Underlies Post-Infarct Mortality and Heart Failure
This study aims to explore the roles and mechanisms of FAM3A after myocardial infarction (MI). FAM3A-deficient (Fam3a−/−) mice were implemented with MI injury and showed lower survival rates at 4  weeks as well as decreased cardiac systolic function. Isolated cardiomyocytes ofFam3a−/− mice showed reduced basal, ATP-linked respiration and respiratory reserve compared to that of wild-type mice. Transmission electron microscopy studies showedFam3a−/− mice had a larger size and elevated density of mitochondria. FAM3A deficiency also induced elevated mitochondrial Ca2+, higher opening level of mPTP, lower mitochond...
Source: Journal of Cardiovascular Translational Research - April 4, 2023 Category: Cardiology Source Type: research

Clinical Value of Computational Angiography-derived Fractional Flow Reserve in Stable Coronary Artery Disease
AbstractThe utilization of FFR remains low. Our study evaluated the per-vessel prognostic value of computational pressure-flow dynamics-derived FFR (caFFR) among patients with stable coronary artery disease. A total of 3329 vessels from 1308 patients were included and analysed. They were stratified into ischaemic (caFFR  ≤ 0.8) and non-ischaemic (caFFR >  0.8) cohorts, and the associations between PCI and outcomes were evaluated. The third cohort comprised all included vessels, and the associations between treatment adherent-to-caFFR (PCI in vessels with caFFR ≤ 0.8 and no PCI in vessels with caFFR >...
Source: Journal of Cardiovascular Translational Research - March 29, 2023 Category: Cardiology Source Type: research

Deletion of PDK1 Caused Cardiac Malmorphogenesis and Heart Defects Due to Profound Protein Phosphorylation Changes Mediated by SHP2
AbstractPhosphoinositide-dependent protein kinase-1 (PDK1), a master kinase and involved in multiple signaling transduction, participates in regulating embryonic cardiac development and postnatal cardiac remodeling. Germline PDK1 knockout mice displayed no heart development; in this article, we deleted PDK1 in heart tissue with different cre to characterize the temporospatial features and find the relevance with congenital heart disease(CHD), furthermore to investigate the underlying mechanism. Knocking out PDK1 with Nkx2.5-cre, the heart showed prominent pulmonic stenosis. Ablated PDK1 with Mef2cSHF-cre, the second heart ...
Source: Journal of Cardiovascular Translational Research - March 29, 2023 Category: Cardiology Source Type: research

Clinical Value of Computational Angiography-derived Fractional Flow Reserve in Stable Coronary Artery Disease
AbstractThe utilization of FFR remains low. Our study evaluated the per-vessel prognostic value of computational pressure-flow dynamics-derived FFR (caFFR) among patients with stable coronary artery disease. A total of 3329 vessels from 1308 patients were included and analysed. They were stratified into ischaemic (caFFR  ≤ 0.8) and non-ischaemic (caFFR >  0.8) cohorts, and the associations between PCI and outcomes were evaluated. The third cohort comprised all included vessels, and the associations between treatment adherent-to-caFFR (PCI in vessels with caFFR ≤ 0.8 and no PCI in vessels with caFFR >...
Source: Journal of Cardiovascular Translational Research - March 29, 2023 Category: Cardiology Source Type: research

Deletion of PDK1 Caused Cardiac Malmorphogenesis and Heart Defects Due to Profound Protein Phosphorylation Changes Mediated by SHP2
AbstractPhosphoinositide-dependent protein kinase-1 (PDK1), a master kinase and involved in multiple signaling transduction, participates in regulating embryonic cardiac development and postnatal cardiac remodeling. Germline PDK1 knockout mice displayed no heart development; in this article, we deleted PDK1 in heart tissue with different cre to characterize the temporospatial features and find the relevance with congenital heart disease(CHD), furthermore to investigate the underlying mechanism. Knocking out PDK1 with Nkx2.5-cre, the heart showed prominent pulmonic stenosis. Ablated PDK1 with Mef2cSHF-cre, the second heart ...
Source: Journal of Cardiovascular Translational Research - March 29, 2023 Category: Cardiology Source Type: research