Acute heart failure: mechanisms and pre-clinical models-a Scientific Statement of the ESC Working Group on Myocardial Function

Michele Ciccarelli*, Inês Falcão Pires, Johann Bauersachs, Luc Bertrand, Christophe Beauloye, Dana Dawson, Nazha Hamdani, Denise Hilfiker-Kleiner, Linda W van Laake, Frank Lezoualc'h, Wolfgang A Linke, Ida G Lunde, Peter P Rainer, Antonella Rispoli, Valeria Visco, Albino Carrizzo, Matteo Dal Ferro, Davide Stolfo, Jolanda van der Velden, Serena ZacchignaStephane Heymans, Thomas Thum, Carlo Gabriele Tocchetti*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

While chronic heart failure (CHF) treatment has considerably improved patient prognosis and survival, the therapeutic management of acute heart failure (AHF) has remained virtually unchanged in the last decades. This is partly due to the scarcity of pre-clinical models for the pathophysiological assessment and, consequently, the limited knowledge of molecular mechanisms involved in the different AHF phenotypes. This scientific statement outlines the different trajectories from acute to CHF originating from the interaction between aetiology, genetic and environmental factors, and comorbidities. Furthermore, we discuss the potential molecular targets capable of unveiling new therapeutic perspectives to improve the outcome of the acute phase and counteracting the evolution towards CHF.
Original languageEnglish
Article numbercvad088
Pages (from-to)2390-2404
Number of pages15
JournalCardiovascular Research
Volume119
Issue number14
DOIs
Publication statusPublished - 15 Nov 2023

Keywords

  • Acute heart failure
  • New strategies
  • Phenotypes
  • Pre-clinical models
  • Scientific statement
  • Therapeutic management
  • Trajectories
  • Humans
  • Acute Disease
  • Prognosis
  • Heart Failure/diagnosis genetics therapy
  • Chronic Disease
  • Risk Factors

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