The promise and problems of metabolic-based therapies for heart failure.

Interventional Cardiology Pub Date : 2021-01-01 Epub Date: 2021-10-04
Dianne M Perez
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Abstract

Despite standard therapies, heart failure patients have high rates of morbidity highlighting the need to develop alternative therapeutic approaches. Heart failure has been described as an energy-starved condition that is hypothesized to drive the pathological remodeling of the heart. Numerous studies have described the metabolic defects that occur when the heart fails and adaptive changes that take place to maintain the energy needed for the heart to function properly. In this review we will summarize the metabolic requirements of a normal heart and what happens during failure. We will also summarize the various metabolic therapeutic strategies that have been developed over the years to treat heart failure and their results from clinical trials.

以代谢为基础的心力衰竭治疗的前景和问题。
尽管有标准的治疗方法,但心力衰竭患者的发病率很高,这突出了开发替代治疗方法的必要性。心力衰竭被描述为一种能量匮乏的状态,它被假设为驱动心脏的病理性重塑。许多研究描述了当心脏衰竭时发生的代谢缺陷,以及为维持心脏正常运作所需的能量而发生的适应性变化。在这篇综述中,我们将总结正常心脏的代谢需求以及衰竭时发生的情况。我们还将总结多年来开发的治疗心力衰竭的各种代谢治疗策略及其临床试验结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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