1990
DOI: 10.1093/eurheartj/11.suppl_a.27
|View full text |Cite
|
Sign up to set email alerts
|

Inotropic and lusitropic abnormalities in heart failure

Abstract: Impaired pump function in the patient with congestive heart failure can arise from both contraction (inotropic) and relaxation (lusitropic) abnormalities. Because energy is required for both contraction and relaxation, evidence that the failing heart is in an energy-starved state may explain, at least in part, these functional abnormalities. The relative contributions of inotropic and lusitropic abnormalities to clinical disability differ in individual patients with heart failure, so that therapy of heart fail… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
3
1
1

Citation Types

0
8
0

Year Published

1992
1992
2014
2014

Publication Types

Select...
8

Relationship

0
8

Authors

Journals

citations
Cited by 14 publications
(8 citation statements)
references
References 0 publications
0
8
0
Order By: Relevance
“…, lusitropy. Since β‐adrenergic stimulation also increases HR (tachycardia), the β‐adrenergic‐cAMP‐dependent interplay between inotropy and lusitropy ensures the heart to relax from a stronger contraction in a shorter time, allowing it to adequately fill during the abbreviated diastole (32). Notably, the experiments performed on the isolated papillary muscle also suggest a direct peptide action, independent from any possible alteration in cardiac rhythm and coronary flow rate.…”
Section: Discussionmentioning
confidence: 99%
“…, lusitropy. Since β‐adrenergic stimulation also increases HR (tachycardia), the β‐adrenergic‐cAMP‐dependent interplay between inotropy and lusitropy ensures the heart to relax from a stronger contraction in a shorter time, allowing it to adequately fill during the abbreviated diastole (32). Notably, the experiments performed on the isolated papillary muscle also suggest a direct peptide action, independent from any possible alteration in cardiac rhythm and coronary flow rate.…”
Section: Discussionmentioning
confidence: 99%
“…According to a mechanism common for cAMP elevating agonists (Koshimizu et al, 2010), serpinin and pGlu-serpinin might bind to a G protein-coupled receptor (GPCR) enhancing the cardiac cAMP levels, with consequent hemodynamic effects that are indeed abolished by selective inhibition of AD and PKA. The major downstream targets of the AD-cAMP signaling are PKAs which phosphorylate a number of proteins, including SERCA and its associated modulatory protein, PLN, both crucial regulators of myocardial inotropy and lusitropy (Katz, 1990). SERCA-dependent Ca ++ uptake within SR promotes cation removal during diastole, thus affecting relaxation and the subsequent contraction (Satoh et al, 2011).…”
Section: Cardiac Actions Of Serpininmentioning
confidence: 99%
“…In fact, altered lusitropy is one of the hallmarks of the failing myocardium. 22 It is evident that the increased relaxation rate of the myocardium plays a central role in the ␤-adrenergic stimulation-mediated enhanced cardiac pump performance in both normal and diseased heart. With the advent of genetic technologies directed at the heart, significant inroads have been made toward the molecular mechanisms of accelerated relaxation kinetics of the myocardium during ␤-adrenergic stimulation.…”
Section: Functional Significance Of Covalent Modification Of Troponinmentioning
confidence: 99%