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Published in: Heart Failure Reviews 2/2024

02-12-2023 | Heart Failure

Can the hemodynamic model in heart failure be restored based on analysis of ventricular-arterial coupling?

Author: Johannes Soma

Published in: Heart Failure Reviews | Issue 2/2024

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Abstract

The hemodynamic model was inappropriate to explain the disappointing effect of vasodilation and the beneficial effect of beta-blockade in chronic heart failure. A more nuanced hemodynamic analysis, taking both steady and pulsatile hemodynamics into consideration, improves insight into these apparently enigmatic effects. Of particular interest is the velocity of early systolic flow as a determinant of left ventricular afterload. Several drugs, in particular beta-blockers, directly or indirectly, influence the velocity of early systolic flow. Thus, the hemodynamic model in heart failure may deserve reconsideration.
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Literature
6.
go back to reference Dekleva M, Lazic JS, Soldatovic I, Inkrot S, Arandjelovic A, Waagstein F, Gelbrich G, Cvijanovic D, Dungen HD (2015) Improvement of ventricular-arterial coupling in elderly patients with Heart Failure after beta blocker therapy: results from the CIBIS-Eld trial. Cardiovasc Drugs Ther 29:287–294. https://doi.org/10.1007/s10557-015-6590-9CrossRefPubMed Dekleva M, Lazic JS, Soldatovic I, Inkrot S, Arandjelovic A, Waagstein F, Gelbrich G, Cvijanovic D, Dungen HD (2015) Improvement of ventricular-arterial coupling in elderly patients with Heart Failure after beta blocker therapy: results from the CIBIS-Eld trial. Cardiovasc Drugs Ther 29:287–294. https://​doi.​org/​10.​1007/​s10557-015-6590-9CrossRefPubMed
Metadata
Title
Can the hemodynamic model in heart failure be restored based on analysis of ventricular-arterial coupling?
Author
Johannes Soma
Publication date
02-12-2023
Publisher
Springer US
Published in
Heart Failure Reviews / Issue 2/2024
Print ISSN: 1382-4147
Electronic ISSN: 1573-7322
DOI
https://doi.org/10.1007/s10741-023-10374-7

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