Therapeutic targets in heart failure: refocusing on the myocardial interstitium

EB Schelbert, GC Fonarow, RO Bonow, J Butler… - Journal of the American …, 2014 - jacc.org
New therapeutic targets, agents, and strategies are needed to prevent and treat heart failure
(HF) after a decade of failed research efforts to improve long-term patient outcomes …

Changes in the myocardial interstitium and contribution to the progression of heart failure

SR Eckhouse, FG Spinale - Heart failure clinics, 2012 - heartfailure.theclinics.com
With a prolonged cardiovascular stress or pathophysiologic stimuli, a cascade of structural
events occurs, defined as myocardial remodeling, as a continuum of changes in the …

Integrating the myocardial matrix into heart failure recognition and management

FG Spinale, MR Zile - Circulation research, 2013 - Am Heart Assoc
In contrast to public perception, the morbidity and mortality and the resultant healthcare
costs associated with chronic heart failure (HF) are increasing and arguably reaching …

Dynamic changes in myocardial matrix and relevance to disease: translational perspectives

AH Li, PP Liu, FJ Villarreal, RA Garcia - Circulation research, 2014 - Am Heart Assoc
The cardiac extracellular matrix (ECM) provides the architectural scaffold to support efficient
contraction and relaxation of cardiomyocytes. The elegant design of the ECM facilitates …

Employing extracellular volume cardiovascular magnetic resonance measures of myocardial fibrosis to foster novel therapeutics

EB Schelbert, HN Sabbah, J Butler… - Circulation …, 2017 - Am Heart Assoc
Quantifying myocardial fibrosis (MF) with myocardial extracellular volume measures
acquired during cardiovascular magnetic resonance promises to transform clinical care by …

Myocardial interstitial fibrosis in heart failure: biological and translational perspectives

A González, EB Schelbert, J Díez, J Butler - Journal of the American …, 2018 - jacc.org
Myocardial interstitial fibrosis contributes to left ventricular dysfunction leading to the
development of heart failure. Basic research has provided abundant evidence for the …

Interstitial fibrosis, functional status, and outcomes in heart failure with preserved ejection fraction: insights from a prospective cardiac magnetic resonance imaging …

F Duca, AA Kammerlander, C Zotter-Tufaro… - Circulation …, 2016 - Am Heart Assoc
Background—Myocardial extracellular volume (ECV) accumulation is one of the key
pathophysiologic features of heart failure with preserved ejection fraction (HFpEF). Our aims …

The interstitium in the hypertrophied heart

BP Halliday, SK Prasad - JACC: Cardiovascular Imaging, 2019 - jacc.org
Pathological left ventricular hypertrophy is a common feature of many cardiac diseases. It
results from both myocyte hypertrophy and interstitial expansion. Interstitial expansion is …

Imaging interstitial fibrosis, left ventricular remodeling, and function in stage A and B heart failure

T Pezel, M Viallon, P Croisille, L Sebbag… - Cardiovascular …, 2021 - jacc.org
Myocardial interstitial fibrosis is part of the advanced disease stage of most cardiovascular
pathologies. It has been characterized histologically in various disease settings from …

The extracellular matrix in ischemic and nonischemic heart failure

NG Frangogiannis - Circulation research, 2019 - Am Heart Assoc
The ECM (extracellular matrix) network plays a crucial role in cardiac homeostasis, not only
by providing structural support, but also by facilitating force transmission, and by transducing …