Perhexiline and hypertrophic cardiomyopathy: a new horizon for metabolic modulation

JD Horowitz, YY Chirkov - Circulation, 2010 - Am Heart Assoc
Despite the considerable morbidity and mortality associ-ated with hypertrophic
cardiomyopathy (HCM), proven therapeutic modalities for this disorder remain limited. The …

Metabolic modulator perhexiline corrects energy deficiency and improves exercise capacity in symptomatic hypertrophic cardiomyopathy

K Abozguia, P Elliott, W McKenna, TT Phan… - Circulation, 2010 - Am Heart Assoc
Background—Hypertrophic cardiomyopathy patients exhibit myocardial energetic
impairment, but a causative role for this energy deficiency in the pathophysiology of …

Randomized controlled trial of perhexiline on regression of left ventricular hypertrophy in patients with symptomatic hypertrophic cardiomyopathy (RESOLVE-HCM trial …

R Ananthakrishna, SL Lee, J Foote, BC Sallustio… - American Heart …, 2021 - Elsevier
Background The presence and extent of left ventricular hypertrophy (LVH) is a major
determinant of symptoms in patients with hypertrophic cardiomyopathy (HCM). There is …

[HTML][HTML] Perhexiline: lessons for heart failure therapeutics

TP Cappola - JACC: Heart Failure, 2015 - jacc.org
In heart failure with reduced ejection fraction, mechanical work produced by the left ventricle
to support the systemic circulation decreases over time despite relatively constant …

Metabolic modulation with perhexiline in chronic heart failure: a randomized, controlled trial of short-term use of a novel treatment

L Lee, R Campbell, M Scheuermann-Freestone… - Circulation, 2005 - Am Heart Assoc
Background—Chronic heart failure (CHF) is a major cause of morbidity and mortality that
requires a novel approach to therapy. Perhexiline is an antianginal drug that augments …

Changes in the cardiac metabolome caused by perhexiline treatment in a mouse model of hypertrophic cardiomyopathy

K Gehmlich, MS Dodd, JW Allwood, M Kelly… - Molecular …, 2015 - pubs.rsc.org
Energy depletion has been highlighted as an important contributor to the pathology of
hypertrophic cardiomyopathy (HCM), a common inherited cardiac disease. Pharmacological …

Can perhexiline be utilized without long-term toxicity? A clinical practice audit

H Phuong, BY Choi, CR Chong, B Raman… - Therapeutic drug …, 2016 - journals.lww.com
Background: Perhexiline, originally used as a first-line prophylactic antianginal agent, is now
regarded primarily as a treatment for otherwise refractory myocardial ischemia. Recent …

Improvement in cardiac energetics by perhexiline in heart failure due to dilated cardiomyopathy

RM Beadle, LK Williams, M Kuehl, S Bowater… - JACC: Heart Failure, 2015 - jacc.org
Objectives: The aim of this study was to determine whether short-term treatment with
perhexiline improves cardiac energetics, left ventricular function, and symptoms of heart …

Drugs that affect cardiac metabolism: focus on perhexiline

CR Chong, B Sallustio, JD Horowitz - Cardiovascular drugs and therapy, 2016 - Springer
Approaches to the pharmacotherapy of angina pectoris have previously centred on the
concept that a transient imbalance between myocardial oxygen “demand” and supply within …

Pleiotropic mechanisms of action of perhexiline in heart failure

CH George, AN Mitchell, R Preece… - Expert opinion on …, 2016 - Taylor & Francis
Introduction: The re-purposing of the anti-anginal drug perhexiline (PHX) has resulted in
symptomatic improvements in heart failure (HF) patients. The inhibition of carnitine …