Implications of altered ketone metabolism and therapeutic ketosis in heart failure

S Selvaraj, DP Kelly, KB Margulies - Circulation, 2020 - Am Heart Assoc
Despite existing therapy, patients with heart failure (HF) experience substantial morbidity
and mortality, highlighting the urgent need to identify novel pathophysiological mechanisms …

Ketone metabolism in the failing heart

GD Lopaschuk, QG Karwi, KL Ho, S Pherwani… - … et Biophysica Acta (BBA …, 2020 - Elsevier
The high energy demands of the heart are met primarily by the mitochondrial oxidation of
fatty acids and glucose. However, in heart failure there is a decrease in cardiac …

Ketones and the heart: metabolic principles and therapeutic implications

TR Matsuura, P Puchalska, PA Crawford… - Circulation …, 2023 - Am Heart Assoc
The ketone bodies beta-hydroxybutyrate and acetoacetate are hepatically produced
metabolites catabolized in extrahepatic organs. Ketone bodies are a critical cardiac fuel and …

Myocardial ketones metabolism in heart failure

QG Karwi, D Biswas, T Pulinilkunnil… - Journal of cardiac …, 2020 - Elsevier
Ketone bodies can become a major source of adenosine triphosphate production during
stress to maintain bioenergetic homeostasis in the brain, heart, and skeletal muscles. In the …

Ketone ester treatment improves cardiac function and reduces pathologic remodeling in preclinical models of heart failure

SR Yurista, TR Matsuura, HHW Silljé… - Circulation: Heart …, 2021 - Am Heart Assoc
Background: Accumulating evidence suggests that the failing heart reprograms fuel
metabolism toward increased utilization of ketone bodies and that increasing cardiac ketone …

Blood ketone bodies in congestive heart failure

J Lommi, M Kupari, P Koskinen, H Näveri… - Journal of the American …, 1996 - Elsevier
Objectives. The present study was designed to assess whether blood ketone bodies are
elevated in congestive heart failure (CHF) and whether ketonemia is related to the …

Myocardial ketone body utilization in patients with heart failure: the impact of oral ketone ester

L Monzo, K Sedlacek, K Hromanikova, L Tomanova… - Metabolism, 2021 - Elsevier
Aims Upregulation of ketone body (β-hydroxybutyrate, βHB) utilization has been
documented in human end-stage heart failure (HF), but is unclear if this is due to intrinsic …

Ketone bodies for the failing heart: fuels that can fix the engine?

SR Yurista, CT Nguyen, A Rosenzweig… - Trends in Endocrinology …, 2021 - cell.com
Accumulating evidence suggests that the failing heart reverts energy metabolism toward
increased utilization of ketone bodies. Despite many discrepancies in the literature …

Ketone body infusion with 3‐hydroxybutyrate reduces myocardial glucose uptake and increases blood flow in humans: a positron emission tomography study

LC Gormsen, M Svart, HH Thomsen… - Journal of the …, 2017 - Am Heart Assoc
Background High levels of ketone bodies are associated with improved survival as observed
with regular exercise, caloric restriction, and—most recently—treatment with sodium …

Chronically elevating circulating ketones can reduce cardiac inflammation and blunt the development of heart failure

NJ Byrne, S Soni, S Takahara, M Ferdaoussi… - Circulation: Heart …, 2020 - Am Heart Assoc
Background: Previous studies have shown beneficial effects of acute infusion of the primary
ketone body, β-hydroxybutyrate, in heart failure (HF). However, whether chronic elevations …