Global left atrial failure in heart failure

The left atrium plays an important role in the maintenance of cardiovascular and neurohumoral homeostasis in heart failure. However, with progressive left ventricular dysfunction, left atrial (LA) dilation and mechanical failure develop, which frequently culminate in atrial fibrillation. Moreover, L...

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Published inEuropean journal of heart failure Vol. 18; no. 11; pp. 1307 - 1320
Main Authors Triposkiadis, Filippos, Pieske, Burkert, Butler, Javed, Parissis, John, Giamouzis, Gregory, Skoularigis, John, Brutsaert, Dirk, Boudoulas, Harisios
Format Journal Article
LanguageEnglish
Published Oxford, UK John Wiley & Sons, Ltd 01.11.2016
Subjects
Atrial Fibrillation - etiology
Atrial Fibrillation - physiopathology
Atrial Function, Left
Atrial Natriuretic Factor - metabolism
Dilatation
Heart Atria - metabolism
Heart Atria - physiopathology
Heart failure
Heart Failure - metabolism
Heart Failure - physiopathology
Humans
Left atrium
Natriuretic peptide
Sympathetic Nervous System - physiopathology
Vasoconstriction
Vasopressins - metabolism
Ventricular Dysfunction, Left - complications
Ventricular Dysfunction, Left - physiopathology
Heart failure
Left atrium
Dilatation
Natriuretic peptide
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Abstract The left atrium plays an important role in the maintenance of cardiovascular and neurohumoral homeostasis in heart failure. However, with progressive left ventricular dysfunction, left atrial (LA) dilation and mechanical failure develop, which frequently culminate in atrial fibrillation. Moreover, LA mechanical failure is accompanied by LA endocrine failure [deficient atrial natriuretic peptide (ANP) processing‐synthesis/development of ANP resistance) and LA regulatory failure (dominance of sympathetic nervous system excitatory mechanisms, excessive vasopressin release) contributing to neurohumoral overactivity, vasoconstriction, and volume overload (global LA failure). The purpose of the present review is to describe the characteristics and emphasize the clinical significance of global LA failure in patients with heart failure.
AbstractList The left atrium plays an important role in the maintenance of cardiovascular and neurohumoral homeostasis in heart failure. However, with progressive left ventricular dysfunction, left atrial (LA) dilation and mechanical failure develop, which frequently culminate in atrial fibrillation. Moreover, LA mechanical failure is accompanied by LA endocrine failure [deficient atrial natriuretic peptide (ANP) processing-synthesis/development of ANP resistance) and LA regulatory failure (dominance of sympathetic nervous system excitatory mechanisms, excessive vasopressin release) contributing to neurohumoral overactivity, vasoconstriction, and volume overload (global LA failure). The purpose of the present review is to describe the characteristics and emphasize the clinical significance of global LA failure in patients with heart failure.
Abstract The left atrium plays an important role in the maintenance of cardiovascular and neurohumoral homeostasis in heart failure. However, with progressive left ventricular dysfunction, left atrial (LA) dilation and mechanical failure develop, which frequently culminate in atrial fibrillation. Moreover, LA mechanical failure is accompanied by LA endocrine failure [deficient atrial natriuretic peptide ( ANP ) processing‐synthesis/development of ANP resistance) and LA regulatory failure (dominance of sympathetic nervous system excitatory mechanisms, excessive vasopressin release) contributing to neurohumoral overactivity, vasoconstriction, and volume overload (global LA failure). The purpose of the present review is to describe the characteristics and emphasize the clinical significance of global LA failure in patients with heart failure.
Author Skoularigis, John
Boudoulas, Harisios
Triposkiadis, Filippos
Butler, Javed
Giamouzis, Gregory
Brutsaert, Dirk
Pieske, Burkert
Parissis, John
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  surname: Triposkiadis
  fullname: Triposkiadis, Filippos
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  organization: Department of Cardiology, Larissa University Hospital, PO Box 1425, 411 10, Larissa, Greece
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  givenname: Burkert
  surname: Pieske
  fullname: Pieske, Burkert
  organization: Department of Internal Medicine and Cardiology, Charité University Medicine Berlin-Campus Virchow Klinikum, and Department of Internal Medicine and Cardiology, German Heart Centre, Berlin Centre for Heart Failure, Berlin, Germany
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  surname: Butler
  fullname: Butler, Javed
  organization: Cardiology Division, School of Medicine, Stony Brook University, NY, Stony Brook, USA
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  surname: Parissis
  fullname: Parissis, John
  organization: Department of Cardiology, Athens University Hospital Attikon, Athens, Greece
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  surname: Boudoulas
  fullname: Boudoulas, Harisios
  organization: Ohio State University, Columbus, Ohio, USA
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Keywords Heart failure
Left atrium
Dilatation
Natriuretic peptide
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Snippet The left atrium plays an important role in the maintenance of cardiovascular and neurohumoral homeostasis in heart failure. However, with progressive left...
Abstract The left atrium plays an important role in the maintenance of cardiovascular and neurohumoral homeostasis in heart failure. However, with progressive...
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SubjectTerms Atrial Fibrillation - etiology
Atrial Fibrillation - physiopathology
Atrial Function, Left
Atrial Natriuretic Factor - metabolism
Dilatation
Heart Atria - metabolism
Heart Atria - physiopathology
Heart failure
Heart Failure - metabolism
Heart Failure - physiopathology
Humans
Left atrium
Natriuretic peptide
Sympathetic Nervous System - physiopathology
Vasoconstriction
Vasopressins - metabolism
Ventricular Dysfunction, Left - complications
Ventricular Dysfunction, Left - physiopathology
Title Global left atrial failure in heart failure
URI https://api.istex.fr/ark:/67375/WNG-39LKCSN8-2/fulltext.pdf
https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fejhf.645
https://www.ncbi.nlm.nih.gov/pubmed/27813305
https://search.proquest.com/docview/1836726893
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