Acute heart failure: mechanisms and pre-clinical models—a Scientific Statement of the ESC Working Group on Myocardial Function

Cardiovascular Research

15 November 2023
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ESC Journals HEART FAILURE Acute Heart Failure

Abstract

Abstract

While chronic heart failure (CHF) treatment has considerably improved patient prognosis and survival, the therapeutic management of acute heart failure (AHF) has remained virtually unchanged in the last decades. This is partly due to the scarcity of pre-clinical models for the pathophysiological assessment and, consequently, the limited knowledge of molecular mechanisms involved in the different AHF phenotypes. This scientific statement outlines the different trajectories from acute to CHF originating from the interaction between aetiology, genetic and environmental factors, and comorbidities. Furthermore, we discuss the potential molecular targets capable of unveiling new therapeutic perspectives to improve the outcome of the acute phase and counteracting the evolution towards CHF.

Contributors

Michele Ciccarelli
Michele Ciccarelli

Author

University of Salerno School of Medicine Salerno , Italy

Johann Bauersachs
Johann Bauersachs

Author

Hannover Medical School Hannover , Germany

Luc Bertrand
Luc Bertrand

Author

Institute of Experimental and Clinical Research (IREC) Brussels , Belgium

Wolfgang A Linke
Wolfgang A Linke

Author

University Hospital Munster - UKM Muenster , Germany

Matteo Dal Ferro
Matteo Dal Ferro

Author

Integrated University Health Authority of Trieste Trieste , Italy

Stephane Heymans
Stephane Heymans

Author

Cardiovascular Research Institute Maastricht (CARIM) Maastricht , Netherlands (The)

Carlo Gabriele Tocchetti
Carlo Gabriele Tocchetti

Author

University of Naples Federico II Naples , Italy