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Cellular and Molecular Alterations in the Failing Human Heart

  • Conference proceedings
  • © 1992

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Table of contents (29 papers)

  1. Sarcolemma and phosphodiesterases

  2. Excitation-contraction coupling and contractile proteins

Keywords

About this book

The myocardium in heart failure: Cellular and subcellular alterations in the failing human myocardium. H. Just Medizinische Universitatsklinik Freiburg i. Br., Innere Medizin III - Kardiologie, FRG The syndrome of heart failure continues to be a major challenge to clinicians and scientists. Incidence and mortality of the disease are high, the patient is disabled, and is permanently threatened by the high morbidity and mortality. The clinician faces a syndrome of complex pathophysiology. Multiple causes or underlying disorders of the heart have to be differentiated from heart failure itself, which often results in exceedingly difficult diagnoses. Likewise, prognostication meets with difficulties due to problems in separating influences of the underlying disease and the heart failure syndrome itself. In chronic refractory failure annual mortality may exceed 50%. If aortic stenosis or ischemic cardiomyopathy with main­ stem lesions are present, this percentage may be even higher. The situation becomes particularly threatening to the patient when the reduction in cardiac performance goes along with complex ventricular arrhythmias. Therapy has remained difficult and of limited effectiveness. Major progress was achieved with the introduction of diuretic substances. Of similar importance was the introduction of va so dilating drugs into the treatment of heart failure. The principle of vasodilation has greatly improved our understanding of the disease, and has brought about a major improvement of symptoms, increase of exercise capacity, and reduc­ tion of mortality. This is especially true for the introduction of the angiotensin converting enzyme inhibitors.

Editors and Affiliations

  • Innere Medizin III, Kardiologie, Albert-Ludwigs-Universität Medizinische Universitätsklinik, Freiburg, Germany

    G. Hasenfuss, Ch. Holubarsch, H. Just

  • Department of Physiology and Biophysics, University of Vermont, Burlington, USA

    N. R. Alpert

Bibliographic Information

  • Book Title: Cellular and Molecular Alterations in the Failing Human Heart

  • Editors: G. Hasenfuss, Ch. Holubarsch, H. Just, N. R. Alpert

  • DOI: https://doi.org/10.1007/978-3-642-72474-9

  • Publisher: Steinkopff Heidelberg

  • eBook Packages: Springer Book Archive

  • Copyright Information: Dr. Dietrich Steinkopff Verlag GmbH & Co.KG, Darmstadt 1992

  • Softcover ISBN: 978-3-642-72476-3Published: 06 December 2011

  • eBook ISBN: 978-3-642-72474-9Published: 06 December 2012

  • Edition Number: 1

  • Number of Pages: XII, 344

  • Topics: Cardiology, Human Physiology

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