ijms-logo

Journal Browser

Journal Browser

Pathophysiological and Molecular Insights into Heart Failure: From Diagnosis to Therapy

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Pathology, Diagnostics, and Therapeutics".

Deadline for manuscript submissions: 31 July 2024 | Viewed by 1499

Special Issue Editor


E-Mail Website
Guest Editor
Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, 00161 Rome, Italy
Interests: cardiology; heart failure; pharmacology; therapy; genetic; coronary microvascular dysfunction
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Heart failure (HF) is a complex and multifaceted syndrome that is associated with a progressive and multisystemic involvement leading, in the advanced stages, to multiorgan dysfunction. It is characterized by high mortality and morbidity rates. Several pathways are involved in HF pathophysiology, representing pivotal therapeutic targets. However, new molecules have been identified as potential diagnostic, prognostic and therapeutic biomarkers. In this case, microRNAs have been identified as promising tools, while other myocardial markers, such as Brain Natriuretic Peptides, High Sensitivity Cardiac Troponins have shown prognostic power to help cardiologists for the management of HF patients. In particular, they may be useful to guide the up-titration of pharmacological therapy and to identify a subclinical HF worsening requiring therapy modification or more advanced strategies of treatment.

Besides the pharmacological treatment, several trials have shown the benefit of implantable electrical therapeutical technology, such as cardiac resynchronization therapy and cardiac contractility modulation, in order to reduce hospitalization due to HF and CV mortality. They also demonstrated to be effective in improving the life quality of HF patients.

To better highlight the recent advances in HF, this Special Issue will focus on new findings regarding pathophysiology, molecular and genetic aspects of HF in terms of diagnostic, prognostic and therapeutic tools. Original articles, reviews of current literature and original perspectives on this topic will be taken into account.

Dr. Paolo Severino
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Molecular Sciences is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. There is an Article Processing Charge (APC) for publication in this open access journal. For details about the APC please see here. Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • heart failure
  • pathophysiology
  • diagnosis
  • pharmacological therapy
  • device therapy
  • microRNAs
  • myocardial biomarkers
  • molecular pathways

Published Papers (1 paper)

Order results
Result details
Select all
Export citation of selected articles as:

Review

20 pages, 2265 KiB  
Review
Current Approaches to Worsening Heart Failure: Pathophysiological and Molecular Insights
by Andrea D’Amato, Silvia Prosperi, Paolo Severino, Vincenzo Myftari, Aurora Labbro Francia, Claudia Cestiè, Nicola Pierucci, Stefanie Marek-Iannucci, Marco Valerio Mariani, Rosanna Germanò, Francesca Fanisio, Carlo Lavalle, Viviana Maestrini, Roberto Badagliacca, Massimo Mancone, Francesco Fedele and Carmine Dario Vizza
Int. J. Mol. Sci. 2024, 25(3), 1574; https://doi.org/10.3390/ijms25031574 - 26 Jan 2024
Viewed by 1353
Abstract
Worsening heart failure (WHF) is a severe and dynamic condition characterized by significant clinical and hemodynamic deterioration. It is characterized by worsening HF signs, symptoms and biomarkers, despite the achievement of an optimized medical therapy. It remains a significant challenge in cardiology, as [...] Read more.
Worsening heart failure (WHF) is a severe and dynamic condition characterized by significant clinical and hemodynamic deterioration. It is characterized by worsening HF signs, symptoms and biomarkers, despite the achievement of an optimized medical therapy. It remains a significant challenge in cardiology, as it evolves into advanced and end-stage HF. The hyperactivation of the neurohormonal, adrenergic and renin-angiotensin-aldosterone system are well known pathophysiological pathways involved in HF. Several drugs have been developed to inhibit the latter, resulting in an improvement in life expectancy. Nevertheless, patients are exposed to a residual risk of adverse events, and the exploration of new molecular pathways and therapeutic targets is required. This review explores the current landscape of WHF, highlighting the complexities and factors contributing to this critical condition. Most recent medical advances have introduced cutting-edge pharmacological agents, such as guanylate cyclase stimulators and myosin activators. Regarding device-based therapies, invasive pulmonary pressure measurement and cardiac contractility modulation have emerged as promising tools to increase the quality of life and reduce hospitalizations due to HF exacerbations. Recent innovations in terms of WHF management emphasize the need for a multifaceted and patient-centric approach to address the complex HF syndrome. Full article
Show Figures

Figure 1

Back to TopTop