Heart failure and loss of metabolic control

Research output: Contribution to journalReview article

27 Scopus citations

Abstract

Heart failure is a leading cause of morbidity and mortality worldwide, currently affecting 5 million Americans. A syndrome defined on clinical terms, heart failure is the end result of events occurring in multiple heart diseases, including hypertension, myocardial infarction, genetic mutations and diabetes, and metabolic dysregulation, is a hallmark feature. Mounting evidence from clinical and preclinical studies suggests strongly that fatty acid uptake and oxidation are adversely affected, especially in end-stage heart failure. Moreover, metabolic flexibility, the heart's ability to move freely among diverse energy substrates, is impaired in heart failure. Indeed, impairment of the heart's ability to adapt to its metabolic milieu and associated metabolic derangement are important contributing factors in the heart failure pathogenesis. Elucidation of molecular mechanisms governing metabolic control in heart failure will provide critical insights into disease initiation and progression, raising the prospect of advances with clinical relevance.

Original languageEnglish (US)
Pages (from-to)302-313
Number of pages12
JournalJournal of Cardiovascular Pharmacology
Volume63
Issue number4
DOIs
StatePublished - Apr 2014

Keywords

  • Heart failure
  • metabolism

ASJC Scopus subject areas

  • Pharmacology
  • Cardiology and Cardiovascular Medicine

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