Acute and Chronic Heart Failure

The topic “Acute and Chronic Heart Failure: Pathophysiology and New Therapeutic Developments” was chosen because, despite the progress made in recent decades in the prevention and treatment of cardiovascular diseases, they remain the leading cause of death in both developed and developing countries,...

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Έκδοση: MDPI - Multidisciplinary Digital Publishing Institute 2026
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Διαθέσιμο Online:ONIX_20260416T142754_9783725852314_8
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collection Directory of Open Access Books
description The topic “Acute and Chronic Heart Failure: Pathophysiology and New Therapeutic Developments” was chosen because, despite the progress made in recent decades in the prevention and treatment of cardiovascular diseases, they remain the leading cause of death in both developed and developing countries, and heart failure (HF) is, in any case, the endpoint of the majority of cardiac pathologies. HF prevalence is progressively increasing worldwide, with HF with preserved ejection fraction (HFpEF) now exceeding 50% prevalence in HF cases. The published contributions are numerous and all are interesting. I would, however, like to emphasize the fact that a rapidly growing condition worldwide—insulin resistance with associated hyperinsulinemia—that is present in a large proportion of HF patients, particularly in HF patients with preserved or only slightly reduced ejection fraction, is still not treated as an independent risk factor, despite the large body of the literature demonstrating its role in numerous significant metabolic and cardiovascular abnormalities. Patients with insulin resistance, which will later progress to type 2 diabetes, may, over time, develop pathological remodeling of the left ventricle with, initially, diastolic dysfunction and, subsequently, also systolic dysfunction, which will lead to the development of HF.
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spelling doab-20.500.12854ir-1747032026-04-16T16:02:09Z Acute and Chronic Heart Failure Fazio, Serafino Mercurio, Valentina Heart failure Pulmonary arterial hypertension Pathophysiological novelties Treatment advances thema EDItEUR::G Reference, Information and Interdisciplinary subjects::GP Research and information: general The topic “Acute and Chronic Heart Failure: Pathophysiology and New Therapeutic Developments” was chosen because, despite the progress made in recent decades in the prevention and treatment of cardiovascular diseases, they remain the leading cause of death in both developed and developing countries, and heart failure (HF) is, in any case, the endpoint of the majority of cardiac pathologies. HF prevalence is progressively increasing worldwide, with HF with preserved ejection fraction (HFpEF) now exceeding 50% prevalence in HF cases. The published contributions are numerous and all are interesting. I would, however, like to emphasize the fact that a rapidly growing condition worldwide—insulin resistance with associated hyperinsulinemia—that is present in a large proportion of HF patients, particularly in HF patients with preserved or only slightly reduced ejection fraction, is still not treated as an independent risk factor, despite the large body of the literature demonstrating its role in numerous significant metabolic and cardiovascular abnormalities. Patients with insulin resistance, which will later progress to type 2 diabetes, may, over time, develop pathological remodeling of the left ventricle with, initially, diastolic dysfunction and, subsequently, also systolic dysfunction, which will lead to the development of HF. 2026-04-16T16:02:07Z 2026-04-16T16:02:07Z 2025 book ONIX_20260416T142754_9783725852314_8 9783725852314 9783725852321 https://directory.doabooks.org/handle/20.500.12854/174703 eng application/octet-stream Attribution 4.0 International https://mdpi.com/books/ https://mdpi.com/books/pdfview/book/11578 MDPI - Multidisciplinary Digital Publishing Institute 10.3390/books978-3-7258-5232-1 10.3390/books978-3-7258-5232-1 46cabcaa-dd94-4bfe-87b4-55023c1b36d0 9783725852314 9783725852321 128 CH open access
spellingShingle Heart failure
Pulmonary arterial hypertension
Pathophysiological novelties
Treatment advances
thema EDItEUR::G Reference, Information and Interdisciplinary subjects::GP Research and information: general
Acute and Chronic Heart Failure
title Acute and Chronic Heart Failure
title_full Acute and Chronic Heart Failure
title_fullStr Acute and Chronic Heart Failure
title_full_unstemmed Acute and Chronic Heart Failure
title_short Acute and Chronic Heart Failure
title_sort acute and chronic heart failure
topic Heart failure
Pulmonary arterial hypertension
Pathophysiological novelties
Treatment advances
thema EDItEUR::G Reference, Information and Interdisciplinary subjects::GP Research and information: general
topic_facet Heart failure
Pulmonary arterial hypertension
Pathophysiological novelties
Treatment advances
thema EDItEUR::G Reference, Information and Interdisciplinary subjects::GP Research and information: general
url ONIX_20260416T142754_9783725852314_8