Modern Approaches for the Treatment of Heart Failure: Recent Advances and Future Perspectives

被引:6
|
作者
Popa, Irene Paula [1 ]
Haba, Mihai Stefan Cristian [1 ,2 ]
Maranduca, Minela Aida [3 ]
Tanase, Daniela Maria [2 ,4 ]
Serban, Dragomir N. [3 ]
Serban, Lacramioara Ionela [3 ]
Iliescu, Radu [5 ]
Tudorancea, Ionut [1 ,3 ]
机构
[1] St Spiridon Cty Clin Emergency Hosp, Cardiol Clin, Iasi 700111, Romania
[2] Grigore T Popa Univ Med & Pharm, Dept Internal Med, Iasi 700115, Romania
[3] Grigore T Popa Univ Med & Pharm, Dept Physiol, Iasi 700115, Romania
[4] St Spiridon Cty Clin Emergency Hosp, Internal Med Clin, Iasi 700115, Romania
[5] Grigore T Popa Univ Med & Pharm, Dept Pharmacol, Iasi 700115, Romania
关键词
heart failure; angiotensin receptor-neprilysin inhibitor; sodium-glucose co-transporter-2 inhibitors; soluble guanylate cyclase activator; cardiac myosin activation; autonomic modulation; REDUCED EJECTION FRACTION; CARDIAC CONTRACTILITY MODULATION; SOLUBLE GUANYLATE-CYCLASE; VAGUS NERVE-STIMULATION; ANGIOTENSIN-NEPRILYSIN INHIBITION; CENTRAL SLEEP-APNEA; OMECAMTIV MECARBIL; RENAL DENERVATION; SYMPATHETIC DENERVATION; MYOSIN ACTIVATION;
D O I
10.3390/pharmaceutics14091964
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Heart failure (HF) is a progressively deteriorating medical condition that significantly reduces both the patients' life expectancy and quality of life. Even though real progress was made in the past decades in the discovery of novel pharmacological treatments for HF, the prevention of premature deaths has only been marginally alleviated. Despite the availability of a plethora of pharmaceutical approaches, proper management of HF is still challenging. Thus, a myriad of experimental and clinical studies focusing on the discovery of new and provocative underlying mechanisms of HF physiopathology pave the way for the development of novel HF therapeutic approaches. Furthermore, recent technological advances made possible the development of various interventional techniques and device-based approaches for the treatment of HF. Since many of these modern approaches interfere with various well-known pathological mechanisms in HF, they have a real ability to complement and or increase the efficiency of existing medications and thus improve the prognosis and survival rate of HF patients. Their promising and encouraging results reported to date compel the extension of heart failure treatment beyond the classical view. The aim of this review was to summarize modern approaches, new perspectives, and future directions for the treatment of HF.
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页数:26
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