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Updated: Aug 11, 2026

Reduction in Left Ventricular Wall Stress and Improvement in Function in Failing Hearts using Algisyl-LVR
Published on: April 8, 2013
Basic mechanisms of left ventricular remodeling: the contribution of wall stress
1Winters Center for Heart Failure Research, Department of Medicine, Baylor College of Medicine, Houston, Texas 77030, USA.
Insights
Left ventricular remodeling drives heart failure progression. Targeting this remodeling with new therapies may improve treatment outcomes for patients with heart failure.
Area of Science:
- Cardiology
- Pathophysiology
Background:
- Heart failure is a progressive condition.
- Left ventricular (LV) remodeling contributes to heart failure progression.
- Increased wall stress is a key factor in LV remodeling.
Purpose of the Study:
- To review the role of LV remodeling in heart failure pathogenesis.
- To focus on the contribution of increased wall stress to LV remodeling.
- To discuss clinical implications for heart failure treatment.
Main Methods:
- Literature review of LV remodeling in heart failure.
- Analysis of the impact of wall stress on cardiac remodeling.
- Evaluation of current and potential therapeutic strategies.
Main Results:
- LV remodeling is a significant driver of heart failure.
- Increased wall stress is a critical factor in the development and progression of LV remodeling.
- Current neurohormonal treatments may not fully halt disease progression.
Conclusions:
- LV remodeling plays a central role in heart failure.
- Adjunctive therapies targeting LV remodeling are needed.
- Preventing or reducing LV remodeling could be crucial for effective heart failure management.
Abstract:
Heart failure may be viewed as a progressive disorder that is impelled, at least in part, by progressive left ventricular (LV) remodeling. In the present discussion we will review the role of LV remodeling in the pathogenesis of heart failure, with a focus on the contribution that increased wall stress plays in the development and progression of LV remodeling. The clinical implication of this review is that existing neurohormonal strategies may not completely prevent disease progression in the failing heart, and that adjunctive strategies that are designed to specifically prevent or attenuate LV remodeling may play an important role in the clinical treatment of heart failure.
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