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Published on: July 14, 2021
Role of apoptosis in adverse ventricular remodeling
1VCU Pauley Heart Center, Virginia Commonwealth University, VCU Medical Center, 1200 East Broad Street, Richmond, VA 23298, USA. abbatea@yahoo.com
Insights
Apoptosis, or programmed cell death, drives heart disease progression. Inhibiting this process may protect the heart from damage after a heart attack, potentially halting heart failure.
Area of Science:
- Cardiology
- Cell Biology
- Pathology
Background:
- Apoptosis plays a critical role in the development and progression of heart disease.
- Stage B heart failure involves myocardial remodeling, making the heart muscle susceptible to programmed cell death.
- Understanding apoptosis is crucial for managing heart conditions.
Purpose of the Study:
- To review the role of apoptosis in the evolution of symptomatic heart failure.
- To examine the impact of apoptosis on adverse myocardial remodeling post-acute myocardial infarction.
Main Methods:
- Literature review focusing on apoptosis in heart failure.
- Analysis of studies investigating programmed cell death in myocardial infarction.
Main Results:
- Apoptosis is a key factor in heart disease progression.
- Remodeled myocardium in Stage B heart failure is particularly vulnerable to apoptosis.
- Inhibiting apoptotic stimuli or the cascade may preserve myocardial tissue.
Conclusions:
- Targeting apoptosis offers a potential therapeutic strategy for heart failure.
- Halting the apoptotic cascade could prevent adverse remodeling and disease progression.
- Further research into apoptosis inhibition is warranted for cardiovascular disease management.
Abstract:
Apoptosis is a key feature in the progression of heart disease. Stage B heart failure is characterized by a structurally abnormal heart in which the remodeled myocardium is prone to apoptosis. Elimination of the proapoptotic stimuli or inhibition of the apoptotic cascade could presumably rescue the myocardium and halt the progression of adverse remodeling and heart failure. In this article, the authors review the role of apoptosis (or programmed cell death) in determining the evolution of symptomatic heart failure and particularly the adverse remodeling in the aftermath of acute myocardial infarction.
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