Microvascular Rarefaction in the Sinoatrial Node: A Potential Mechanism for Pacemaker Dysfunction in Early HFpEF
Manning & Rivera et al. (www.jacc.org/doi/10.1016/...) show that pruning just a few capillaries in the SA node plunges the heartโs pacemaker into metabolic overdraftโslowing the rate and jacking up beat-to-beat variability. The physiological equivalent of running on fumes. @jaccjournals.bsky.social
23.07.2025 18:06 โ ๐ 13 ๐ 7 ๐ฌ 1 ๐ 2
In a European cohort, lifetime risk of developing HFrEF was greater in men, while women were at greater risk of developing HFpEF.
8 modifiable RFs substantially accounted for developing HF.
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@anastasiasmihaili.bsky.social @vietheartpa.bsky.social
05.02.2025 13:30 โ ๐ 10 ๐ 8 ๐ฌ 0 ๐ 0
A ๐ ACC Scientific Statement addresses the management of obesity in adults with #HeartFailure, with a specific focus on those with stage 2 HF with #HFpEF.
Read more: bit.ly/43YJ7vv
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13.06.2025 16:08 โ ๐ 4 ๐ 4 ๐ฌ 0 ๐ 0
Cardiac intermediary metabolism in heart failure: substrate use, signalling roles and therapeutic targets | Nature Reviews Cardiology
The number of patients with heart failure is expected to rise sharply owing to ageing populations, poor dietary habits, unhealthy lifestyles and improved survival rates from conditions such as hypertension and myocardial infarction. Heart failure is classified into two main types: heart failure with reduced ejection fraction (HFrEF) and heart failure with preserved ejection fraction (HFpEF). These forms fundamentally differ, especially in how metabolism is regulated, but they also have shared features such as mitochondrial dysfunction. HFrEF is typically driven by neuroendocrine activation and mechanical strain, which demands a higher ATP production to sustain cardiac contraction. However, the primary energy source in a healthy heart (fatty acid ฮฒ-oxidation) is often suppressed in HFrEF. Although glucose uptake increases in HFrEF, mitochondrial dysfunction disrupts glucose oxidation, and glycolysis and ketone oxidation only partially compensate for this imbalance. Conversely, HFpEF, pa
Rising heart failure cases (HFrEF, HFpEF) highlight key metabolic differences & similarities. Lifestyle changes & new targets matter! PMID:40544173, Nat Rev Cardiol 2025, @NatRevCardiol https://doi.org/10.1038/s41569-025-01166-7 #Medsky #Pharmsky #RNA #ASHG #ESHG ๐งช
27.06.2025 06:10 โ ๐ 3 ๐ 1 ๐ฌ 0 ๐ 0
A strategic collaboration between Liverpool Heart & Chest Hospital, Liverpool John Moores University, University of Liverpool and the Liverpool Health Partners: https://www.liverpool.ac.uk/health-and-life-sciences/lccs/
MPharm. PGDip. FRPharmS. Cardiology Pharmacist with specialist interest in Heart Failure. Cwm Taf Morgannwg University Health Board. (all views are my own).
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Clinical Lead for Heart Failure, Northern Ireland.
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