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Myocardial function : from myofilaments to cardiac pump

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Abstract
This chapter briefly reviews how complex left ventricular (LV) and cardiac function are from molecular and cellular function, over the spreading of electrical activation, to the development of elevated pressure, ejection and interaction with the vascular tree, dissipation of pressure and filling from pulmonary and peripheral circulation at low pressures. This complex and interrelated function achieves a remarkable efficiency and reserve capacity, at least in young and healthy subjects. With age and with disease, we observe impairment at all levels from molecular to organ function. From a clinical point of view, we deal with stiffening of heart and vessels, loss of reserve capacity, impairment of contraction and relaxation, and degeneration of cardiac valves. Last but not least, the functional and anatomical alterations of the coronary circulation will lead to ischemia and infarction. These impairments contribute to decreased functional capacity, leading to heart failure.
Keywords
Afterload, Atrial, Contractility, Contraction, Coupling, Diastole, Myocardial, Preload, Relaxation, Systole, VA coupling, Ventricular, Wave reflection

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MLA
Lourenço, Andre P., et al. “Myocardial Function : From Myofilaments to Cardiac Pump.” Arterial Stiffness and Pulsatile Hemodynamics in Health and Disease, edited by Julio Chirinos Medina, Academic Press, Elsevier, 2022, pp. 211–26, doi:10.1016/B978-0-323-91391-1.00013-3.
APA
Lourenço, A. P., Gillebert, T., & Leite-Moreira, A. F. (2022). Myocardial function : from myofilaments to cardiac pump. In J. Chirinos Medina (Ed.), Arterial stiffness and pulsatile hemodynamics in health and disease (pp. 211–226). https://doi.org/10.1016/B978-0-323-91391-1.00013-3
Chicago author-date
Lourenço, Andre P, Thierry Gillebert, and Adelino F Leite-Moreira. 2022. “Myocardial Function : From Myofilaments to Cardiac Pump.” In Arterial Stiffness and Pulsatile Hemodynamics in Health and Disease, edited by Julio Chirinos Medina, 211–26. Oxford, United Kingdom: Academic Press, Elsevier. https://doi.org/10.1016/B978-0-323-91391-1.00013-3.
Chicago author-date (all authors)
Lourenço, Andre P, Thierry Gillebert, and Adelino F Leite-Moreira. 2022. “Myocardial Function : From Myofilaments to Cardiac Pump.” In Arterial Stiffness and Pulsatile Hemodynamics in Health and Disease, ed by. Julio Chirinos Medina, 211–226. Oxford, United Kingdom: Academic Press, Elsevier. doi:10.1016/B978-0-323-91391-1.00013-3.
Vancouver
1.
Lourenço AP, Gillebert T, Leite-Moreira AF. Myocardial function : from myofilaments to cardiac pump. In: Chirinos Medina J, editor. Arterial stiffness and pulsatile hemodynamics in health and disease. Oxford, United Kingdom: Academic Press, Elsevier; 2022. p. 211–26.
IEEE
[1]
A. P. Lourenço, T. Gillebert, and A. F. Leite-Moreira, “Myocardial function : from myofilaments to cardiac pump,” in Arterial stiffness and pulsatile hemodynamics in health and disease, J. Chirinos Medina, Ed. Oxford, United Kingdom: Academic Press, Elsevier, 2022, pp. 211–226.
@incollection{8770051,
  abstract     = {{This chapter briefly reviews how complex left ventricular (LV) and cardiac function are from molecular and cellular function, over the spreading of electrical activation, to the development of elevated pressure, ejection and interaction with the vascular tree, dissipation of pressure and filling from pulmonary and peripheral circulation at low pressures. This complex and interrelated function achieves a remarkable efficiency and reserve capacity, at least in young and healthy subjects. With age and with disease, we observe impairment at all levels from molecular to organ function. From a clinical point of view, we deal with stiffening of heart and vessels, loss of reserve capacity, impairment of contraction and relaxation, and degeneration of cardiac valves. Last but not least, the functional and anatomical alterations of the coronary circulation will lead to ischemia and infarction. These impairments contribute to decreased functional capacity, leading to heart failure.}},
  author       = {{Lourenço, Andre P and Gillebert, Thierry and Leite-Moreira, Adelino F}},
  booktitle    = {{Arterial stiffness and pulsatile hemodynamics in health and disease}},
  editor       = {{Chirinos Medina, Julio}},
  isbn         = {{9780128202937}},
  keywords     = {{Afterload,Atrial,Contractility,Contraction,Coupling,Diastole,Myocardial,Preload,Relaxation,Systole,VA coupling,Ventricular,Wave reflection}},
  language     = {{eng}},
  pages        = {{211--226}},
  publisher    = {{Academic Press, Elsevier}},
  title        = {{Myocardial function : from myofilaments to cardiac pump}},
  url          = {{http://doi.org/10.1016/B978-0-323-91391-1.00013-3}},
  year         = {{2022}},
}

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