By Barry Greenberg
Exploring the reasons, mechanisms, and pathophysiology of cardiac home improvement, this reference deals exact descriptions of many of the parts of the reworking method, in addition to new healing interventions and up to date and destiny clients for the therapy of cardiac home improvement.
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Extra resources for Cardiac Remodeling: Mechanisms and Treatment (Fundamental and Clinical Cardiology)
The magnitude of hypertrophy that develops in volume overload also affects the level of compensation that occurs. Many pathologic conditions require increased cardiac output, imposing a volume overload on the heart. Most of these diseases result in the additional volume being delivered into the aorta where they widen pulse 14 Carabello Figure 3 Wall stress (A) and left ventricular mass (B) are shown for dogs that maintained normal ventricular function (open squares) and those that developed ventricular dysfunction (closed circles).
Ventricular Remodeling in Pressure vs. Volume Overload 19 Figure 7 Myosin heavy chain synthesis rate (MHC Ks) in dogs is shown following a stepped increase in aortic constriction. It rose abruptly but fell gradually as the hypertrophic process became complete. Source: From Ref. 48. (Fig. 8; increased message per ribosome) and by translational capacity (Fig. 9, increased ribosomal number), without evidence of increased transcription (MHC message did not increase). Ribosomal RNA did increase indicating increased capacity for protein synthesis as new ribosomes were produced.
Thus, it appears that if Laplacian stress is the signal for hypertrophy, the pressure and radius terms in the stress equation numerator effect signaling differently. Increased pressure triggers concentric hypertrophy presumably by increasing protein synthesis rate while increased radius primarily triggers eccentric hypertrophy presumably by decreasing degradation rate. In this later situation, the thickness term is not affected, eventually resulting in increased systolic and diastolic stress with adverse consequences for systole while perhaps beneﬁting diastolic properties.