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Multimodality Imaging and Biomarker Approach to Characterize the Pathophysiology of Heart Failure in Left Ventricular Non-Compaction with Preserved Ejection Fraction.

Ionela Simona VișoiuRoxana Cristina RimbasAlina Ioana NiculaSorina Mihaila-BaldeaStefania Lucia MagdaDiana Janina MihalceaMemis HayatMaria Luiza LuchianAlexandra Maria ChitroceanuDragos Vinereanu
Published in: Journal of clinical medicine (2023)
LVNC patients with HFpEF have diffuse fibrosis, which is more extensive at the apical level, explaining the decrease in apical deformation and overexpression of Galectin-3. Lower transmural and base-to-apex deformation gradients underpin the sequence of myocardial maturation failure. Endothelial dysfunction, expressed by the lower ADAMTS13 and ADAMTS13/vWF ratio, may play an important role in the mechanism of HFpEF in patients with LVNC.
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