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Impact of diabetes mellitus on ventricular structure, arterial stiffness, and pulsatile hemodynamics in heart failure with preserved ejection fraction

TLDR
Diabetes mellitus is a key determinant of left ventricular remodeling, arterial stiffness, adverse pulsatile hemodynamics, and ventricular‐arterial interactions in HFpEF.
Abstract
Background Heterogeneity in the underlying processes that contribute to heart failure with preserved ejection fraction (HFpEF) is increasingly recognized. Diabetes mellitus is a frequent comorbidit...

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Large-Artery Stiffness in Health and Disease: JACC State-of-the-Art Review

TL;DR: An overview of key physiologic and biophysical principles related to arterial stiffness, the impact of aortic stiffening on target organs, noninvasive methods for the measurement of arterials stiffness, mechanisms leading to aorti stiffening, therapeutic approaches to reduce it, and clinical applications of arterial stiffening measurements is provided.
Journal ArticleDOI

Cellular and molecular pathobiology of heart failure with preserved ejection fraction.

TL;DR: A review of the cellular and molecular pathobiology of heart failure with preserved ejection fraction (HFpEF) can be found in this paper, with the major focus being on mechanisms relevant to the heart.
Journal Article

Arterial load and ventricular-arterial coupling: physiologic relations with body size and effect of obesity

TL;DR: In this article, the authors used non-linear regression to analyze a selected reference subsample (n=612) with normal weight (body mass index 18 −25 kg/m2), waist circumference and metabolic parameters.
Journal Article

Abstract 14934: Heart Failure, Left Ventricular Remodeling, and Circulating Nitric Oxide Metabolites

TL;DR: HFpEF, but not HFrEF, is associated with reduced plasma NOM, suggesting greater endothelial dysfunction, enhanced clearance, or deficient dietary ingestion of inorganic nitrate may underlie the salutary effects of in organic nitrate supplementation demonstrated in recent clinical trials in HFpEF.
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Serum Albumin Is a Marker of Myocardial Fibrosis, Adverse Pulsatile Aortic Hemodynamics, and Prognosis in Heart Failure With Preserved Ejection Fraction

TL;DR: Serum albumin is associated with myocardial fibrosis, adverse pulsatile aortic hemodynamics, and prognosis in HFpEF and is a strong predictor of death or heart failure hospitalization even after adjustment for N‐terminal pro B‐type natriuretic peptide levels and the MAGGIC risk score.
References
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Journal ArticleDOI

Systematic Review: Process of Forming Academic Service Partnerships to Reform Clinical Education

TL;DR: This study’s findings can provide practical guidelines to steer partnership programs within the academic and clinical bodies, with the aim of providing a collaborative partnership approach to clinical education.
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Recommendations for the evaluation of left ventricular diastolic function by echocardiography

TL;DR: The assessment of left ventricular (LV) diastolic function and filling pressures is of paramount clinical importance to distinguish this syndrome from other diseases such as pulmonary disease resulting in dyspnea, to assess prognosis, and to identify underlying cardiac disease and its best treatment.
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Aminoguanidine prevents diabetes-induced arterial wall protein cross-linking

TL;DR: The identification of aminoguanidine as an inhibitor of advanced nonenzymatic glycosylation product formation makes possible precise experimental definition of the pathogenetic significance of this process and suggests a potential clinical role for aminogsuanidine in the future treatment of chronic diabetic complications.
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Recommendations for Improving and Standardizing Vascular Research on Arterial Stiffness: A Scientific Statement From the American Heart Association

TL;DR: The field of arterial stiffness investigation, which has exploded over the past 20 years, has proliferated without logistical guidance for clinical and research studies, and questions that remain to be addressed in this field are addressed.
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