Increased RV diastolic stiffness in PAH patients is multifactorial, involving both extracellular (collagen) and cellular (sarcomere) mechanisms.
RV diastolic stiffness is significantly increased in PAH patients, with important contributions from increased collagen and intrinsic stiffening of the RV cardiomyocyte sarcomeres.
Rain et al. (Sat,) studied this question.
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