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January 2, 1983European Heart Journal

Inotropic and lusitropic abnormalities in the genesis of heart failure

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Authors

VSVivienne E. SmithGhent University HospitalAKAlan KatzManitoba Health

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Implication

May refine HF phenotyping by dual inotropic-lusitropic assessment; leaves open targeted therapies pending prospective validation.

Key Points

  • Clarify how distinct abnormalities in myocardial contraction (inotropic) and relaxation (lusitropic) contribute to the clinical syndrome of heart failure.
  • Reviewed the interdependent physiological systems governing cardiac chamber emptying and filling.
  • Evaluated the impact of advanced ventricular volume assessment tools and drug classes that selectively alter inotropic and lusitropic myocardial properties.
  • Heart failure signs and symptoms develop from isolated or combined failures of cardiac contraction (emptying) and relaxation (filling).
  • Technological advances in measuring ventricular volumes enable precise differentiation between systolic and diastolic mechanisms to guide targeted drug therapies.

Cite This Study

Smith et al. (1983) studied this question.

synapsesocial.com/papers/6a8179ee46b10f090ba8ba2fhttps://doi.org/10.1093/eurheartj/4.suppl_a.7

Topics

Heart failureHFrEF treatmentHypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Inotropic and lusitropic abnormalities in heart failure1990 · 15 citations
  2. 2Mechanisms of cardiac contraction: What roles for preload, afterload and inotropic state in heart failure?1983 · 64 citations
  3. 3New Inotropic Drugs for Heart Failure1987 · 16 citations
  4. 4Myocardial Function in Heart Failure2008 · 7 citations
  5. 5Role of Inotropic Agents in the Treatment of Heart Failure2010 · 57 citations