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Hydraulic force is a novel mechanism of diastolic function that may contribute to decreased diastolic filling in HFpEF and facilitate filling in HFrEF
Author(s) -
Katarina StedingEhrenborg,
Erik Hedström,
Marcus Carlsson,
Elira Maksuti,
Michael Broomé,
Martin Ugander,
Martin Magnusson,
J. G. Smith,
Håkan Arheden
Publication year - 2021
Publication title -
journal of applied physiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.253
H-Index - 229
eISSN - 8750-7587
pISSN - 1522-1601
DOI - 10.1152/japplphysiol.00890.2020
Subject(s) - diastole , cardiology , heart failure with preserved ejection fraction , medicine , heart failure , ejection fraction , diastolic function , mechanism (biology) , diastolic heart failure , cardiac function curve , blood pressure , philosophy , epistemology
It is a previously unrecognized physiological mechanism of the heart that diastolic filling occurs with the help of hydraulics. In patients with heart failure with preserved ejection fraction, atrial dilatation may cause the net hydraulic force to work against cardiac filling, thus further augmenting diastolic dysfunction. In contrast, it may work favorably in patients with dilated ventricles, as in heart failure with reduced ejection fraction.

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