Right Ventricular Myofilament Functional Differences in Humans With Systemic Sclerosis–Associated Versus Idiopathic Pulmonary Arterial Hypertension
Author(s) -
Steven Hsu,
Kristen M. Kokkonen-Simon,
Jonathan A. Kirk,
Todd M. Kolb,
Rachel L. Damico,
Stephen C. Mathai,
Monica Mukherjee,
Ami A. Shah,
Fredrick M. Wigley,
Kenneth B. Margulies,
Paul M. Hassoun,
Marc K. Halushka,
Ryan J. Tedford,
David A. Kass
Publication year - 2018
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.117.033147
Subject(s) - medicine , contractility , cardiology , pulmonary hypertension , myofilament , myocyte , pulmonary artery , fibrosis , systemic scleroderma , heart failure , dermatomyositis
Patients with systemic sclerosis (SSc)-associated pulmonary arterial hypertension (PAH) have a far worse prognosis than those with idiopathic PAH (IPAH). In the intact heart, SSc-PAH exhibits depressed rest and reserve right ventricular (RV) contractility compared with IPAH. We tested whether this disparity involves underlying differences in myofilament function.
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