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A roadmap for therapeutic discovery in pulmonary hypertension associated with left heart failure. A scientific statement of the Heart Failure Association (HFA) of the ESC and the ESC Working Group on Pulmonary Circulation & Right Ventricular Function
P. Ameri, V. Mercurio, P. Pollesello, MS. Anker, J. Backs, A. Bayes-Genis, BA. Borlaug, D. Burkhoff, S. Caravita, SY. Chan, F. de Man, G. Giannakoulas, A. González, M. Guazzi, PM. Hassoun, AR. Hemnes, C. Maack, B. Madden, V. Melenovsky, OJ....
Language English Country England, Great Britain
Document type Journal Article, Review
Grant support
CVON-2018-29 PHAEDRA-IMPACT
Royal Netherlands Academy of Sciences
R01 HL162828
NHLBI NIH HHS - United States
R01 HL128526
NHLBI NIH HHS - United States
CVON-2012-08 PHAEDRA
Royal Netherlands Academy of Sciences
ERC CoG 101045236
HORIZON Europe ERC
R01 HL162828
NIH HHS - United States
R01 HL122596
NHLBI NIH HHS - United States
394046768
German Research Foundation DFG
W81XWH2210245
United States Department of Defense
759248
European Research Council under the European Union's Horizon 2020 research and innovation programme
U01 HL160226
NIH HHS - United States
German Centre for Cardiovascular Research
Netherlands Organisation for Health Research and Development
Dutch Heart Foundation, Dutch Federation of University Medical Centres
R01 HL128526
NIH HHS - United States
PNRR-MAD-2022-12376632
Italian Ministry of Health
LX22NPO5104
the National Institute for Research of Metabolic and Cardiovascular Diseases
HL 122596
NIH HHS - United States
NWO-VIDI: 917.18.338
The Netherlands Organization for Scientific Research
DISSECT-HF
HORIZON Europe ERC
European Union - Next Generation EU
R01 HL124021
NIH HHS - United States
Netherlands CardioVascular Research Initiative
CVON-2017-10 Dolphin-Genesis
Royal Netherlands Academy of Sciences
RF-2016-02362988
Italian Ministry of Health
2018T059
Dutch Heart Foundation Dekker senior post-doc
18EIA33900027
American Heart Association
CRC1366 C07
German Research Foundation DFG
NU22-02-00161
Ministry of Health of the Czech Republic
U01 HL160226
NHLBI NIH HHS - United States
R01 HL124021
NHLBI NIH HHS - United States
NLK
Medline Complete (EBSCOhost)
from 2000-03-01 to 1 year ago
Wiley Free Content
from 1999 to 1 year ago
PubMed
38639017
DOI
10.1002/ejhf.3236
Knihovny.cz E-resources
- MeSH
- Ventricular Function, Right * physiology MeSH
- Humans MeSH
- Hypertension, Pulmonary * physiopathology etiology therapy MeSH
- Pulmonary Circulation * physiology MeSH
- Heart Failure * physiopathology complications therapy MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Review MeSH
Pulmonary hypertension (PH) associated with left heart failure (LHF) (PH-LHF) is one of the most common causes of PH. It directly contributes to symptoms and reduced functional capacity and negatively affects right heart function, ultimately leading to a poor prognosis. There are no specific treatments for PH-LHF, despite the high number of drugs tested so far. This scientific document addresses the main knowledge gaps in PH-LHF with emphasis on pathophysiology and clinical trials. Key identified issues include better understanding of the role of pulmonary venous versus arteriolar remodelling, multidimensional phenotyping to recognize patient subgroups positioned to respond to different therapies, and conduct of rigorous pre-clinical studies combining small and large animal models. Advancements in these areas are expected to better inform the design of clinical trials and extend treatment options beyond those effective in pulmonary arterial hypertension. Enrichment strategies, endpoint assessments, and thorough haemodynamic studies, both at rest and during exercise, are proposed to play primary roles to optimize early-stage development of candidate therapies for PH-LHF.
Amsterdam Cardiovascular Sciences Pulmonary Hypertension and Thrombosis Amsterdam The Netherlands
Cardiac Thoracic and Vascular Department IRCCS Ospedale Policlinico San Martino Genoa Italy
Cardiology Division San Paolo University Hospital Milan Italy
Cardiovascular Research Foundation New York NY USA
Center for Basic and Clinical Immunology Research Federico 2 University Naples Italy
Center for Molecular Medicine Cologne Faculty of Medicine University of Cologne Cologne Germany
Comprehensive Heart Failure Center and Medical Clinic 1 University Clinic Würzburg Würzburg Germany
Content and Communication Branded Products Orion Pharma Espoo Finland
Department of Cardiology Hopital Universitaire de Bruxelles Erasme Brussels Belgium
Department of Cardiology Institute for Clinical and Experimental Medicine IKEM Prague Czech Republic
Department of Cardiology Istituto Auxologico Italiano IRCCS Ospedale San Luca Milan Italy
Department of Cardiology University Hospital Mannheim Heidelberg University Mannheim Germany
Department of Cardiovascular Diseases Mayo Clinic Rochester MN USA
Department of Internal Medicine and Cardiology Medical University of Warsaw Warsaw Poland
Department of Internal Medicine University of Genova Genoa Italy
Department of Management Information and Production Engineering University of Bergamo Dalmine Italy
Department of Medicine St Johann in Tirol General Hospital St Johann in Tirol Austria
Division of Cardiology Department of Advanced Biomedical Sciences Federico 2 University Naples Italy
Division of Cardiology Department of Medicine Medical University of South Carolina Charleston SC USA
Division of Cardiology Medical University of Graz Graz Austria
Division of Cardiology Northwestern University Feinberg School of Medicine Chicago IL USA
German Center for Cardiovascular Research Berlin Germany
German Centre for Cardiovascular Research Partner Site Berlin Berlin Germany
Heart Research Institute Sydney Australia
Max Rubner Center Department of Cardiology Charité Universitätsmedizin Berlin Berlin Germany
Program of Cardiovascular Diseases CIMA Universidad de Navarra and IdiSNA Pamplona Spain
References provided by Crossref.org
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