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Semaglutide reduces late sodium current (I Na ) and diastolic calcium (Ca) sparks in human cardiomyocytes from aortic stenosis (AS) and end-stage heart failure with reduced ejectionfraction (HFrEF) patients, thereby increasing Ca transients. However, the exact mechanisms underlying its cardioprotective actions remain unclear.
Methods This proof-of-concept study used four-dimensional (4D) flow cardiovascular MR (4D flow CMR) data of five healthy controls, five patients with heart failure with preservedejectionfraction and five patients with aortic stenosis (AS). Visual assessment of flow vectors was used to assess helicity and vorticity.
We know a small ASD decompresses mitral stenosis, and the combination of ASD and MS, Lutembacher, is a well-known syndrome called Lutembacher. Shah, author of Atrial Shunt Device Effects on Cardiac Structure and Function in Heart Failure With PreservedEjectionFraction: The REDUCE LAP-HF II Randomized Clinical Trial.
24: Joint American College of Cardiology/Journal of the American College of Cardiology Late-Breaking Clinical Trials (Session 402) Saturday, April 6 9:30 – 10:30 a.m.
Venn diagram highlighting the main similarities and differences between heart failure with preservedejectionfraction (HFpEF) and aortic stenosis with preservedejectionfraction (ASpEF). HFpEF and ASpEF patients showed similar demographic distribution and biohumoral profiles.
Background A quarter of patients with severe aortic stenosis (AS) were asymptomatic, and only a third of them survived at the end of 4 years. We intended to study the effect of early AVR (eAVR) in this subset of asymptomatic patients with preserved left ventricle function. We noticed no difference in MI, stroke and major bleeding.
Objective To characterise the mechanics responsible for the reduced ejectionfraction (rEF) in high-gradient severe aortic stenosis (AS). They included 9 patients with rEF (EF <50%) and 12 with preservedejectionfraction (pEF) (EF >50%). cm 2 and mean gradient (MG) >40 mm Hg) were included.
SMART 4 ( NCT04722250 ) studied patients with severe aortic stenosis and a small aortic annulus who underwent transcatheter aortic valve replacement (TAVR). STEP-HFpEF DM 5 ( NCT04916470 ) explored the effects of semaglutide in obesity-related HF with preservedejectionfraction (HFpEF) and type 2 diabetes.
Key Takeaways: Greater Weight Loss, Greater Benefit : Achieving 2-5% weight loss yields metabolic improvements, while over 15% weight loss significantly reduces obesity-related complications like hypertension, NAFLD, and heart failure with preservedejectionfraction (HFpEF).
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