TABLE 2.
Initial insult | LVRR induced by | Molecular and cellular changes | Structural and functional phenotypes |
---|---|---|---|
Genetic mutation | Spontaneously | Reversal of cell hypertrophy 117 , 118 | Normalization of chamber geometry |
Inflammation | Pharmacotherapy | Improved contractility 115 | Increased ejection fraction |
Cardiotoxicity | Resynchronization therapy | Changes in collagen content 13 | Reduced volumes and diameters |
Abnormal energetics | Mitral valve repair | Ca2+ metabolism 115 , 116 | Leftward shifts in EDPVR |
Mechanical/biological stress | LVAD | β‐Adrenergic responsiveness 13 , 114 | ↓ Functional mitral regurgitation |
Reduced apoptosis/necrosis 122 |
EDPVR, end‐diastolic pressure–volume ratio; LVAD, left ventricular assist device; LVRR, left ventricular reverse remodelling.