Reviews in Cardiovascular Medicine (May 2024)

The Atrioventricular Coupling in Heart Failure: Pathophysiological and Therapeutic Aspects

  • Vito Di Terlizzi,
  • Roberta Barone,
  • Nicola Di Nunno,
  • Gianmarco Alcidi,
  • Natale Daniele Brunetti,
  • Massimo Iacoviello

DOI
https://doi.org/10.31083/j.rcm2505169
Journal volume & issue
Vol. 25, no. 5
p. 169

Abstract

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For a long time, the study of heart failure focused on single heart chamber disease. There is, instead, growing attention on the interplay between the atria and the ventricles during the cardiac cycle and on the consequences of an altered chamber coupling on global heart performance and heart failure. This review aimed to explore the principles of atrioventricular (AV) function and coupling of the left heart and the consequences that their disruption could have in several diseases. Furthermore, we will examine echocardiographic tips for analyzing the chamber function and the AV coupling. Finally, we will explore the most recent pharmacological acquisitions and the device therapies we have for use.

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