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  1. Article ; Online: Alcohol and Heart Failure.

    Rasoul, Debar / Ajay, Ashwin / Abdullah, Alend / Mathew, Jean / Lee Wei En, Benjamin / Mashida, Knievel / Sankaranarayanan, Rajiv

    European cardiology

    2023  Volume 18, Page(s) e65

    Abstract: Alcohol is the most frequently consumed toxic substance in the world and remains a major global public health issue, with one in three adults consuming it worldwide. Alcohol use is a leading risk factor for disease, contributing to over 60 acute and ... ...

    Abstract Alcohol is the most frequently consumed toxic substance in the world and remains a major global public health issue, with one in three adults consuming it worldwide. Alcohol use is a leading risk factor for disease, contributing to over 60 acute and chronic health conditions, with a particularly complex association with cardiovascular disease. Chronic excessive alcohol consumption is associated with a range of cardiac complications, including decreased myocardial contractility, hypertension, arrhythmias, MI and heart failure. However, low-level alcohol consumption is believed to have a protective effect against ischaemic heart disease and diabetes. In most cohort studies, small to moderate amounts of alcohol consumption have not been linked to heart failure, indicating a threshold effect of alcohol with individual (possibly genetic) predisposition rather than a continuous effect of exposure. This review article explores the potential benefits of alcohol on the heart, the association between alcohol use and alcoholic cardiomyopathy and the epidemiology, clinical correlates and management of alcoholic cardiomyopathy.
    Language English
    Publishing date 2023-12-26
    Publishing country England
    Document type Journal Article ; Review
    ISSN 1758-3764
    ISSN (online) 1758-3764
    DOI 10.15420/ecr.2023.12
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Augmentation of natriuretic peptide (NP) receptor A and B (NPR-A and NPR-B) and cyclic guanosine monophosphate (cGMP) signalling as a therapeutic strategy in heart failure.

    Ajay, Ashwin / Rasoul, Debar / Abdullah, Alend / Lee Wei En, Benjamin / Mashida, Knievel / Al-Munaer, Marwan / Ajay, Hanan / Duvva, Dileep / Mathew, Jean / Adenaya, Adeoye / Lip, Gregory Y H / Sankaranarayanan, Rajiv

    Expert opinion on investigational drugs

    2023  Volume 32, Issue 12, Page(s) 1157–1170

    Abstract: Introduction: Heart failure is a complex, debilitating condition and despite advances in treatment, it remains a significant cause of morbidity and mortality worldwide. Therefore, the need for alternative treatment strategies is essential. In this ... ...

    Abstract Introduction: Heart failure is a complex, debilitating condition and despite advances in treatment, it remains a significant cause of morbidity and mortality worldwide. Therefore, the need for alternative treatment strategies is essential. In this review, we explore the therapeutic strategies of augmenting natriuretic peptide receptors (NPR-A and NPR-B) and cyclic guanosine monophosphate (cGMP) in heart failure.
    Areas covered: We aim to provide an overview of the evidence of preclinical and clinical studies on novel heart failure treatment strategies. Papers collected in this review have been filtered and screened following PubMed searches. This includes epigenetics, modulating enzyme activity in natriuretic peptide (NP) synthesis, gene therapy, modulation of downstream signaling by augmenting soluble guanylate cyclase (sGC) and phosphodiesterase (PDE) inhibition, nitrates, c-GMP-dependent protein kinase, synthetic and designer NP and RNA therapy.
    Expert opinion: The novel treatment strategies mentioned above have shown great potential, however, large randomized controlled trials are still lacking. The biggest challenge is translating the results seen in preclinical trials into clinical trials. We recommend a multi-disciplinary team approach with cardiologists, geneticist, pharmacologists, bioengineers, researchers, regulators, and patients to improve heart failure outcomes. Future management can involve telemedicine, remote monitoring, and artificial intelligence to optimize patient care.
    MeSH term(s) Humans ; Guanosine Monophosphate/therapeutic use ; Artificial Intelligence ; Heart Failure/drug therapy ; Signal Transduction ; Natriuretic Peptides/metabolism ; Natriuretic Peptides/therapeutic use ; Cyclic GMP/metabolism
    Chemical Substances Guanosine Monophosphate (85-32-5) ; Natriuretic Peptides ; Cyclic GMP (H2D2X058MU)
    Language English
    Publishing date 2023-12-28
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1182884-5
    ISSN 1744-7658 ; 0967-8298 ; 1354-3784
    ISSN (online) 1744-7658
    ISSN 0967-8298 ; 1354-3784
    DOI 10.1080/13543784.2023.2290064
    Database MEDical Literature Analysis and Retrieval System OnLINE

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