dc.creatorBiolo, Andreia
dc.creatorRosa, Aline de Souza
dc.creatorMazzotti, Nicolle Gollo
dc.creatorMartins, Shanna
dc.creatorBelló-Klein, Adriane
dc.creatorRohde, Luis Eduardo Paim
dc.creatorClausell, Nadine Oliveira
dc.date2010-04-24T04:15:42Z
dc.date2006
dc.identifier0100-879X
dc.identifierhttp://hdl.handle.net/10183/21201
dc.identifier000569281
dc.descriptionThe main function of the cardiac adrenergic system is to regulate cardiac work both in physiologic and pathologic states. A better understanding of this system has permitted the elucidation of its role in the development and progression of heart failure. Regardless of the initial insult, depressed cardiac output results in sympathetic activation. Adrenergic receptors provide a limiting step to this activation and their sustained recruitment in chronic heart failure has proven to be deleterious to the failing heart. This concept has been confirmed by examining the effect of ß-blockers on the progression of heart failure. Studies of adrenergic receptor polymorphisms have recently focused on their impact on the adrenergic system regarding its adaptive mechanisms, susceptibilities and pharmacological responses.In this article, we review the function of the adrenergic system and its maladaptive responses in heart failure. Next, we discuss major adrenergic receptor polymorphisms and their consequences for heart failure risk, progression and prognosis. Finally, we discuss possible therapeutic implications resulting from the understanding of polymorphisms and the identification of individual genetic characteristics.
dc.formatapplication/pdf
dc.languageeng
dc.relationBrazilian journal of medical and biological research = Revista brasileira de pesquisas médicas e biológicas. Ribeirão Preto, SP. Vol. 39, n. 10 (out. 2006), p. 1281-1290
dc.rightsOpen Access
dc.subjectHeart failure
dc.subjectAdrenergic receptor
dc.subjectPolymorphisms
dc.subjectBaixo débito cardíaco
dc.subjectReceptores adrenérgicos
dc.subjectPolimorfismo genético
dc.titleThe role of adrenergic receptor polymorphisms in heart failure
dc.typeArtigo de periódico
dc.typeNacional


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