Preview

Cardiovascular Therapy and Prevention

Advanced search

Microcirculation in heart failure: state of the art (literature review)

https://doi.org/10.15829/17288800-2024-4122

EDN: EIYHYT

Abstract

Microcirculatory vessels make up about 99% of all vessels in the human body, so cardiovascular diseases at different stages affect microcirculation to varying degrees. The literature review presents studies of different years on microcirculation in heart failure (HF) using the following most popular methods: laser Doppler flowmetry, polarography, nailfold capillaroscopy, bulbar conjunctiva biomicroscopy, and in vitro laboratory tests. Taking into account the changed modern concept of HF and the classification adopted in recent years that assesses the left ventricular ejection fraction, the list of cited works shows gaps in data on microcirculation changes in chronic HF with preserved ejection fraction and prospects for further related research.

About the Authors

I. M. Davidovich
Far Eastern State Medical University
Russian Federation

Khabarovsk



N. V. Korneeva
Far Eastern State Medical University
Russian Federation

Khabarovsk



G. A. Kovaleva
Far Eastern State Medical University
Russian Federation

Khabarovsk



Yu. L. Fedorchenko
Far Eastern State Medical University
Russian Federation

Khabarovsk



References

1. Vos T, Flaxman AD, Naghavi M, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2163-96. doi:10.1016/S01406736(12)61729-2.

2. Teramoto K, Teng TK, Chandramouli C, et al. Epidemiology and Clinical Features of Heart Failure with Preserved Ejection Fraction. Card Fail Rev. 2022;8:e27. doi:10.15420/cfr.2022.06.

3. Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2022; 145(18):e895-e1032. doi:10.1161/CIR.0000000000001063. Epub 2022. Erratum in: Circulation. 2022;145(18):e1033. doi:10.1161/CIR.0000000000001073. Erratum in: Circulation. 2022;146(13):e185. doi:10.1161/CIR.0000000000001097. Erratum in: Circulation. 2023; 147(14):e674. doi:10.1161/CIR.0000000000001142.

4. Bozkurt B, Coats AJ, Tsutsui H, et al. Universal Definition and Classification of Heart Failure: A Report of the Heart Failure Society of America, Heart Failure Association of the European Society of Cardiology, Japanese Heart Failure Society and Writing Committee of the Universal Definition of Heart Failure. J Card Fail. 2021;S10719164(21)00050-6. doi:10.1016/j.cardfail.2021.01.022.

5. Abdullaeva SS, Yakusevich VV, Petrochenko AS, et al. Peculiarities of rheological and microcirculatory indicators of patients with heavy chronic heart insufficiency. Yaroslavskij pedagogicheskij vestnik. 2012;3(3):162-8. (In Russ.)

6. Kirichuk VF, Rebrov AL, Rossoshanskaja SM. Funkcional'naja aktivnost' jeritrocitov u bol'nyh HSN. Tromboz, gemostaz i reologija. 2005;1:40-5. (In Russ.)

7. Sakharchuk II, Sisetskiĭ AP, Artiukh VP, et al. Erythrocyte functional activity in patients with heart failure and the possible means for its correction. Ter Arkh. 1992;64(9):88-90. (In Russ.)

8. Chujan EN, Ananchenko MN, Tribrat NS. Tkanevaja mikrogemodinamika: vlijanie nizkointensivnogo jelektromagnitnogo izluchenija millimetrovogo diapazona. Simferopol': Obshhestvo s ogranichennoj otvetstvennost'ju "Izdatel'stvo Tipografija "Arial", 2017:74-134. (In Russ.)

9. Zadionchenko VS, Shechyan GG, Yalymov AA, et al. Microcirculation and clinico-functional status of chronic heart failure patients treated with trimetazidine. Cardiovascular Therapy and Prevention. 2004;3(5):74-80. (In Russ.)

10. Bokeria OL, Kuular AM. Influence of low-intensity electromagnetic fields on endothelial function in patients with chronic heart failure. Saratov Journal of Medical Scientific Research. 2014;10(1):86-92. (In Russ.)

11. Statsenko ME, Turkina SV, Shilina NN, et al. Features of microcirculation in patients with chronic heart failure and diabetes mellitus type 2. Volgogradskij nauchno-medicinskij zhurnal. 2015;1(45):35-9. (In Russ.)

12. Tikhomirova I, Petrochenko E, Muravyov A, et al. Microcirculation and blood rheology abnormalities in chronic heart failure. Clin Hemorheol Microcirc. 2017;65(4):383-91. doi:10.3233/CH-16206.

13. Nikolaeva TN, Korablev AV. Gemomikrocirkuljacija: patologija pri vrozhdennyh porokah serdca / pod red. N. E. Jarygina. M.: Izd-vo Ros. gos. med. un-ta, 1996. p. 179. (In Russ.) ISBN: 5-88458-036-3.

14. Pljushh MG, Samsonova NN, Baranov VV, et al. Komp'juternaja kapilljaroskopija v kompleksnom obsledovanii kardiohirurgicheskih pacientov. Bjulleten' NCSSH im. A. N. Bakuleva RAMN. 2007;8(2):13-21. (In Russ.)

15. Gurfinkel YuI, Kudutkina MI, Parfenova LM, et al. Microcirculation in chronic heart failure patients treated with ace inhibitors and diuretics. Russian Journal of Cardiology. 2011;(2):43-8. (In Russ.)

16. Belenkov IuN, Privalova EV, Danilogorskaia IuA, et al. Structural and functional changes in capillary microcirculation in patients with cardiovascular diseases (arterial hypertension, coronary heart disease, chronic heart failure) observed during computer videocapillaroscopy. Russian Journal of Cardiology and Cardiovascular Surgery. 2012;5(2):49-56. (In Russ.)

17. Duprez D, De Buyzere M, Dhondt E, et al. Impaired Microcirculation in Heart Failure. Int J Microcirc. 1996;16(3):137-42. doi:10.1159/000179163.

18. Wadowski PP, Hülsmann M, Schörgenhofer C, et al. Sublingual functional capillary rarefaction in chronic heart failure. Eur J Clin Invest. 2018;48(2). doi:10.1111/eci.12869.

19. Korneeva NV, Leonov VP, Zhmerenetsky KV. Conjunctival biomicroscopy: methodology of analysis. Khabarovsk: FESMU publishing. 2020. p.126. (In Russ.) ISBN: 978-5-85797-405-6.

20. Volkov VS, Anikin VV, Trocjuk VV. Sostojanie mikrocirkuljacii u bol'nyh stenokardiej (po dannym kon#junktival'noj mikroskopii). Kardiologiia. 1977;17(5):41-4. (In Russ.)

21. Tepljakov AT, Garganeeva AA. Rasstrojstva mikrocirkuljacii pri ishemicheskoj bolezni serdca. Tomsk: Izd-vo Tom. un-ta. 2001. p. 344. (In Russ.) ISBN: 5-7511-1394-2.

22. Houben AJ, Beljaars JH, Hofstra L, et al. Microvascular abnormalities in chronic heart failure: a cross-sectional analysis. Microcirculation. 2003;10(6):471-8. doi:10.1038/sj.mn.7800211.

23. Brennan PF, McNeil AJ, Jing M, et al. Assessment of the conjunctival microcirculation for patients presenting with acute myocardial infarction compared to healthy controls. Sci Rep. 2021;11(1):7660. doi:10.1038/s41598-021-87315-7.

24. Gerber Y, Weston SA, Redfield MM, et al. A contemporary appraisal of the heart failure epidemic in Olmsted County, Minnesota, 2000 to 2010. JAMA Intern Med. 2015;175:996-1004. doi:10.1001/jamainternmed.2015.0924.

25. 2020 Clinical practice guidelines for Chronic heart failure. Russian Journal of Cardiology. 2020;25(11):4083. (In Russ.) doi:10.15829/1560-4071-2020-4083.

26. Levy D, Larson MG, Vasan RS, et al. The progression from hypertension to congestive heart failure. J Am Med Assoc. 1996;275(20):1557-62.

27. Semenkin AA, Druk IV, Potapov VV, et al. Hypertensive heart: from left ventricular hypertrophy to chronic heart failure. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2023;29(2):138-49. (In Russ.) doi:10.18705/1607-419X-2023-29-2-138-149.

28. Podzolkov VI, Dragomiretskaya NA, Tolmacheva AV, et al. Prognostic significance of NT-proBNP and sST2 in patients with heart failure with preserved and mildly reduced ejection fraction. Rational Pharmacotherapy in Cardiology. 2023;19(4):310-9. (In Russ.) doi:10.20996/10.20996/1819-6446-2023-2919.

29. D'Amario D, Migliaro S, Borovac JA, et al. Microvascular Dysfunction in Heart Failure With Preserved Ejection Fraction. Front Physiol. 2019;10:1347. doi:10.3389/fphys.2019.01347.

30. Bilak JM, Alam U, Miller CA, et al. Microvascular Dysfunction in Heart Failure with Preserved Ejection Fraction: Pathophysiology, Assessment, Prevalence and Prognosis. Card Fail Rev. 2022;8:e24. doi:10.15420/cfr.2022.12.

31. Teplyakov AT, Kalyuzhin VV, Kalyuzhina EV, et al. Pathology of the peripheral circulation in chronic heart failure. Bulletin of Siberian Medicine. 2017;16(1):162-78. (In Russ.) doi:10.20538/1682-0363-2017-1-162-178.

32. Tikhomirova IA, Oslyakova AO. The effect of vasodilators on microrheological properties of erythrocytes in norm and in chronic heart failure. Regional blood circulation and microcirculation. 2012;11(4):71-7. (In Russ.) doi:10.24884/1682-6655-2012-11-4-71-77.

33. Smeda M, Kieronska A, Adamski MG, et al. Nitric oxide deficiency and endothelial-mesenchymal transition of pulmonary endothelium in the progression of 4T1 metastatic breast cancer in mice. Breast Cancer Res. 2018;20(1):86. doi:10.1186/s13058018-1013-z.

34. Chimagomedova ASh, Dzhioeva ZR, Akhilgova ZM, et al. Cognitive impairment in heart failure: the role of microcirculation abnormalities. S. S. Korsakov Journal of Neurology and Psychiatry = Zhurnal nevrologii i psikhiatrii imeni S. S. Korsakova. 2020;120(10-2):54-60. (In Russ.) doi:10.17116/jnevro202012010254.

35. Podzolkov VI, Dragomiretskaya NA, Beliaev IG, et al. Endothelial microvascular dysfunction and its relationship with haptoglobin levels in patients with different phenotypes of chronic heart failure. Rational Pharmacotherapy in Cardiology. 2021;17(5):674-82. (In Russ.) doi:10.20996/1819-6446-2021-10-05.

36. Suhrs HE, Schroder J, Bove KB, et al. Inflammation, non-endothelial dependent coronary microvascular function and diastolic function — are they linked? PLoS One. 2020;15:e0236035. doi:10.1371/journal.pone.0236035.

37. Zile MR, Baicu CF, Ikonomidis JS, et al. Myocardial stiffness in patients with heart failure and a preserved ejection fraction: contributions of collagen and titin. Circulation. 2015;131(14):1247-59. doi:10.1161/CIRCULATIONAHA.114.013215.

38. Safonova JuI, Kozhevnikova MV, Danilogorskaya YuA, et al. Possible pathway for heart failure with preserved ejection fraction prevention and treatment: the angiotensin-converting enzyme inhibitor effect on endothelial function in comorbid patients. Kardiologiia. 2022;62(1):65-71. (In Russ.) doi:10.18087/cardio.2022.1.n1952.

39. Streese L, Lona G, Wagner J, et al. Microvascular endothelial dysfunction in heart failure patients: An indication for exercise treatment? Microvasc Res. 2022;142:104345. doi:10.1016/j.mvr.2022.104345.

40. Katsoula C, Karatzanos E, Rovina N, et al. The acute effect of respiratory muscle training on microcirculation in patients with chronic heart failure. Health Res J. 2023;9(2):96-103. doi:10.12681/healthresj.32631.

41. Tsigkou V, Oikonomou E, Anastasiou A, et al. Molecular Mechanisms and Therapeutic Implications of Endothelial Dysfunction in Patients with Heart Failure. Int J Mol Sci. 2023;24(5):4321. doi:10.3390/ijms24054321.


Supplementary files

What is already known about the subject?

  • The available information on microcirculation in patients with heart failure (HF) was obtained mainly in the study of patients with a reduced left ventricular ejection fraction (EF).
  • Due to the relatively recent identification of HF phe­notype with preserved EF, there is practically no data on systemic microcirculation in such pa­tients.

What might this study add?

  • The gaps in the available information on micro­circulation in HF with preserved EF are shown.
  • The potential of imaging techniques in the study of microcirculation in HF with preserved EF are outlined, including for assessing the effect of mo­dern drugs recommended for the treatment of these patients.

Review

For citations:


Davidovich I.M., Korneeva N.V., Kovaleva G.A., Fedorchenko Yu.L. Microcirculation in heart failure: state of the art (literature review). Cardiovascular Therapy and Prevention. 2024;23(12):4122. (In Russ.) https://doi.org/10.15829/17288800-2024-4122. EDN: EIYHYT

Views: 166


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1728-8800 (Print)
ISSN 2619-0125 (Online)