Inflammatory mechanisms and intervention strategies for sepsis‐induced myocardial dysfunction

Abstract Sepsis‐induced myocardial dysfunction (SIMD) is the leading cause of death in patients with sepsis in the intensive care units. The main manifestations of SIMD are systolic and diastolic dysfunctions of the myocardium. Despite our initial understanding of the SIMD over the past three decade...

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Main Authors: Yuxin Nong, Xuebiao Wei, Danqing Yu
Format: Article
Language:English
Published: Wiley 2023-05-01
Series:Immunity, Inflammation and Disease
Subjects:
Online Access:https://doi.org/10.1002/iid3.860
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author Yuxin Nong
Xuebiao Wei
Danqing Yu
author_facet Yuxin Nong
Xuebiao Wei
Danqing Yu
author_sort Yuxin Nong
collection DOAJ
description Abstract Sepsis‐induced myocardial dysfunction (SIMD) is the leading cause of death in patients with sepsis in the intensive care units. The main manifestations of SIMD are systolic and diastolic dysfunctions of the myocardium. Despite our initial understanding of the SIMD over the past three decades, the incidence and mortality of SIMD remain high. This may be attributed to the large degree of heterogeneity among the initiating factors, disease processes, and host states involved in SIMD. Previously, organ dysfunction caused by sepsis was thought to be an impairment brought about by an excessive inflammatory response. However, many recent studies have shown that SIMD is a consequence of a combination of factors shaped by the inflammatory responses between the pathogen and the host. In this article, we review the mechanisms of the inflammatory responses and potential novel therapeutic strategies in SIMD.
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series Immunity, Inflammation and Disease
spelling doaj-art-e909c8e76cd24ffba0292fa5bd88be412025-08-20T02:15:41ZengWileyImmunity, Inflammation and Disease2050-45272023-05-01115n/an/a10.1002/iid3.860Inflammatory mechanisms and intervention strategies for sepsis‐induced myocardial dysfunctionYuxin Nong0Xuebiao Wei1Danqing Yu2Department of Cardiology, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital Guangdong Academy of Medical Sciences Guangzhou ChinaDepartment of Geriatric Intensive Medicine, Guangdong Provincial Geriatrics Institute, Guangdong Provincial People's Hospital Guangdong Academy of Medical Sciences Guangzhou ChinaDepartment of Cardiology, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital Guangdong Academy of Medical Sciences Guangzhou ChinaAbstract Sepsis‐induced myocardial dysfunction (SIMD) is the leading cause of death in patients with sepsis in the intensive care units. The main manifestations of SIMD are systolic and diastolic dysfunctions of the myocardium. Despite our initial understanding of the SIMD over the past three decades, the incidence and mortality of SIMD remain high. This may be attributed to the large degree of heterogeneity among the initiating factors, disease processes, and host states involved in SIMD. Previously, organ dysfunction caused by sepsis was thought to be an impairment brought about by an excessive inflammatory response. However, many recent studies have shown that SIMD is a consequence of a combination of factors shaped by the inflammatory responses between the pathogen and the host. In this article, we review the mechanisms of the inflammatory responses and potential novel therapeutic strategies in SIMD.https://doi.org/10.1002/iid3.860host‐pathogen interactionsinflammationmyocardial dysfunctionsepsistargeted therapy
spellingShingle Yuxin Nong
Xuebiao Wei
Danqing Yu
Inflammatory mechanisms and intervention strategies for sepsis‐induced myocardial dysfunction
Immunity, Inflammation and Disease
host‐pathogen interactions
inflammation
myocardial dysfunction
sepsis
targeted therapy
title Inflammatory mechanisms and intervention strategies for sepsis‐induced myocardial dysfunction
title_full Inflammatory mechanisms and intervention strategies for sepsis‐induced myocardial dysfunction
title_fullStr Inflammatory mechanisms and intervention strategies for sepsis‐induced myocardial dysfunction
title_full_unstemmed Inflammatory mechanisms and intervention strategies for sepsis‐induced myocardial dysfunction
title_short Inflammatory mechanisms and intervention strategies for sepsis‐induced myocardial dysfunction
title_sort inflammatory mechanisms and intervention strategies for sepsis induced myocardial dysfunction
topic host‐pathogen interactions
inflammation
myocardial dysfunction
sepsis
targeted therapy
url https://doi.org/10.1002/iid3.860
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AT xuebiaowei inflammatorymechanismsandinterventionstrategiesforsepsisinducedmyocardialdysfunction
AT danqingyu inflammatorymechanismsandinterventionstrategiesforsepsisinducedmyocardialdysfunction