{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T22:44:59Z","timestamp":1773096299664,"version":"3.50.1"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,12,20]],"date-time":"2025-12-20T00:00:00Z","timestamp":1766188800000},"content-version":"vor","delay-in-days":1678,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2021,5,17]],"date-time":"2021-05-17T00:00:00Z","timestamp":1621209600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"German Federal Ministry of Education and Research"},{"name":"DFG Clinical Research Group","award":["RI 2531\/2-2"],"award-info":[{"award-number":["RI 2531\/2-2"]}]},{"name":"DFG Clinical Research Group","award":["HI 842\/10-2"],"award-info":[{"award-number":["HI 842\/10-2"]}]},{"name":"DFG Clinical Research Group","award":["KFO 311"],"award-info":[{"award-number":["KFO 311"]}]},{"DOI":"10.13039\/501100007450","name":"German Research Foundation","doi-asserted-by":"publisher","award":["HI 842\/4-3"],"award-info":[{"award-number":["HI 842\/4-3"]}],"id":[{"id":"10.13039\/501100007450","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007450","name":"Deutsche Stiftung Friedensforschung","doi-asserted-by":"publisher","award":["HI 842\/4\u20103"],"award-info":[{"award-number":["HI 842\/4\u20103"]}],"id":[{"id":"10.13039\/501100007450","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Peripartum cardiomyopathy (PPCM) is a pregnancy-associated cardiomyopathy that occurs in previously heart-healthy women towards the end of pregnancy or in the first months after delivery and is characterized by heart failure due to systolic dysfunction. The clinical course of PPCM differs between mild symptoms and severe forms with acute heart failure complicated by cardiogenic shock (CS). Treatment of CS complicating PPCM is challenging, as \u03b2-adrenergic receptor (\u03b2-AR) stimulation seems to be associated with progression of heart failure and adverse outcome. This experimental study aims to examine whether postpartum treatment with the glucose uptake-promoting drug perhexiline alone or as co-treatment with \u03b2-AR stimulation prevents heart failure in the experimental PPCM mouse model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>Postpartum (PP) female PPCM-prone mice with a cardiomyocyte-restricted STAT3-deficiency (\u03b1MHC-Cretg\/+;Stat3fl\/fl; CKO) were treated with perhexiline over two to three pregnancies and nursing periods (2\/3PP) or were co-treated with perhexiline after one pregnancy (1PP) under chronic \u03b2-AR stimulation using isoproterenol (Iso) infusion. Perhexiline was not able to prevent onset of PPCM in CKO mice (FS: CKO Pexsig-2\/3PP: 25 \u00b1 12% vs. CKO Ctrl-2\/3PP: 24 \u00b1 9%, n.s.) but attenuated worsening of left ventricular function in response to treatment with the \u03b2-AR agonist Iso (FS: CKO Pexsig-Iso-1PP: 19 \u00b1 4% vs. CKO Ctrl-Iso-1PP: 11 \u00b1 5%, P &amp;lt; 0.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Treatment of PPCM patients with \u03b2-AR agonists should be avoided whenever possible. In cases with CS complicating PPCM, when treatment with \u03b2-AR agonists cannot be prevented, co-medication with perhexiline might help to reduce the cardiotoxic side effects of \u03b2-AR stimulation. Clinical data are necessary to further validate this therapeutic approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ehf2.13412","type":"journal-article","created":{"date-parts":[[2021,5,18]],"date-time":"2021-05-18T02:05:31Z","timestamp":1621303531000},"page":"3375-3381","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Perhexiline Treatment Improves Toxic Effects of \u03b2-Adrenergic Receptor Stimulation in Experimental Peripartum Cardiomyopathy"],"prefix":"10.1093","volume":"8","author":[{"given":"Tobias J.","family":"Pfeffer","sequence":"first","affiliation":[{"name":"Department of Cardiology and Angiology, Hannover Medical School , Hannover ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"List","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology, Hannover Medical School , Hannover ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia H.","family":"M\u00fcller","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology, Hannover Medical School , Hannover ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michaela","family":"Scherr","sequence":"additional","affiliation":[{"name":"Department of Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School , Hannover ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johann","family":"Bauersachs","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology, Hannover Medical School , Hannover ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denise","family":"Hilfiker-Kleiner","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology, Hannover Medical School , Hannover ,","place":["Germany"]},{"name":"Department of Cardiovascular Complications of Oncologic Therapies, Medical Faculty, Philipps University Marburg , Marburg ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melanie","family":"Ricke-Hoch","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology, Hannover Medical School , Hannover ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,5,17]]},"reference":[{"key":"2026012114213046900_ehf213412-bib-0001","doi-asserted-by":"crossref","first-page":"827","DOI":"10.1002\/ejhf.1493","article-title":"Pathophysiology, diagnosis and management of peripartum cardiomyopathy: a position statement from the Heart Failure Association of the European Society of Cardiology Study Group on peripartum cardiomyopathy","volume":"21","author":"Bauersachs","year":"2019","journal-title":"Eur J Heart 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