Pathophysiology of heart failure caused by dysfunction or destruction of cardiac myocytes or their molecular components. In congenital diseases such as Duchenne muscular dystrophy, the molecular structure of individual myocytes is affected. Myocytes and their components can be damaged by inflammation (such as in myocarditis) or by infiltration (such as in amyloidosis). Toxins and pharmacological agents (such as ethanol, cocaine, doxorubicin, and amphetamines) cause intracellular damage and oxidative stress. The most common mechanism of damage is ischemia causing infarction and scar formation. After myocardial infarction, dead myocytes are replaced by scar tissue, deleteriously affecting the function of the myocardium. On echocardiogram, this is manifest
Muscular hydrostat a constant diameter. Bending of a muscular hydrostat can also occur by the contraction of transverse, radial, or circular muscles which decreases the diameter. Bending is produced by longitudinal muscle activity which maintains a constant length on one side of the structure. The bending of a muscular hydrostat is particularly important in animal tongues. This motion provides the mechanism by which a snake flicks the air with its tongue to sense its surroundings, and it is also responsible for the complexities of human speech. The stiffening of a muscular hydrostat is accomplished by the muscle or connective tissue of the