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Extracellular Matrix Remodeling in Heart Failure by Karl T. Weber Circulation Volume 96(11):4065-4082 December 2, 1997 Copyright © American Heart Association, Inc. All rights reserved. Overview of interrelationship between structural remodeling of myocardium and ventricular function in normal and failing hearts. Karl T. Weber Circulation. 1997;96:4065-4082 Copyright © American Heart Association, Inc. All rights reserved. Tissue repair in infarcted rat heart induced by permanent left coronary artery ligation. Karl T. Weber Circulation. 1997;96:4065-4082 Copyright © American Heart Association, Inc. All rights reserved. Cellular responses seen in serial sections of infarcted rat heart postinfarction. Karl T. Weber Circulation. 1997;96:4065-4082 Copyright © American Heart Association, Inc. All rights reserved. Model of reciprocal regulation that involves various stimulators and inhibitors of tissue repair induced by Ang II. Stimulators include Ang II, TGF-β1, and ET1 and ET3. Karl T. Weber Circulation. 1997;96:4065-4082 Copyright © American Heart Association, Inc. All rights reserved. After tissue repair, a complex set of cellular and molecular responses occur to eventuate in fibrous tissue formation. Karl T. Weber Circulation. 1997;96:4065-4082 Copyright © American Heart Association, Inc. All rights reserved. Fibrous tissue is a contractile assembly based on myoFbs having α-SMA and cell-cell connections via gap junctions and cell-matrix connections via a fibronexus. Karl T. Weber Circulation. 1997;96:4065-4082 Copyright © American Heart Association, Inc. All rights reserved.