Table 4 Effects of pirfenidone and guideline-recommended drugs on post-myocardial infarction (MI) remodeling and its single motives.

From: Cardiac protection by pirfenidone after myocardial infarction: a bioinformatic analysis

Treatment

Post-MI remodelling

Cardiomyocyte cell death

Impaired cardiomyocyte contractility

ECM remodeling and fibrosis

Hypertrophy

Inflammation

RAAS activation

Pirfenidone (only targets)

34%

70%

24%

14%

19%

25%

16%

Pirfenidone (targets + bioflags)

49%

71%

73%

71%

77%

70%

71%

ACEi

81%

5%

3%

72%

77%

3%

77%

ARB

78%

57%

31%

33%

86%

36%

85%

Beta-blockers

68%

24%

74%

7%

73%

3%

81%

MRA

74%

72%

12%

12%

82%

5%

3%

  1. ACEi angiotensin-converting enzyme inhibitors, ARB angiotensin receptor blockers, ECM extracellular matrix, MRA mineralocorticoid receptor antagonists, RAAS renin–angiotensin–aldosterone system.