Muscle in heart disease: Highlights from the European Society of Cardiology's Annual Meeting 2012

Muscle wasting in ageing and chronic illness

“…A pilot study on 27 patients with CHF showed that combined aerobic training with resistance training and inspiratory muscle training resulted in incremental benefits in both peripheral and respiratory muscle weakness, cardiopulmonary function, and quality of life compared with that of aerobic training alone. 60 Effects of specific nutritional therapy alone on the underlying catabolic process of muscle wasting, if existing, remain to be established. However, there is evidence that physical exercise may target myostatin regulation, thereby increasing muscle growth and mass.…”

“…All factors that are important for muscle function should be identified and addressed including therapy of iron deficiency and lack of vitamin D. 59 The latter is underestimated but very common, for example, in European patients with heart failure and reduced kidney function, and may lead to additional muscle symptoms, such as weakness and cramps. 60 Effects of specific nutritional therapy alone on the underlying catabolic process of muscle wasting, if existing, remain to be established. Meanwhile, the provision of nutritional supplements incorporating essential amino acids combined with exercise training has been suggested to be the best method of attenuating muscle wasting.…”

Cardiopulmonary rehabilitation in patiens with heart failure and chronic pulmonary disease

“…Tuttavia, BPCO e SCC sono stati in gran parte indagati e poi trattati come sindromi separate. Original Article pime pime pime pime p pi im me e EDITRICE riduzione della densità capillare del muscolo [18,19]. Per quanto riguarda la dispnea, per entrambe le patologie è stato da tempo dimostrato che l'acidosi metabolica indotta dall'esercizio fa aumentare la frequenza respiratoria intensificando così la sensazione di dispnea [20,21].…”