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June 2, 1997European Heart JournalOpen Access

Skeletal muscle alterations in patients with chronic heart failure

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Key result

Patients with chronic heart failure had higher lactate levels, higher lactate dehydrogenase activity, lower oxidative enzyme activity, and altered muscle fibre composition compared to controls.

Why the study?

Do patients with chronic heart failure have skeletal muscle alterations compared to controls?

Population

43 patients with chronic heart failure and 20 controls

Design

Case-control

Authors

MSMaria SchaufelbergerHeart Failure & TransplantBEBengt O. ErikssonUppsala University HospitalGGGunnar GrimbyUniversity of Gothenburg

Discussion

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Implication

Skeletal muscle alterations associate with chronic heart failure; hypothesis-generating for their contribution to exercise intolerance and need for prospective studies.

Key Points

  • To evaluate skeletal muscle metabolic and morphological characteristics in chronic heart failure patients versus controls, and relate these features to functional capacity, hemodynamics, and medical therapy.
  • Obtained vastus lateralis muscle biopsies from 43 patients with chronic heart failure and 20 control subjects.
  • Performed right-sided heart catheterization in 19 patients, maximal exercise testing in 26 patients, and muscle strength testing in 9 patients.
  • Patients showed increased muscle lactate, higher lactate dehydrogenase (LDH) activity, lower oxidative enzyme activity, decreased capillarization, reduced type I fibers, and elevated type II B fibers compared to controls.
  • LDH activity correlated significantly with exercise capacity, muscle strength, and right atrial pressure.
  • Patients receiving digoxin exhibited significantly lower oxidative enzyme activity than those not treated with digoxin.

Study Design

Type

Observational (n=63)

Structured PICO

Do patients with chronic heart failure have skeletal muscle alterations compared to controls?

P
Population
63 participants comprising 43 patients with chronic heart failure and 20 controls who underwent lateral vastus muscle biopsy.
C
Comparator
20 controls
O
Outcome
Skeletal muscle variables from lateral vastus muscle biopsy (lactate levels, lactate dehydrogenase activity, oxidative enzymes activity, fibre types, capillarization)surrogate

Patients with chronic heart failure exhibit significant skeletal muscle abnormalities, including altered enzyme activity and fiber type shifts, which correlate with exercise capacity and hemodynamics.

Cite This Study

Schaufelberger et al. (1997) conducted an observational in chronic heart failure (n=63). Chronic heart failure vs. Controls was evaluated on Skeletal muscle variables (lactate levels, enzyme activity, fibre types, capillarization). Patients with chronic heart failure had higher lactate levels, higher lactate dehydrogenase activity, lower oxidative enzyme activity, and altered muscle fibre composition compared to controls.

synapsesocial.com/papers/6a955408d002db7cabf5959bhttps://doi.org/10.1093/oxfordjournals.eurheartj.a015386

Topics

Heart failureHFrEF treatmentHeart failure hospitalization
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Skeletal muscle metabolism during exercise in patients with chronic heart failure.1996 · 28 citations
  2. 2Skeletal Muscle Abnormalities in Chronic Heart Failure Patients: Relation to Exercise Capacity and Therapeutic Implications2003 · 34 citations
  3. 3Functional and morphological skeletal muscle abnormalities correlate with reduced electromyographic activity in chronic heart failure2004 · 37 citations
  4. 4Abnormalities of skeletal muscle metabolism in patients with chronic heart failure: evidence that they are present at rest.1997 · 20 citations
  5. 5Skeletal muscle and heart failure – What is the relationship between central versus peripheral affections?2023 · 6 citations