Locomotor and respiratory muscle abnormalities in HFrEF and HFpEF

Heart failure (HF) is a chronic and progressive syndrome affecting worldwide billions of patients. Exercise intolerance and early fatigue are hallmarks of HF patients either with a reduced (HFrEF) or a preserved (HFpEF) ejection fraction. Alterations of the skeletal muscle contribute to exercise int...

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Main Authors: Norman Mangner, Ephraim B. Winzer, Axel Linke, Volker Adams
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-10-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2023.1149065/full
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author Norman Mangner
Ephraim B. Winzer
Axel Linke
Volker Adams
Volker Adams
author_facet Norman Mangner
Ephraim B. Winzer
Axel Linke
Volker Adams
Volker Adams
author_sort Norman Mangner
collection DOAJ
description Heart failure (HF) is a chronic and progressive syndrome affecting worldwide billions of patients. Exercise intolerance and early fatigue are hallmarks of HF patients either with a reduced (HFrEF) or a preserved (HFpEF) ejection fraction. Alterations of the skeletal muscle contribute to exercise intolerance in HF. This review will provide a contemporary summary of the clinical and molecular alterations currently known to occur in the skeletal muscles of both HFrEF and HFpEF, and thereby differentiate the effects on locomotor and respiratory muscles, in particular the diaphragm. Moreover, current and future therapeutic options to address skeletal muscle weakness will be discussed focusing mainly on the effects of exercise training.
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spelling doaj.art-ca8dc5f4140e4d15bab514de237a25e32023-10-27T22:19:14ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-10-011010.3389/fcvm.2023.11490651149065Locomotor and respiratory muscle abnormalities in HFrEF and HFpEFNorman Mangner0Ephraim B. Winzer1Axel Linke2Volker Adams3Volker Adams4Department of Internal Medicine and Cardiology, Heart Center Dresden, Technische Universität Dresden, Dresden, GermanyDepartment of Internal Medicine and Cardiology, Heart Center Dresden, Technische Universität Dresden, Dresden, GermanyDepartment of Internal Medicine and Cardiology, Heart Center Dresden, Technische Universität Dresden, Dresden, GermanyLaboratory of Molecular and Experimental Cardiology, Heart Center Dresden, Technische Universität Dresden, Dresden, GermanyDresden Cardiovascular Research Institute and Core Laboratories GmbH, Dresden, GermanyHeart failure (HF) is a chronic and progressive syndrome affecting worldwide billions of patients. Exercise intolerance and early fatigue are hallmarks of HF patients either with a reduced (HFrEF) or a preserved (HFpEF) ejection fraction. Alterations of the skeletal muscle contribute to exercise intolerance in HF. This review will provide a contemporary summary of the clinical and molecular alterations currently known to occur in the skeletal muscles of both HFrEF and HFpEF, and thereby differentiate the effects on locomotor and respiratory muscles, in particular the diaphragm. Moreover, current and future therapeutic options to address skeletal muscle weakness will be discussed focusing mainly on the effects of exercise training.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1149065/fullHFrEFHFpEFskeletal musclediaphragmsarcopeniacachexia
spellingShingle Norman Mangner
Ephraim B. Winzer
Axel Linke
Volker Adams
Volker Adams
Locomotor and respiratory muscle abnormalities in HFrEF and HFpEF
Frontiers in Cardiovascular Medicine
HFrEF
HFpEF
skeletal muscle
diaphragm
sarcopenia
cachexia
title Locomotor and respiratory muscle abnormalities in HFrEF and HFpEF
title_full Locomotor and respiratory muscle abnormalities in HFrEF and HFpEF
title_fullStr Locomotor and respiratory muscle abnormalities in HFrEF and HFpEF
title_full_unstemmed Locomotor and respiratory muscle abnormalities in HFrEF and HFpEF
title_short Locomotor and respiratory muscle abnormalities in HFrEF and HFpEF
title_sort locomotor and respiratory muscle abnormalities in hfref and hfpef
topic HFrEF
HFpEF
skeletal muscle
diaphragm
sarcopenia
cachexia
url https://www.frontiersin.org/articles/10.3389/fcvm.2023.1149065/full
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