PMID- 31701229
OWN - NLM
STAT- MEDLINE
DCOM- 20201207
LR  - 20210210
IS  - 1615-2573 (Electronic)
IS  - 0910-8327 (Linking)
VI  - 35
IP  - 5
DP  - 2020 May
TI  - Clinical significance of rectus femoris diameter in heart failure patients.
PG  - 672-680
LID - 10.1007/s00380-019-01534-7 [doi]
AB  - Heart failure (HF) is often accompanied by skeletal muscle weakness and exercise 
      intolerance, which are known as prognostic factors of HF. Comprehensive 
      evaluation of physical function is important, but it is not commonly conducted 
      because of the lack of equipment or appropriate expertise. Measurement of rectus 
      femoris diameter (RFD) by ultrasound is convenient and noninvasive, but it has 
      not been clarified that RFD could represent physical functions in HF patients. 
      This study evaluated 185 consecutive HF patients and underwent assessment 
      including RFD, grip power (GP), knee extension strength (KES), skeletal muscle 
      index (SMI), nutrition status, cardiopulmonary exercise testing, and New York 
      Heart Association (NYHA) functional class. RFD was related with NYHA class and 
      significantly correlated with GP, KES, SMI, body mass index, pre-albumin level, 
      geriatric nutritional risk index, and peak VO(2) (r = 0.631, 0.676, 0.510, 0.568, 
      0.380, 0.539, 0.527, respectively; p < 0.001). Multivariate regression analysis 
      revealed that estimated glomerular filtration rate (beta = 0.551) and RFD 
      (beta = 0.326) were predictive factors of peak VO(2). Gender, age, brain natriuretic 
      peptide level, left ventricular ejection fraction, and hemoglobin level were the 
      other explanatory parameters. The cut off value of RFD for sarcopenia diagnosis 
      was estimated as 15 mm (sensitivity = 0.767 and specificity = 0.808). RFD is a 
      simple and useful marker which reflects skeletal muscle strength/volume, exercise 
      tolerance, nutrition status, and NYHA class. It is also associated with 
      sarcopenia in HF patients.
FAU - Sato, Yoshimi
AU  - Sato Y
AD  - Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto 
      Prefectural University of Medicine, Kajii-cho 465, Kamigyo-ku, Kyoto, 602-8566, 
      Japan.
FAU - Shiraishi, Hirokazu
AU  - Shiraishi H
AD  - Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto 
      Prefectural University of Medicine, Kajii-cho 465, Kamigyo-ku, Kyoto, 602-8566, 
      Japan. siraisih@koto.kpu-m.ac.jp.
FAU - Nakanishi, Naohiko
AU  - Nakanishi N
AD  - Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto 
      Prefectural University of Medicine, Kajii-cho 465, Kamigyo-ku, Kyoto, 602-8566, 
      Japan.
FAU - Zen, Kan
AU  - Zen K
AD  - Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto 
      Prefectural University of Medicine, Kajii-cho 465, Kamigyo-ku, Kyoto, 602-8566, 
      Japan.
FAU - Nakamura, Takeshi
AU  - Nakamura T
AD  - Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto 
      Prefectural University of Medicine, Kajii-cho 465, Kamigyo-ku, Kyoto, 602-8566, 
      Japan.
FAU - Yamano, Tetsuhiro
AU  - Yamano T
AD  - Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto 
      Prefectural University of Medicine, Kajii-cho 465, Kamigyo-ku, Kyoto, 602-8566, 
      Japan.
FAU - Shirayama, Takeshi
AU  - Shirayama T
AD  - Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto 
      Prefectural University of Medicine, Kajii-cho 465, Kamigyo-ku, Kyoto, 602-8566, 
      Japan.
FAU - Matoba, Satoaki
AU  - Matoba S
AD  - Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto 
      Prefectural University of Medicine, Kajii-cho 465, Kamigyo-ku, Kyoto, 602-8566, 
      Japan.
LA  - eng
PT  - Journal Article
DEP - 20191107
PL  - Japan
TA  - Heart Vessels
JT  - Heart and vessels
JID - 8511258
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cardiorespiratory Fitness
MH  - Exercise Test
MH  - *Exercise Tolerance
MH  - Female
MH  - Hand Strength
MH  - Heart Failure/*diagnostic imaging/physiopathology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Muscle Strength
MH  - Nutritional Status
MH  - Oxygen Consumption
MH  - Predictive Value of Tests
MH  - Quadriceps Muscle/*diagnostic imaging/physiopathology
MH  - Sarcopenia/*diagnostic imaging/physiopathology
MH  - *Ultrasonography
OTO - NOTNLM
OT  - Exercise tolerance
OT  - Heart failure
OT  - Rectus femoris muscle
OT  - Sarcopenia
EDAT- 2019/11/09 06:00
MHDA- 2020/12/15 06:00
CRDT- 2019/11/09 06:00
PHST- 2019/07/17 00:00 [received]
PHST- 2019/11/01 00:00 [accepted]
PHST- 2019/11/09 06:00 [pubmed]
PHST- 2020/12/15 06:00 [medline]
PHST- 2019/11/09 06:00 [entrez]
AID - 10.1007/s00380-019-01534-7 [pii]
AID - 10.1007/s00380-019-01534-7 [doi]
PST - ppublish
SO  - Heart Vessels. 2020 May;35(5):672-680. doi: 10.1007/s00380-019-01534-7. Epub 2019 
      Nov 7.