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Aims: The risk of developing heart failure (HF) after acute coronary syndrome (ACS) remains high. It is unclear whether skeletal muscle strength, in addition to existing risk factors, is a predictor for developing HF after ACS. We aimed to clarify the relationship between quadriceps isometric strength (QIS), a skeletal muscle strength indicator, and the risk of developing HF in patients with ACS.
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Conclusion: The present study showed that a higher level of QIS was strongly associated with a lower risk of developing HF after ACS. These findings suggest that skeletal muscle strength could be one of the factors contributing to the risk of developing HF after ACS.
The risk of developing heart failure (HF) after acute coronary syndrome (ACS) remains high. Basic attributes, coronary risk factors, and cardiac and renal function have been reported as risk factors for developing HF after ACS. However, the association between skeletal muscle strength and the development of HF after ACS is unclear. We included 1053 patients with ACS without a prior HF or complications of HF during hospitalization and used quadriceps isometric strength (QIS) as a measure of skeletal muscle strength. We found that higher QIS was associated with a lower risk of developing HF after ACS. The results of our study suggest the benefit of assessing skeletal muscle strength in addition to basic attributes, coronary risk factors, and cardiac and renal function to assess the risk of developing HF after ACS.
What it does: Aerobic exercise improves circulation, which results in lowered blood pressure and heart rate, Stewart says. In addition, it increases your overall aerobic fitness, as measured by a treadmill test, for example, and it helps your cardiac output (how well your heart pumps). Aerobic exercise also reduces the risk of type 2 diabetes and, if you already live with diabetes, helps you control your blood glucose.
Examples: Brisk walking, running, swimming, cycling, playing tennis and jumping rope. Heart-pumping aerobic exercise is the kind that doctors have in mind when they recommend at least 150 minutes per week of moderate activity.
What it does: Resistance training has a more specific effect on body composition, Stewart says. For people who are carrying a lot of body fat (including a big belly, which is a risk factor for heart disease), it can help reduce fat and create leaner muscle mass. Research shows that a combination of aerobic exercise and resistance work may help raise HDL (good) cholesterol and lower LDL (bad) cholesterol.
Examples: Working out with free weights (such as hand weights, dumbbells or barbells), on weight machines, with resistance bands or through body-resistance exercises, such as push-ups, squats and chin-ups.
ARCHIVED CONTENT: As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date each article was posted or last reviewed. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.
As part of the international Prospective Urban and Rural Epidemiological (PURE) study, researchers measured grip strength in nearly 140,000 adults in 17 countries and followed their health for an average of four years. A device called a dynamometer was used to assess grip strength.
Each 11-pound decrease in grip strength over the course of the study was linked to a 16% higher risk of dying from any cause, a 17% higher risk of dying from heart disease, a 9% higher risk of stroke, and a 7% higher risk of heart attack.
The connections between grip strength and death or cardiovascular disease remained strong even after the researchers adjusted for other things that can contribute to heart disease or death, such as age, smoking, exercise, and other factors. The findings were published online in The Lancet. Interestingly, grip strength was a better predictor of death or cardiovascular disease than blood pressure.
Most people turn to dumbbells and weight machines to build muscles. Resistance bands work just as well. They are flat or tubular rubber bands that provide resistance as you move your arms and legs through different ranges of motion.
Strength and resistance training exercise is one of the four types of exercise along with endurance, balance and flexibility. Ideally, all four types of exercise would be included in a healthy workout routine and AHA provides easy-to-follow guidelines for endurance and strength-training in its Recommendations for Physical Activity in Adults.
You may wish to consult with a certified fitness professional to learn safe techniques before beginning a strength-training program. One set of eight to 12 repetitions, working the muscles to the point of fatigue, is usually sufficient for each muscle group.
Heart disease does not usually develop quickly - instead, it is a progression and result of many small lifestyle decisions over time. Rishi Sukhija, MD, interventional cardiologist and assistant professor in the Department of Cardiovascular Disease at the University of Cincinnati College of Medicine discusses the types of heart disease, the top hazards to your heart health and the five steps you should take to strengthen your heart to avoid heart disease. Dr. Sukhija, also provides answers to the most popular questions about heart health.
Heart disease includes problems related to a process called atherosclerosis when plaque builds up in the walls of the arteries, making it harder for blood to flow through. If a blood clot forms, it can block the blood flow and cause a heart attack or stroke.
Taking charge of your health with these five healthy living tips is the best way to delay or avoid heart disease. You can also create a prevention plan with your healthcare providers (doctors, nurses, pharmacists, registered dietitians or other professionals).
UC Health delivers innovative, compassionate and leading-edge cardiological care to patients in the Greater Cincinnati-Northern Kentucky region and beyond. We can help you navigate testing, treatment and rehabilitation for heart and vascular disease. To learn more or to schedule an appointment with one of our cardiology experts, call 513-475-8521.
In general, nearly everyone can benefit from simply moving more. Taking regular walks at an intensity that gets the heart pumping will help boost heart strength over time. Joint-friendly exercises, such as swimming or water aerobics, can have a similar effect.
Your medical team, including cardiovascular specialists, will help determine if your heart is healthy enough for surgery. When you need us, Magnolia Heart & Vascular Center is here to help.
This study tested the hypothesis that leg strength is associated with a lower risk of developing heart failure after acute myocardial infarction. The study included 932 patients hospitalised in 2007 to 2020 with acute myocardial infarction who did not have heart failure prior to the admission and did not develop heart failure complications during their hospital stay. The median age was 66 years and 753 participants (81%) were men.
The median value for women was 33% body weight and the median value for men was 52% body weight. A total of 451 patients had low quadriceps strength and 481 had high strength. During an average follow-up of 4.5 years, 67 patients (7.2%) developed heart failure. The incidence of heart failure was 10.2 per 1,000 person-years in patients with high quadriceps strength and 22.9 per 1,000 person-years in those with low strength.
The Heart Failure Association (HFA) is a branch of the European Society of Cardiology (ESC). Its aim is to improve quality of life and longevity, through better prevention, diagnosis and treatment of heart failure, including the establishment of networks for its management, education and research.
Most patients (96%) were taking aspirin before taking part in the study; of these, 85% were on low-dose (81 mg) aspirin. The study design enabled participants to know which dose they were assigned to take, and although they were encouraged to stay on their assigned dose through direct-to-participant emails and mailers, they could make the choice to switch. During the study, the rate of dose switching was significantly higher in the group of patients randomized to 325 mg of daily aspirin (41.6% of participants in this group switched dose at least once, compared to 7.1% of participants randomized to 81 mg).
Jones said that the dose patients were taking prior to participating in the study could contribute to inherent bias, which may help explain the higher rate of dose switching among those randomized to 325 mg for the study. Some patients may have switched because of issues tolerating the higher dose, but many other factors likely contributed to this behavior, he said, including news about other studies, DAPT recommendations, participant beliefs and clinician preferences.
The American College of Cardiology envisions a world where innovation and knowledge optimize cardiovascular care and outcomes. As the professional home for the entire cardiovascular care team, the mission of the College and its 54,000 members is to transform cardiovascular care and to improve heart health. The ACC bestows credentials upon cardiovascular professionals who meet stringent qualifications and leads in the formation of health policy, standards and guidelines. The College also provides professional medical education, disseminates cardiovascular research through its world-renowned JACC Journals, operates national registries to measure and improve care, and offers cardiovascular accreditation to hospitals and institutions. For more, visit ACC.org. 152ee80cbc
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