Rate–Pressure Product and Cardiac Cachexia in End-Stage Heart Failure

To address the effect of cardiac cachexia on the failing heart, we analyzed serial home-care monitoring of the rate–pressure product, as substitution of myocardial oxygen consumption, over 218 days in a 79-year-old man with a catecholamine-dependent end-stage dilated cardiomyopathy. At the end of hi...

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Main Authors: Makoto Suzuki, Manami Kishimoto, Tomomi Horita, Akira Fujii, Satoru Hamada
Format: Article
Language:English
Published: American College of Physicians 2024-09-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2023.1465
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author Makoto Suzuki
Manami Kishimoto
Tomomi Horita
Akira Fujii
Satoru Hamada
author_facet Makoto Suzuki
Manami Kishimoto
Tomomi Horita
Akira Fujii
Satoru Hamada
author_sort Makoto Suzuki
collection DOAJ
description To address the effect of cardiac cachexia on the failing heart, we analyzed serial home-care monitoring of the rate–pressure product, as substitution of myocardial oxygen consumption, over 218 days in a 79-year-old man with a catecholamine-dependent end-stage dilated cardiomyopathy. At the end of his home-care visits, his body weight decreased to 37 kg from 55.2 kg (baseline). We found a linear reduction of the rate–pressure product accompanied by weight loss (r2 = 0.186; P = 0.0001), implying the progression of cardiac cachexia as a possible role in reducing myocardial oxygen consumption, which would mitigate energy deprivation of the failing heart.
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series Annals of Internal Medicine: Clinical Cases
spelling doaj-art-8bdce0f822a9437dbf99ce20702f75d02025-08-20T03:18:46ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642024-09-013910.7326/aimcc.2023.1465Rate–Pressure Product and Cardiac Cachexia in End-Stage Heart FailureMakoto Suzuki0Manami Kishimoto1Tomomi Horita2Akira Fujii3Satoru Hamada41Hoshinooka Cardiovascular Clinic, Matsuyama, Japan1Hoshinooka Cardiovascular Clinic, Matsuyama, Japan1Hoshinooka Cardiovascular Clinic, Matsuyama, Japan1Hoshinooka Cardiovascular Clinic, Matsuyama, Japan2Orange Visiting Nursing Station, Matsuyama, JapanTo address the effect of cardiac cachexia on the failing heart, we analyzed serial home-care monitoring of the rate–pressure product, as substitution of myocardial oxygen consumption, over 218 days in a 79-year-old man with a catecholamine-dependent end-stage dilated cardiomyopathy. At the end of his home-care visits, his body weight decreased to 37 kg from 55.2 kg (baseline). We found a linear reduction of the rate–pressure product accompanied by weight loss (r2 = 0.186; P = 0.0001), implying the progression of cardiac cachexia as a possible role in reducing myocardial oxygen consumption, which would mitigate energy deprivation of the failing heart.https://www.acpjournals.org/doi/10.7326/aimcc.2023.1465
spellingShingle Makoto Suzuki
Manami Kishimoto
Tomomi Horita
Akira Fujii
Satoru Hamada
Rate–Pressure Product and Cardiac Cachexia in End-Stage Heart Failure
Annals of Internal Medicine: Clinical Cases
title Rate–Pressure Product and Cardiac Cachexia in End-Stage Heart Failure
title_full Rate–Pressure Product and Cardiac Cachexia in End-Stage Heart Failure
title_fullStr Rate–Pressure Product and Cardiac Cachexia in End-Stage Heart Failure
title_full_unstemmed Rate–Pressure Product and Cardiac Cachexia in End-Stage Heart Failure
title_short Rate–Pressure Product and Cardiac Cachexia in End-Stage Heart Failure
title_sort rate pressure product and cardiac cachexia in end stage heart failure
url https://www.acpjournals.org/doi/10.7326/aimcc.2023.1465
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AT akirafujii ratepressureproductandcardiaccachexiainendstageheartfailure
AT satoruhamada ratepressureproductandcardiaccachexiainendstageheartfailure