Publications by authors named "Roshanak R Markley"
Sarcopenic Obesity Is Associated With Reduced Cardiorespiratory Fitness Compared With Nonsarcopenic Obesity in Patients With Heart Failure With Reduced Ejection Fraction.
Circ Heart Fail
October 2022
Article Synopsis
- Sarcopenia negatively impacts cardiorespiratory fitness (CRF) in patients with heart failure and obesity, highlighting the need to explore how it affects those with sarcopenic obesity (SO) compared to non-sarcopenic obesity (NSO).
- In a study of 40 patients, those with SO had significantly lower peak oxygen consumption, oxygen uptake efficiency, and exercise time compared to NSO patients, despite no difference in overall fat mass.
- Skeletal muscle mass index (SMMI) was identified as a key predictor of CRF, suggesting that preserving muscle mass may be crucial for improving fitness levels in obese patients with heart failure.
The appropriate use of echocardiography may reduce the need for invasive diagnostic cardiac procedures. The right side of the heart has recently gained interest among cardiologists as it became clear that abnormalities of the right heart morphology and function are associated with increased morbidity and mortality. Echocardiography is easy to perform, relatively cheap, readily available and do not pose the risk of ionizing radiation.
View Article and Find Full Text PDFAcutely failing bioprosthetic valves represent a clinical emergency and are exceedingly challenging given the paucity of therapeutic options. Oftentimes, these patients are not re-operative candidates due to clinical instability. We present 2 cases of acute degenerative aortic bioprosthetic valve failure with cardiogenic shock treated with transcatheter aortic valve replacement (TAVR).
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