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Metabolic disorders in heart failure and cancer

机译:心力衰竭和癌症中的代谢紊乱

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In an aging population, the number of patients affected by heart failure and cancer is constantly increasing and together these two conditions account for more than 50% of all deaths worldwide. Both diseases share similar risk factors including smoking, obesity, and hypertension. Presenting symptoms may also be similar, with patients frequently complaining of dyspnea, fatigue, and anorexia. Many affected patients, especially those with more advanced heart failure or cancer, suffer also from metabolic disorders. These can lead eventually to muscle wasting, sarcopenia, and cachexia. These complications are associated with increased morbidity, a poorer quality of life, a worse prognosis and indeed they represent an independent risk factor for the advancement of the underlying disease itself. Very few therapeutic options have been established to treat these co‐morbidities. For sarcopenia the only validated treatment is resistance training. Moreover, there is currently no guideline recommended therapy for the treatment of cachexia. New treatment strategies are urgently needed to prevent and treat muscle and wasting disorders in patients with chronic diseases such as cancer and chronic heart failure.
机译:在老龄化的人群中,受心力衰竭和癌症影响的患者人数在不断增加,这两种疾病占全世界所有死亡人数的50%以上。两种疾病都有相似的危险因素,包括吸烟,肥胖和高血压。症状也可能相似,患者经常抱怨呼吸困难,疲劳和厌食。许多受影响的患者,特别是那些患有较严重的心力衰竭或癌症的患者,也患有代谢紊乱。这些最终可能导致肌肉消瘦,肌肉减少症和恶病质。这些并发症与发病率增加,生活质量较差,预后较差有关,实际上它们代表了潜在疾病本身发展的独立危险因素。很少有治疗方法可以治疗这些合并症。对于肌肉减少症,唯一有效的治疗方法是抵抗训练。而且,目前没有指导方针推荐用于治疗恶病质的疗法。迫切需要新的治疗策略来预防和治疗患有慢性疾病(例如癌症和慢性心力衰竭)的患者的肌肉和饮食失调。

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