{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T03:42:47Z","timestamp":1776570167748,"version":"3.51.2"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2023,12,27]],"date-time":"2023-12-27T00:00:00Z","timestamp":1703635200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"JSPS KAKENHI","award":["21H03309"],"award-info":[{"award-number":["21H03309"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>We included 1053 patients with ACS without a prior HF or complications of HF during hospitalization. The median (interquartile range) age was 67 (57\u201374) years. The patients were classified into two groups\u2014high and low QIS\u2014using the sex-specific median QIS. The endpoint was HF admissions. During a mean follow-up period of 4.4 \u00b1 3.7 years, 75 (7.1%) HF admissions were observed. After multivariate adjustment, a high QIS was associated with a lower risk of HF [hazard ratio: 0.52, 95% confidence interval (CI): 0.32\u20130.87]. Hazard ratio (95% CI) per 5% body weight increment increase of QIS for HF incidents was 0.87 (0.80\u20130.95). Even when competing risks of death were taken into account, the results did not change. The inclusion of QIS was associated with increases in net reclassification improvement (0.26; 95% CI: 0.002\u20130.52) and an integrated discrimination index (0.01; 95% CI: 0.004\u20130.02) for HF.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurjpc\/zwad406","type":"journal-article","created":{"date-parts":[[2023,12,23]],"date-time":"2023-12-23T07:35:17Z","timestamp":1703316917000},"page":"834-842","source":"Crossref","is-referenced-by-count":11,"title":["Leg strength and incidence of heart failure in patients with acute coronary syndrome"],"prefix":"10.1093","volume":"31","author":[{"given":"Kensuke","family":"Ueno","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Sciences, Graduate School of Medical Sciences, Kitasato University , 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa 252-0373 , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7706-9511","authenticated-orcid":false,"given":"Kentaro","family":"Kamiya","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences, Graduate School of Medical Sciences, Kitasato University , 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa 252-0373 , Japan"},{"name":"Department of Rehabilitation, School of Allied Health Sciences, Kitasato University , 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa 252-0373 , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8338-2141","authenticated-orcid":false,"given":"Nobuaki","family":"Hamazaki","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kitasato University Hospital , Sagamihara , 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