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Updated: Oct 4, 2025
05:16
Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
Published on: June 10, 2025
273
Estimating nutritional needs in paediatric heart failure: beyond the equations.
Kylie Lewis1, Michael Khoury1, Chentel Cunningham1,2
1Pediatric Cardiology, Stollery Children's Hospital, University of Alberta, Edmonton, AB, Canada.
Cardiology in the Young
|February 9, 2022
Summary
Pediatric heart failure patients often require increased energy intake. Indirect calorimetry revealed hypermetabolism in two children, showing energy needs up to double standard estimates.
Area of Science:
- Pediatric Cardiology
- Metabolic Medicine
- Clinical Nutrition
Background:
- Optimizing nutrition is critical for pediatric patients diagnosed with heart failure.
- Indirect calorimetry offers a method for assessing energy expenditure in these patients.
Purpose of the Study:
- To present cases of pediatric heart failure patients who benefited from indirect calorimetry.
- To highlight the impact of heart failure on metabolic rate and growth.
Main Methods:
- Indirect calorimetry was employed to measure metabolic rate in two pediatric heart failure cases.
- Clinical data and growth parameters were assessed.
Main Results:
- Both pediatric patients with heart failure were found to be hypermetabolic.
- Energy requirements were significantly higher, up to twice the amount predicted by standard equations.
Conclusions:
- Heart failure substantially impacts the metabolic rate and growth in children.
- Accurate assessment of energy needs via indirect calorimetry is crucial for effective nutritional management in pediatric heart failure.
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