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Cardiac cachexia: preoperative and postoperative nutrition management
A Paccagnella1, M A Calò, G Caenaro
12. Dipartimento di Anestesia e Terapia Intensiva, Treviso City Hospital, Italy.
JPEN. Journal of Parenteral and Enteral Nutrition
|September 1, 1994
Summary
Nutrition support improved clinical status in patients with severe heart failure and malnutrition. This intervention maintained stable hemodynamics and did not negatively impact cardiac function, offering a safe therapeutic option.
Area of Science:
- Cardiology
- Nutritional Science
- Critical Care Medicine
Background:
- Malnutrition is common in patients with severe mitral valve disease and congestive heart failure.
- Optimal nutrition support strategies for these patients remain under investigation.
Purpose of the Study:
- To evaluate the hemodynamic and metabolic effects of nutrition support in malnourished patients undergoing cardiac surgery for mitral valve disease and congestive heart failure.
Main Methods:
- Prospective study involving hospitalized patients undergoing valve replacement or annuloplasty.
- Hemodynamic (pulmonary artery pressure, echocardiography) and metabolic (gas exchange) parameters were assessed pre- and post-surgery.
- Patients received tailored nutrition support (oral and/or parenteral) aiming for 20-30 kcal/kg/day.
Main Results:
- Nutrition support was associated with stable hemodynamic function and unchanged whole-body oxygen consumption and carbon dioxide production.
- Improved clinical indices were observed both pre- and post-operatively.
- No adverse influence on cardiac function was detected.
Conclusions:
- Acceptable levels of nutrition support can be safely provided to malnourished patients with severe congestive heart failure.
- Nutrition intervention improves clinical status without compromising cardiac function in this patient population.