Malnutrition and Cachexia in Inpatients With Acute Cardiac Conditions: A Scientific Statement From the American Heart Association - PubMed

4 hours ago

Malnutrition affects patients with acute cardiovascular diseases, including heart failure, acute coronary syndromes, arrhythmias, and valvular disease.
Prevalence of malnutrition in hospitalized patients ranges from 20% to 60%.
Global Leadership Initiative on Malnutrition criteria are used for diagnosis and have prognostic value, correlating with poorer physical function and higher mortality.
Nutritional support is crucial for inpatients, especially in cardiac intensive care units, with feeding ideally initiated within 48 hours of hospitalization.
Enteral nutrition is preferred over parenteral nutrition due to cost-effectiveness, reduced mortality, and shorter hospital stays.
Parenteral nutrition is used for severe gastrointestinal dysfunction or when enteral nutrition is contraindicated.
Optimal protein intake for cardiogenic shock patients is under research, with higher protein approaches not showing benefits in recent trials.

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