Guidelines of Nutrition of Cardiac Patients in ICU

Abstract

It is well-known that malnutrition, a common problem in patients admitted to ICU, has a negative impact on clinical outcomes. Moreover, it has been proposed that the incidence of malnutrition will be more frequent in coming decades because of the increasing number of ICU patients who are older and/or obese and have chronic diseases, which inevitably aggravate Stress-related catabolism and negative energybalance . Heart failure is associated withneurohormonal and immune changes that contribute to a hypercatabolic state, with intestinal malabsorption induced by different factors. Patients with heart disease may present different types of malnutrition with heart disease classical heart cachexia, appearing in situations of chronic congestive heart failure (CHF), and a form of malnutrition secondary to complications of cardiac surgery or any major surgery in patients with heart disease. _____________________________ Key words:malnutritioncommon problem in patients admitted to ICU