Relationship of Biochemical Parameters and Echocardiogram Findings with Appetite in Patients having Reduced Ejection Fraction Heart Failure

Life and Science Pub Date : 2024-05-03 DOI:10.37185/lns.1.1.359

Bilal Saeed, Abdul Rehman Arshad, Mehmood Hussain

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Abstract

Objective: To determine the relationship of biochemical parameters and echocardiogram findings with appetite and nutritional status in patients with heart failure with reduced ejection fraction. Study Design: Cross-sectional study.Place and Duration of Study: This study was conducted at the Department of Medicine, Combined Military Hospital (CMH), Peshawar, Pakistan, from February 2022 to August 2022.Methods: The study was conducted on adult patients with heart failure for at least three months. Indoor patients, those with hospitalization within the last four weeks, and unwilling patients were excluded. The Council on Nutrition Appetite Questionnaire and Mini Nutritional Assessment questionnaire were administered in direct face-to-face interviews. A transthoracic echocardiogram was done to document the left ventricular ejection fraction. Different hematological and biochemical parameters were also analyzed.Results: There were 76 patients aged 55.92± 15.22 years. Mean mini nutritional assessment and Council on Nutrition appetite questionnaire scores were 17.89± 5.23 and 20.74± 8.19, respectively. Based on mini nutritional assessment scores, 36 were malnourished, 27 were at risk of malnutrition, and 13 had normal nutritional status. Using Council on Nutrition appetite questionnaire scores, 57 were at risk of malnutrition, while 19 had no risk. Left ventricular ejection fraction and hemoglobin were lower in malnourished patients. However, there were no differences in other biochemical parameters amongst patients with good or poor nutritional status.Conclusion: Patients with heart failure had poor appetite and nutritional status proportionate to the degree of left ventricular systolic dysfunction. How to cite this: Saeed B, Arshad AR, Hussain M. Relationship of Biochemical Parameters and Echocardiogram Findings with Appetite and Nutritional Status in Patients with Heart Failure with Reduced Ejection Fraction. Life and Science. 2024; 5(2): 144-150. doi: http://doi.org/10.37185/LnS.1.1.359

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射血分数减低型心力衰竭患者的生化指标和超声心动图检查结果与食欲的关系

目的确定射血分数降低型心力衰竭患者的生化指标和超声心动图结果与食欲和营养状况的关系。研究设计：横断面研究：横断面研究：本研究于 2022 年 2 月至 2022 年 8 月在巴基斯坦白沙瓦联合军事医院（CMH）医学部进行：研究对象为心力衰竭至少三个月的成年患者。不包括室内患者、最近四周内住院的患者和不愿意住院的患者。营养委员会食欲问卷和迷你营养评估问卷是通过直接面对面访谈的方式进行的。通过经胸超声心动图记录左心室射血分数。此外，还对不同的血液和生化指标进行了分析：结果：76 名患者的年龄为 55.92±15.22 岁。迷你营养评估和营养委员会食欲调查问卷的平均得分分别为（17.89± 5.23）分和（20.74± 8.19）分。根据迷你营养评估得分，36 人营养不良，27 人有营养不良风险，13 人营养状况正常。根据营养委员会食欲问卷评分，57 人有营养不良风险，19 人无营养不良风险。营养不良患者的左心室射血分数和血红蛋白均较低。然而，营养状况良好或不良的患者在其他生化指标方面没有差异：结论：心力衰竭患者食欲差，营养状况与左心室收缩功能障碍程度成正比。引用方式Saeed B, Arshad AR, Hussain M. 《射血分数降低型心力衰竭患者生化指标和超声心动图结果与食欲和营养状况的关系》。生命与科学》。2024; 5(2):144-150. doi: http://doi.org/10.37185/LnS.1.1.359

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Life and Science

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