Author + information
- Yu Horiuchi,
- Shuzou Tanimoto,
- Kazuyuki Yahagi,
- Keita Koseki,
- Taishi Okuno,
- Yu Sato,
- Toshio Kinoshita,
- Jiro Aoki,
- Hiroyoshi Nakajima,
- Kazuhiro Hara and
- Kengo Tanabe
Background: In heart failure (HF) patients, malnutrition was investigated to be related to altered intestinal function, which could be caused by bowel edema and hypoperfusion. However, relationships between malnutrition and hemodynamic parameters have not been fully elucidated.
Methods: We retrospectively observed heart failure patients with reduced ejection fraction (HFrEF≤40%) who underwent right side heart catheterization (n=115).
Results: Mean age was 65±12 yeas, EF was 27±7.7% and ischemic etiology was 49%. Controlling nutrition status (CONUT) was 2.6±1.8 and geriatric nutritional risk index (GNRI) was 102±12. Increasing tertiles of right atrium pressure (RAP) were significantly associated with worse nutrition status, while these relationships were not observed in other hemodynamic parameters (Figure). In multiple regression analysis, RAP, hemoglobin, brain natriuretic peptide (BNP), creatinine, lactate dehydrogenase and atrial fibrillation were significantly associated with CONUT and RAP, hemoglobin and BNP were significantly associated with GNRI.
Conclusions: Elevated RAP was significantly associated with malnutrition in HF.
Poster Hall, Hall C
Sunday, March 19, 2017, 9:45 a.m.-10:30 a.m.
Session Title: The Evolving World of LVADs, Transplant and Other Novel Discoveries
Abstract Category: 13. Heart Failure and Cardiomyopathies: Clinical
Presentation Number: 1294-286
- 2017 American College of Cardiology Foundation