Nutrition Markers in Patients After Heart Surgery

Abstract

The standard dietary regimen followed during cardiological rehabilitation after major cardiovascular surgery aids recovery from surgical insult, but fails to normalize high glucose levels. Vitamin B12 supplementation should be encouraged because of its substantial reduction during the rehabilitation period.

Secondary Prevention After Coronary Artery Bypass Graft Surgery

“…429 Other studies of CABG patients have documented decreases in B complex vitamins such as B 6 , B 12 , and thiamine, which are essential for mitochondrial function. 416,427,430 Vitamin D levels have been shown to be important predictors of outcome after cardiac surgery. In a study of 4418 patients recovering from cardiac surgery, Zittermann et al 431 noted that 38.0% had deficient 25(OH)D values (<30 nmol/L).…”

After Cardiac Surgery, How Does Nutrition Fit in With Risk Factors?

“…In this study, 7 vitamin B 12 levels fell during the observation period, and the authors concluded that supplementation might be beneficial. The physiology of vitamin B 12 binding is pertinent to these findings.…”

“…Table 2 presents the drugs patients received during the rehabilitation period in the Milan study 7 . A few of them are metabolized by the CYP3A4 system, but generally cardiologists avoid statins that share CYP3A4 inhibitors.…”

“…In an effort to document what actually happens nutritionally during the initial phases of recovery after cardiac surgery, Racca and coworkers 7 from Milan report anthropometric and nutritional evaluation of 50 nondiabetic patients, average age 65.9 years, admitted to a rehabilitation unit an average of 9 days after elective heart surgery, and compared data gathered from that day to the 16 th day after admission to their unit. Their study is prospective, small, and observational, but it highlights major contemporary issues and common conundrums physicians confront daily.…”

Influence of Transiently Increased Nutritional Risk on a Left Ventricle Myocardial Mass Assessed by Echocardiography

“…Patients with increased nutritional risk in our study were older, of lesser body weight and had higher extent or number of cardiovascular risk factors, especially diabetes, dyslipidemia, coronary artery disease and were cigarette abusers some time during their lifetime [29] . Also, those patients exhibited laboratory parameters change in terms of normocytic anemia, with reactive leukocytosis and thrombocytosis [30] .…”