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Poor Nutritional Status during Recovery from Acute Myocardial Infarction in Patients without an Early Nutritional Intervention Predicts a Poor Prognosis: A Single-Center Retrospective Study

Whether malnutrition during the early phase of recovery from acute myocardial infarction (AMI) could be a predictor of mortality or morbidity has not been ascertained. We examined 289 AMI patients. All-cause mortality and composite endpoints (all-cause mortality, nonfatal stroke, nonfatal acute coro...

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Detalles Bibliográficos
Autores principales: Abe, Hiroshi, Miyazaki, Tetsuro, Tomaru, Masato, Nobushima, Yuka, Ajima, Tomohi, Hirabayashi, Koji, Ishiwata, Sayaki, Kakihara, Midori, Maki, Masaaki, Shimai, Ryosuke, Aikawa, Tadao, Isogai, Hiroyuki, Ozaki, Dai, Yasuda, Yuki, Odagiri, Fuminori, Takamura, Kazuhisa, Hiki, Makoto, Iwata, Hiroshi, Yokoyama, Ken, Tokano, Takashi, Minamino, Tohru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10674636/
https://www.ncbi.nlm.nih.gov/pubmed/38004141
http://dx.doi.org/10.3390/nu15224748
Descripción
Sumario:Whether malnutrition during the early phase of recovery from acute myocardial infarction (AMI) could be a predictor of mortality or morbidity has not been ascertained. We examined 289 AMI patients. All-cause mortality and composite endpoints (all-cause mortality, nonfatal stroke, nonfatal acute coronary syndrome, and hospitalization for acute decompensated heart failure) during the follow-up duration (median 39 months) were evaluated. There were 108 (37.8%) malnourished patients with GNRIs of less than 98 on arrival; however, malnourished patients significantly decreased to 91 (31.4%) during the convalescence period (p < 0.01). The incidence rates of mortality and primary composite endpoints were significantly higher in the malnourished group than in the well-nourished group both on arrival and during the convalescence period (All p < 0.05). Nutrition guidance significantly improved GNRI in a group of patients who were undernourished (94.7 vs. 91.0, p < 0.01). Malnourished patients on admission who received nutritional guidance showed similar all-cause mortality with well-nourished patients, whereas malnourished patients without receiving nutritional guidance demonstrated significantly worse compared to the others (p = 0.03). The assessment of GNRI during the convalescence period is a useful risk predictor for patients with AMI. Nutritional guidance may improve the prognoses of patients with poor nutritional status.