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Cardiac Changes in Patients on Long-Term Parenteral Nutrition

Patients with short bowel syndrome (SBS) on long-term home parenteral nutrition (HPN) chronically receive high fluid volumes directly into the right atrium (RA) through the superior vena cava. We retrospectively evaluated cardiac function measured by routine transthoracic echocardiography (TTE) in a...

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Autores principales: Santarpia, Lidia, Esposito, Roberta, Vaccaro, Andrea, Alfonsi, Lucia, Pagano, Maria Carmen, Santoro, Ciro, Marra, Maurizio, Contaldo, Franco, Galderisi, Maurizio, Pasanisi, Fabrizio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6682873/
https://www.ncbi.nlm.nih.gov/pubmed/31337013
http://dx.doi.org/10.3390/nu11071587
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author Santarpia, Lidia
Esposito, Roberta
Vaccaro, Andrea
Alfonsi, Lucia
Pagano, Maria Carmen
Santoro, Ciro
Marra, Maurizio
Contaldo, Franco
Galderisi, Maurizio
Pasanisi, Fabrizio
author_facet Santarpia, Lidia
Esposito, Roberta
Vaccaro, Andrea
Alfonsi, Lucia
Pagano, Maria Carmen
Santoro, Ciro
Marra, Maurizio
Contaldo, Franco
Galderisi, Maurizio
Pasanisi, Fabrizio
author_sort Santarpia, Lidia
collection PubMed
description Patients with short bowel syndrome (SBS) on long-term home parenteral nutrition (HPN) chronically receive high fluid volumes directly into the right atrium (RA) through the superior vena cava. We retrospectively evaluated cardiac function measured by routine transthoracic echocardiography (TTE) in a population of 26 SBS patients on long-term HPN and compared their data on echocardiograph-derived right heart structure and function, with those of a control group of 26 patients also bearing a central venous catheter (CVC) for other reasons. Results showed that body weight and BMI were significantly higher in the control group. The echocardiographic estimate of RA pressure was higher in HPN patients than in controls (p = 0.01). An increased estimate of RA pressure indicates the need to consider TTE in the follow-up of long-term HPN patients to detect functional impairment early.
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spelling pubmed-66828732019-08-09 Cardiac Changes in Patients on Long-Term Parenteral Nutrition Santarpia, Lidia Esposito, Roberta Vaccaro, Andrea Alfonsi, Lucia Pagano, Maria Carmen Santoro, Ciro Marra, Maurizio Contaldo, Franco Galderisi, Maurizio Pasanisi, Fabrizio Nutrients Article Patients with short bowel syndrome (SBS) on long-term home parenteral nutrition (HPN) chronically receive high fluid volumes directly into the right atrium (RA) through the superior vena cava. We retrospectively evaluated cardiac function measured by routine transthoracic echocardiography (TTE) in a population of 26 SBS patients on long-term HPN and compared their data on echocardiograph-derived right heart structure and function, with those of a control group of 26 patients also bearing a central venous catheter (CVC) for other reasons. Results showed that body weight and BMI were significantly higher in the control group. The echocardiographic estimate of RA pressure was higher in HPN patients than in controls (p = 0.01). An increased estimate of RA pressure indicates the need to consider TTE in the follow-up of long-term HPN patients to detect functional impairment early. MDPI 2019-07-13 /pmc/articles/PMC6682873/ /pubmed/31337013 http://dx.doi.org/10.3390/nu11071587 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Santarpia, Lidia
Esposito, Roberta
Vaccaro, Andrea
Alfonsi, Lucia
Pagano, Maria Carmen
Santoro, Ciro
Marra, Maurizio
Contaldo, Franco
Galderisi, Maurizio
Pasanisi, Fabrizio
Cardiac Changes in Patients on Long-Term Parenteral Nutrition
title Cardiac Changes in Patients on Long-Term Parenteral Nutrition
title_full Cardiac Changes in Patients on Long-Term Parenteral Nutrition
title_fullStr Cardiac Changes in Patients on Long-Term Parenteral Nutrition
title_full_unstemmed Cardiac Changes in Patients on Long-Term Parenteral Nutrition
title_short Cardiac Changes in Patients on Long-Term Parenteral Nutrition
title_sort cardiac changes in patients on long-term parenteral nutrition
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6682873/
https://www.ncbi.nlm.nih.gov/pubmed/31337013
http://dx.doi.org/10.3390/nu11071587
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