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Terapia Nutricional Na Insuficiencia Cardiaca Congestiva PDF
Terapia Nutricional Na Insuficiencia Cardiaca Congestiva PDF
1
Projeto Diretrizes
Associação Médica Brasileira e Conselho Federal de Medicina
Objetivo:
Esta diretriz tem por finalidade proporcionar aos médicos generalistas e especialistas
uma visão geral sobre a abordagem nutricional no paciente com insuficiência cardíaca
congestiva, com base na evidência científica disponível. O tratamento do paciente
deve ser individualizado de acordo com suas condições clínicas e com a realidade e
experiência de cada profissional.
Conflito de interesse:
Nenhum conflito de interesse declarado.
Introdução
Recomendação
ICC favorece desnutrição e aumento do metabolismo.
Recomendação Recomendação
Caquexia cardíaca aumenta a mortalidade Terapia nutricional deve ter como objetivo
de pacientes com ICC. manter o peso seco do cardiopata, e deve cor
rigir a dislipidemia, o diabete e a obesidade, se
3. Quais são os objetivos da terapia
associados.
nutricional na ICC?
4. Quando a terapia nutricional está
É comum a presença de anorexia nos pacien 7. Quando a terapia nutricional deve ser
tes portadores de ICC. Assim, com a finalidade interrompida?
3. Magnoni D, Cukier C. Insuficiência cardíaca 10. Araújo JP, Friões F, Azevedo A, Lourenço
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nal. Rio de Janeiro:Revinter;2005. p.812-20. Cholesterol: a marker of nutritional status in
mild to moderate heart failure. Int J Cardiol
4. Hoyle JR, Kahl FR. Congestive heart failure. 2008;129:65-8.
In: Shils ME, Shike M, Ross AC, Caballero
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health and disease. Baltimore: Lippincott Fonarow TC. Nutritional and anti-inflamma
Williams & Wilkins;2006. p.1108-14. tory interventions in chronic heart failure. Am
J Cardiol 2008;101:89E-103E.
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improved survival in ischemic and non-
15. Bourdel-Marchasson I, Emeriau JP. Nutri ischemic heart failure. J Am Coll Cardiol
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venzi F, De Luca L, Arrigo F, et al. Nonphar
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TG, et al. 2009 focused update: ACCF/ of sleep apnea, and ultrafiltration. Am J
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Management of Heart Failure in Adults:
a report of the American College of 21. Hunt SA, Abraham WT, Chin MH,
Cardiology Foundation/American He Feldman AF, Francis GS, Ganiats TG,
art Association Task Force on Practice et al. 2009 focused update incorporated
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can Heart Association Task Force on Prac
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