Overzealous resuscitation of an extremely malnourished patient with nutritional cardiomyopathy.
Overzealous resuscitation of the severely malnourished patient may be associated with life-threatening complications. A variety of electrolyte, hemodynamic, septic, and nutritional derangements may result in sudden decompensation and even death. We present a case that dramatically illustrates these complications and focuses on the key role of underlying nutritional cardiomyopathy.
Foxx-Orenstein
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A
Department of Gastroenterology and Nutrition, Geisinger Medical Center, Danville, PA 17822.
Jensen
G L
GL
McMahon
M M
MM
D000328:Adult; D000437:Alcoholism / Q000150:complications; D002311:Cardiomyopathy, Dilated / Q000150:complications*; D003681:Dehydration / Q000150:complications / Q000628:therapy; D005260:Female; D006801:Humans; D011502:Protein-Energy Malnutrition / Q000150:complications / Q000628:therapy*; D011654:Pulmonary Edema / Q000209:etiology*; D012151:Resuscitation / Q000009:adverse effects*