[Acute myocardial infarct and nitrogen balance].
Nitrogen balance studies were performed over 6 days in 20 consecutive patients with acute myocardial infarction and results compared with the haemodynamic parameters. 10 patients with unstable angina, but without acute myocardial infarction, formed a control group. All patients had a nitrogen input of 11.6 g/d. Nitrogen excretion was 13.9 g/d in patients with acute myocardial infarction and 8.9 g/d in the control group (p less than 0.001). 12 patients with complicated acute myocardial infarction had a mean nitrogen excretion of 15.6 g/d. There was no difference in nitrogen excretion between patients with or without diabetes mellitus. Mean nitrogen excretion in patients with acute myocardial infarction correlated significantly with severity of haemodynamic changes and blood glucose level on day of admission. The importance of parenteral nutrition in patients with complicated acute myocardial infarction and increased catabolism is emphasized.
D000208:Acute Disease; D000328:Adult; D000368:Aged; D003920:Diabetes Mellitus / Q000378:metabolism; D005260:Female; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000178:diet therapy / Q000378:metabolism*; D009584:Nitrogen / Q000378:metabolism*; D010289:Parenteral Nutrition, Total
D009584:Nitrogen
Akuter Myokardinfarkt und Stickstoffbilanz.