[Nutritional improvement after operation of valvular heart diseases with protein-calorie malnutrition].
We evaluated the nutritional states before and after operation in patients with severe valvular heart disease characterized by malnutrition. The patient population consisted of 6 females, age range between 42 and 60, average 52.2 years old. The valve lesions were mitral stenosis in 2, combined aortic and mitral valve diseases in additional 4 patients, and moderate to severe tricuspid regurgitation was noted in 5 of these 6 patients. All 6 patients underwent a successful mitral (c/s aortic) valve replacement, and 5 of 6 tricuspid annuloplasty. The ideal body weight increased significantly from 77.9 +/- 3.4% preoperatively to 84.6 +/- 3.9% postoperatively (p < 0.01). Late postoperative cardiac catheterization revealed an improvement of mixed oxygen saturation (61.3 +/- 3.8%, preoperatively vs 67.3 +/- 5.6%, postoperatively; p < 0.01). The postoperative serum prealbumin, retinol binding protein and K value in intravenous glucose tolerance test increased significantly (p < 0.05) compared to those before operation. In conclusion, our data suggested that corrective surgery would have a good effect on nutritional improvement of the protein-calorie malnutrition caused by valvular heart diseases.
Tsuchida
S
S
Second Department of Surgery, Niigata University School of Medicine, Japan.
Hayashi
J
J
Nakazawa
S
S
Fujita
Y
Y
Moro
H
H
Yamamoto
K
K
Takahasi
M
M
Miyamura
H
H
Eguchi
S
S
D000328:Adult; D001835:Body Weight; D002100:Cachexia / Q000209:etiology; D005260:Female; D005951:Glucose Tolerance Test; D006349:Heart Valve Diseases / Q000150:complications / Q000378:metabolism / Q000601:surgery*; D006439:Hemodynamics; D006801:Humans; D008875:Middle Aged; D009748:Nutrition Disorders / Q000209:etiology / Q000378:metabolism*; D009752:Nutritional Status; D011184:Postoperative Period; D011228:Prealbumin / Q000378:metabolism; D012177:Retinol-Binding Proteins / Q000378:metabolism
D011228:Prealbumin; D012177:Retinol-Binding Proteins