Nutrients (Nov 2023)

Poor Nutritional Status during Recovery from Acute Myocardial Infarction in Patients without an Early Nutritional Intervention Predicts a Poor Prognosis: A Single-Center Retrospective Study

  • Hiroshi Abe,
  • Tetsuro Miyazaki,
  • Masato Tomaru,
  • Yuka Nobushima,
  • Tomohi Ajima,
  • Koji Hirabayashi,
  • Sayaki Ishiwata,
  • Midori Kakihara,
  • Masaaki Maki,
  • Ryosuke Shimai,
  • Tadao Aikawa,
  • Hiroyuki Isogai,
  • Dai Ozaki,
  • Yuki Yasuda,
  • Fuminori Odagiri,
  • Kazuhisa Takamura,
  • Makoto Hiki,
  • Hiroshi Iwata,
  • Ken Yokoyama,
  • Takashi Tokano,
  • Tohru Minamino

DOI
https://doi.org/10.3390/nu15224748
Journal volume & issue
Vol. 15, no. 22
p. 4748

Abstract

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Whether malnutrition during the early phase of recovery from acute myocardial infarction (AMI) could be a predictor of mortality or morbidity has not been ascertained. We examined 289 AMI patients. All-cause mortality and composite endpoints (all-cause mortality, nonfatal stroke, nonfatal acute coronary syndrome, and hospitalization for acute decompensated heart failure) during the follow-up duration (median 39 months) were evaluated. There were 108 (37.8%) malnourished patients with GNRIs of less than 98 on arrival; however, malnourished patients significantly decreased to 91 (31.4%) during the convalescence period (p p p p = 0.03). The assessment of GNRI during the convalescence period is a useful risk predictor for patients with AMI. Nutritional guidance may improve the prognoses of patients with poor nutritional status.

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