Payne-Emerson Heather, Lennie Terry A
Graduate Center for Nutritional Sciences, University of Kentucky, Lexington, KY, USA.
Nurs Clin North Am. 2008 Mar;43(1):117-32; vii. doi: 10.1016/j.cnur.2007.10.003.
There are a number of factors related to heart failure pathophysiology and treatment that influence nutrient requirements for patients. These include catabolism, inflammation, oxidative stress, diuretic use, and presence of comorbidities. On the other hand, there is evidence that specific nutrients can alter heart failure pathophysiology. This article reviews the current evidence for nutritional recommendations regarding sodium and fluid restriction, macro- and micronutrient intake, and dietary changes required by the presence of common comorbidities.
有许多与心力衰竭病理生理学及治疗相关的因素会影响患者的营养需求。这些因素包括分解代谢、炎症、氧化应激、利尿剂的使用以及合并症的存在。另一方面,有证据表明特定营养素可改变心力衰竭的病理生理学。本文综述了当前关于钠和液体限制、常量和微量营养素摄入以及常见合并症所需饮食改变的营养建议的证据。