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Heart Failure and Malnutrition

Louis Leiter, M.D., Ph.D.
AMA Arch Intern Med. 1960;105(6):825-829. doi:10.1001/archinte.1960.00270180003001.
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Preoccupation with dietary management of heart failure—originally in relation to the control of edema and obesity and more recently in regard to hypertension, coronary atherosclerosis, and myocardial infarction—has obscured many other facets of the interdependence of heart disease, heart failure, and nutritional status. It seems worthwhile, in the hope of stimulating more direct studies, to review both the obvious and the subtler—perhaps even far-fetched—relationships between heart disease or failure and malnutrition. It is apparent that a two-way reaction is involved: On the one hand, in many ways heart failure leads to nutritional deficiency, while on the other hand, certain types of malnutrition produce myocardial insufficiency—often by unknown means.

Influence of Heart Failure on the State of Nutrition  Heart failure can influence the state of nutrition in a variety of ways. First, there is the reduction in food intake in general—at times, of protein food in particular—as a result of visceral

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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