caquexia cardiaca final
TRANSCRIPT
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CAQUEXIA CARDÍA
Integrantes
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Introducción
Insuficiencia cardíaca crónica
Alteraciónestructural ofuncional del
corazón
Dificulta llenadoe!"ulsión sangre
acorde con
necesidadesmeta#ólicas
A$os de deterioro"rogresivo de la
función
%ronósticodesfavora#le&
inde"endientementede la edad
Ca'
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Introducción
CA()*+IACARDIACA
,a característicaclínica
%-rdidasignificativa de"eso cor"oral.
Análisisestructural
%-rdida de te/idoadi"oso& masaósea 0 m1sculo
estriadoes'uel-tico.
Reducción de lamasa del VI
2su"erior al 3456
Incremento delvolumen
e!tracelular& con osin edemas
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BAS*S 8ISI9%A9,9;ICAS
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Estado Adaptativo
<i"o!ia tisular
*n ICC la relación entre distensión 0 actividad contráctil ventricular se vealterada
Reduciendo su actividad física.
Con el "aso del tiem"o& ni en situación de re"oso "uede res"ondcorazón.
Reducción tasa meta#ólica disminución del gasto cardíael tra#a/o del corazón enfermo.
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Estado Reactivo
ICC anore!ia& =i"ermeta#olismo o mala#sorción intestinal 0 ca'ue!ia
cardiaca secundaria
Afecta función cardíaca& al limitar el a"orte de nutrientes
so"orte nutricional con a"orte de nutrientes es"ecíficos ca"ame/orar la ca"acidad funcional del corazón 0 tam#i-n la ICC.
causas de ca'ue!ia cardiacafactores nutricionales& =alteraciones meta#ólicas& inmunológicas con activaciónneuro =ormonales.
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*tiología de la ca'ue!ia cardíaca
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Alteraciones nutricionales
7al >utrición
• Ingesta deficiente ? mala#sorción intestinal ? alteraciones meta"-rdida de nutrientes "or vía digestiva o renal ? desa/uste #alan
•
Balance energ-tico 0 nitrogenado negativo& mantenido en el tie"rinci"al causa de ca'ue!ia cardiaca
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Alteraciones nutricionales
Sensación de saciedad "recoz.
Dietas 0 8ármacos
• Indicación de dietas restrictivas 0 "o#res en sodio• ser causada "or la ingesta de fármacos& muc=os de los cuales 2digo!ina& alg
0 antiarrítmicos6•
Alteración en la digestión o a#sorción de los alimentos "or interacción fárma
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Alteraciones nutricionales
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Alteraciones nutricionales
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Alteraciones neurohormonales
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Alteraciones neurohormonales
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Alteraciones neurohormonales
fi#ros
c-lula
musc
lisas
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Alteraciones inmunitarias e infamatori
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Alteraciones inmunitarias e infamatori
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Alteraciones gastrointestinales
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Alteraciones gastrointestinales
Al i M l
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Alteraciones Musculares:Sarcopenia
Alt i M l
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Alteraciones Musculares“Sarcopenia”
Alteraciones Musculares
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Alteraciones Musculares“Sarcopenia”
@ I;@ A
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Alteraciones Musculares: “Sarcopen
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ratamiento de la ca'ue!ia cardíaca
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Tratamiento de la Caue!ia cardiaca
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#aloración del estado nutricion
Seg1n la guia AS%*> 3443:
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Tratamiento nutricional"
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Recomendaciones
Tratamiento nutricional
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Tratamiento nutricional
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Tratamiento nutricional
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Tratamiento nutricional
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E$ercicio %&sico
7 /
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ratamiento
ICC
I*CA& #eta#lo'ueantes 0antagonistas de la
aldosterona. 27odulaalteraciones neuro
=ormonales6
Ca'ue!ia cardiaca
Beta#lo'ueantes
ganancia de "eso&
I*CA:
7e/musculm1scu
Rcan
mitoco
Disminufuerza "
Red"ro
desenan
7enutricion2cito'u
a"ema
7edesn
"roteicregulaci
'utrición organoespec&(ca para el miocar
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'utrición organoespec&(ca para el miocaren)ermo"
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Conclusión
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CAQUEXIA CARDÍA
Integrantes