TÌNH TRẠNG SUY DINH DƯỠNG VÀ YẾU TỐ LIÊN QUAN TRÊN BỆNH NHÂN SUY TIM MẠN TÍNH TẠI VIỆN TIM MẠCH QUỐC GIA VIỆT NAM

Abstract

The study was conducted to evaluate the condition and factors related to malnutrition in a group of chronic heart failure patients treated at the Vietnam National Heart Institute, therefore the treatment strategy can be optimized. Results: Among 108 patients (Male: 60.2%, Female: 39.8%) the average age was 62.06 ± 14.73 years. Patients from urban areas with an education level of secondary school or less account for 72.2%. The majority of subjects had the disease for 1 to 3 years, accounting for 63.0%; Among them, subjects with difficulty breathing level II according to NYHA accounted for the highest proportion with 78.7%, with preserved ejection fraction (HFpEF ≥ 50%) accounting for the majority (75.9%). The proportion of subjects not using drugs to treat heart failure is up to 64.8%. Hypertension is the comorbidity with the highest rate (34.3%). Malnutrition was determined by the Mini Nutritional Assessment (MNA) score of 78.7%. Additionally, 51.8% of patients were physically inactive (51.9%). Conclusion: Age, gender, time of disease detection, physical activity and ejection fraction index are related to the possibility of malnutrition in chronic heart failure patients (p < 0.05). In the treatment strategy, it is necessary to have interventions to prevent malnutrition to help reduce prognosis, reduce mortality and improve