The way to a man's heart is through his stomach - recommendations after a heart surgery (cardiac surgical)
DOI:
https://doi.org/10.12775/QS.2024.19.53441Keywords
Caloric intake, Sport, Nutrition, post-surgical nutritionAbstract
Introduction and Purpose: Understanding the crucial role of nutrition and sport in the postoperative recovery of cardiac surgery patients is paramount. Optimal nutrition aids in healing mitigates complications and enhances overall outcomes. This abstract focuses on the necessity of customized nutrition plans tailored to meet the unique recovery needs of post-cardiac procedures, emphasizing the importance of heart-healthy dietary choices for long-term cardiovascular health.
Materials and methods: The literature available in PubMed, Scopus, and Google Scholar databases was reviewed using the following keywords: "nutrition"; “surgery nutrition; and "cardiac surgery nutrition"
State of Knowledge: Evidence underscores the significance of a diet rich in omega-3 fatty acids, antioxidants, and soluble fiber in facilitating post-surgery recovery and promoting heart health. Strategies to reduce sodium and limit unhealthy fats are vital, as is incorporating whole grains, lean proteins, and various fruits and vegetables. Collaborative development of personalized dietary plans with healthcare professionals is critical for enhancing recovery and ensuring long-term health benefits.
Conclusion: The integration of targeted nutritional strategies into postoperative care is essential for optimizing patient recovery and improving quality of life following cardiac surgery. Nutrition plays a foundational role in supporting the healing process, reducing the risk of complications and securing cardiovascular health in the long term.
References
Global Overview of Heart Surgery." ScienceDirect. Available at: https://www.sciencedirect.com/topics/medicine-and-dentistry/heart-surgery.Accessed: [1.02].
American Heart Association. Heart Procedures and Surgeries. American Heart Association website. https://www.heart.org/en/health-topics/heart-attack/treatment-of-a-heart-attack/heart-procedures-and-surgeries. Accessed February 8, 2024.
Cleveland Clinic. Heart Surgery: Types, Recovery & Outlook. Cleveland Clinic website. https://my.clevelandclinic.org/health/treatments/17351-heart-surgery. Updated 2021. Accessed February 8, 2024.
Cancel M. 9 Common Heart Surgeries: From Minimally Invasive to Transplant. Sklar website. https://research.sklarcorp.com/9-common-heart-surgeries-from-minimally-invasive-to-transplant. Published March 1, 2017. Accessed February 8, 2024.
Weimann A, Braga M, Carli F, et al. ESPEN guideline: Clinical nutrition in surgery. Clin Nutr. 2017;36(3):623-650. doi:10.1016/j.clnu.2017.02.013
Yeh DD, Fuentes E, Quraishi SA, Cropano C, Kaafarani H, Lee J, King DR, DeMoya M, Fagenholz P, Butler K, Chang Y. Adequate nutrition may get you home: effect of caloric/protein deficits on the discharge destination of critically ill surgical patients. JPEN J Parenter Enteral Nutr. 2016;40(1):37-44.
Rapp-Kesek D, Stridsberg M, Andersson LG, Berne C, Karlsson T. Insulin resistance after cardiopulmonary bypass in the elderly patient. Scand Cardiovasc J. 2007 Apr;41(2):105-10. doi: 10.1080/14017430601050355.
Järvelä K, Maaranen P, Sisto T. Pre-operative oral carbohydrate treatment before coronary artery bypass surgery. Acta Anaesthesiol Scand. 2008 Sep;52(8):1156. doi: 10.1111/j.1399-6576.2008.01660.x.
Engelman DT, Adams DH, Byrne JG, Aranki SF, Collins JJ Jr, Couper GS, Allred EN, Cohn LH, Rizzo RJ. Impact of body mass index and albumin on morbidity and mortality after cardiac surgery. J Thorac Cardiovasc Surg. 1999 Oct;118(4):866-73. doi: 10.1016/s0022-5223(99)70056-5.
Hirsch KR, Wolfe RR, Ferrando AA. Pre- and Post-Surgical Nutrition for Preservation of Muscle Mass, Strength, and Functionality Following Orthopedic Surgery. Nutrients. 2021;13(5):1675. Published 2021 May 15. doi:10.3390/nu13051675
Ong CS, Yesantharao P, Brown PM, et al. Nutrition Support After Cardiac Surgery: Lessons Learned From a Prospective Study. Semin Thorac Cardiovasc Surg. 2021;33(1):109-115. doi:10.1053/j.semtcvs.2020.06.043
Jain AK, Mehra NK, Swarnakar NK. Role of Antioxidants for the Treatment of Cardiovascular Diseases: Challenges and Opportunities. Curr Pharm Des. 2015;21(30):4441-4455. doi:10.2174/1381612821666150803151758.
Skerrett PJ. Antioxidants and disease prevention: little supportive evidence. The Nutrition Source. Harvard T.H. Chan School of Public Health. https://www.hsph.harvard.edu/nutritionsource/antioxidants/.
Drygas W, Kwasniewska M, Waśkiewicz A. Dietary Antioxidants and Cardiovascular Health. Antioxidants. Special Issue: Dietary Antioxidants and Cardiovascular Health. MDPI. https://www.mdpi.com/journal/antioxidants/special_issues/Dietary_Antioxidants_Cardiovascular.
Fiber | The Nutrition Source | Harvard T.H. Chan School of Public Health. "Fiber and Disease." Harvard T.H. Chan School of Public Health. https://www.hsph.harvard.edu/nutritionsource/carbohydrates/fiber/. This source provides an overview of how soluble fiber can benefit heart health by lowering cholesterol levels and reducing the risk of heart disease.
Elagizi A, Lavie CJ, O'Keefe E, Marshall K, O'Keefe JH, Milani RV. An Update on Omega-3 Polyunsaturated Fatty Acids and Cardiovascular Health. Nutrients. 2021;13(1):204. Published 2021 Jan 12. doi:10.3390/nu13010204
Skerrett PJ. Omega-3 fatty acids and the heart: New evidence, more questions. Harvard Health Blog. March 24, 2021. Accessed February 13, 2024. https://www.health.harvard.edu/blog/omega-3-fatty-acids-and-the-heart-new-evidence-more-questions-2021032422213
British Heart Foundation. Omega-3s and your heart. Accessed February 13, 2024. https://www.bhf.org.uk/informationsupport/heart-matters-magazine/nutrition/omega-3s-and-your-heart
Rahman A, Agarwala R, Martin C, Nagpal D, Teitelbaum M, Heyland DK. Nutrition Therapy in Critically Ill Patients Following Cardiac Surgery: Defining and Improving Practice. JPEN J Parenter Enteral Nutr. 2017;41(7):1188-1194. d
Gajos, G., Rostoff, P., Undas, A., Piwowarska, W., & Rusiecki, L. (2008). Effects of polyunsaturated omega-3 fatty acids on responsiveness to dual antiplatelet therapy in patients undergoing percutaneous coronary intervention: The OMEGA-PCI (OMEGA-3 fatty acids after pci to modify responsiveness to dual antiplatelet therapy) study. Journal of the American College of Cardiology, 55(16), 1671-1678. doi: 10.1016/j.jacc.2009.01.039
Leong XF, Cheng M, Jong B, Hwang NC, Roscoe A. Sodium abnormalities in cardiac surgery with cardiopulmonary bypass in adults: a narrative review. J Cardiothorac Vasc Anesth. 2020. doi:10.1053/j.jvca.2020.07.047.
World Health Organization, Guidelines Review Committee, Nutrition and Food Safety (NFS). Guidelines for Nutrition and Food Safety. World Health Organization; 56 pages. ISBN: 978-92-4-150483-6. WHO Reference Number: WHO/NMH/NHD/13.2
Reynolds RM, Padfield PL, Seckl JR. Disorders of sodium balance. BMJ. 2006 Mar 25;332(7543):702-5. doi: 10.1136/bmj.332.7543.702.
Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension. 2018;71(6):1269-1324. doi:10.1161/HYP.0000000000000066.
O'Donnell JM, Nácul FE, editors. Postoperative care of the cardiac surgical patient. In: Surgical Intensive Care Medicine. 2010:535-566. doi:10.1007/978-0-387-77893-8_47. PMCID: PMC7120630.
Gennari FJ. Disorders of potassium homeostasis: hypokalemia and hyperkalemia. Endocrinol Metab Clin North Am. 2000 Sep;29(3):555-72. doi:10.1016/s0749-0704(01)00009-4.
Palmer BF, Clegg DJ. Physiology and pathophysiology of potassium homeostasis. Adv Physiol Educ. 2017 Dec 1;41(4):393-403. doi: 10.1152/advan.00121.2016.
Lindner G, Burdmann EA, Clase CM, Hemmelgarn BR, Herzog CA, Małyszko J, Nagahama M, Pecoits-Filho R, Rafique Z, Rossignol P, Singer AJ. Acute hyperkalemia in the emergency department: a summary from a Kidney Disease: Improving Global Outcomes conference. Eur J Emerg Med. 2020 Oct;27(5):329-337. doi: 10.1097/MEJ.0000000000000691.
Asmar A, Mohandas R, Wingo CS. A physiologic-based approach to the treatment of a patient with hypokalemia. Am J Kidney Dis. 2012 Oct;60(4):617-26. doi: 10.1053/j.ajkd.2012.01.031.
Kayilioglu SI, Dinc T, Sozen I, Bostanoglu A, Cete M, Coskun F. Postoperative fluid management. World J Crit Care Med. 2015 Aug 4;4(3):192-201. doi: 10.5492/wjccm.v4.i3.192
Engelman DT, Ben Ali W, Williams JB, et al. Guidelines for perioperative care in cardiac surgery: Enhanced Recovery After Surgery Society recommendations. JAMA Surg. 2019;154(8):755-766. doi:10.1001/jamasurg.2019.1153.
Johansson P, van der Wal MH, Strömberg A, Waldréus N, Jaarsma T. Fluid restriction in patients with heart failure: how should we think? Eur J Cardiovasc Nurs. 2017 Jun;16(5):375-376. doi: 10.1177/1474515116650346
Yang SH, Mu PF, Wu HL, Curia M. Fluid balance monitoring in congestive heart failure patients in hospital: a best practice implementation project. JBI Database System Rev Implement Rep. 2019 Sep;17(9):1923-1930. doi: 10.11124/JBISRIR-2017-004021
Wolnicka K, Stróżyk A, Taraszewska AM, et al. Diet for Heart Health and Circulatory System. National Institute of Public Health – National Institute of Hygiene, Warsaw; 2022. ISBN 978-83-65870-53-7.
Estruch R, Ros E, Salas-Salvadó J, et al. Primary prevention of cardiovascular disease with a Mediterranean diet supplemented with extra-virgin olive oil or nuts. N Engl J Med. 2018;378(25):e34. doi:10.1056/NEJMoa1800389
Martínez-González MA, Salas-Salvadó J, Estruch R, Corella D, Fitó M, Ros E; PREDIMED Investigators. Benefits of the Mediterranean Diet: Insights From the PREDIMED Study. Prog Cardiovasc Dis. 2015 Jul-Aug;58(1):50-60. doi: 10.1016/j.pcad.2015.04.003
Martínez-González MA, Gea A, Ruiz-Canela M. The Mediterranean Diet and Cardiovascular Health. Circ Res. 2019 Feb 15;124(4):779-798. doi: 10.1161/CIRCRESAHA.118.313348
Shan Z, Li Y, Baden MY, Bhupathiraju SN, Wang DD, Sun Q, et al. Association between healthy eating patterns and risk of cardiovascular disease. JAMA Intern Med. 2020;180(8):1090-1100. doi:10.1001/jamainternmed.2020.2176.
Hill A, Heyland DK, Stoppe C. Commentary: Nutrition Support After Cardiac Surgery - How to Dine?. Semin Thorac Cardiovasc Surg. 2021;33(1):118-120. doi:10.1053/j.semtcvs.2020.08.005
Herbert J, Schumacher T, Brown LJ, Clarke ED, Collins CE. Delivery of telehealth nutrition and physical activity interventions to adults living in rural areas: a scoping review. Int J Behav Nutr Phys Act. 2023 Sep 15;20:110. doi: 10.1186/s12966-023-01505-2
Yu E, Malik VS, Hu FB. Cardiovascular disease prevention by diet modification: JACC Health Promotion Series. J Am Coll Cardiol. 2018;72(8):914-926. doi:10.1016/j.jacc.2018.02.085.
Hafkamp FJ, Tio RA, Otterspoor LC, de Greef T, van Steenbergen GJ, van de Ven ART, Smits G, Post H, van Veghel D. Optimal effectiveness of heart failure management — an umbrella review of meta-analyses examining the effectiveness of interventions to reduce (re)hospitalizations in heart failure. Heart Fail Rev. 2022 Mar 3;27(5):1683-1748. doi: 10.1007/s10741-021-10212-8
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