Nutritional status of an elderly patient with acute myocardial infarction admitted for myocardial revascularization surgery in the pre- and post-operative periods

Abstract

This study assesses the nutritional status and nutritional risk of a patient with acute myocardial infarction hospitalized for myocardial revascularization surgery. This is a clinical case report about an elderly patient admitted to the Federal District Cardiology Institute in March 2018, covering his pre- and postsurgical periods using subjective methods and a nutritional assessment. Nutritional risk and/or malnutrition were observed in this case both in the pre- and postoperative periods by all applied nutritional screening methods (Nutrition Risk Screening - NRS-2002; Malnutrition or Universal Nutrition Screening Tool - MUST; Mini-Nutrition Assessment in Reduced Version - MNAFC or Mini Nutritional Assessment Short Form - MNA-SF). Palmar grip strength was the anthropometric measurement that experienced a decrease between the preoperative and postoperative periods. The description of this case draws attention to the need for an early identification of malnutrition risk (or malnutrition itself) by the combined use of protocols capable of enabling evaluations of acute and chronic conditions.