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Cardiac cachexia: diagnosis is more complicated than focusing on weight loss

  • Donna Fitzsimons
  • , Loreena Hill
  • , Matthew Carson
  • , Lana Dixon
  • , Patrick Donnelly
  • , Susan E. Piper
  • , Gareth Thompson
  • , Theresa A. McDonagh
  • , Joanne Reid

Research output: Contribution to conferencePaperpeer-review

Abstract

Background: Cardiac cachexia is a wasting syndrome that may present in patients with advanced heart failure (HF), with clinical identification being challenging in this patient population because of fluid retention. This can ‘mask’ symptoms, preventing effective detection and management of cardiac cachexia by healthcare professionals in practice. This study aimed to report the practical challenges of applying the recommended diagnostic criteria for cardiac cachexia within an advanced HF population.

Methods: A cross-sectional study was conducted in 200 patients with NYHA III-IV HF. Patients were assessed for cachexia based on the Evans et al. (2008) diagnostic criteria: 5% weight loss in ≤ 12 months or BMI < 20 kg/m2 plus 3 of: 1) Decreased muscle strength, 2) Fatigue, 3) Anorexia, 4) Low fat-free mass index, and 5) Abnormal biochemistry (elevated inflammatory markers (CRP & IL-6), anaemia (Hb
Original languageEnglish
Publication statusPublished (in print/issue) - 13 Oct 2022
EventCross-Sector Partnerships to Build Capacity for Palliative and End-of-Life Care Research Conference - The Great Hall, Queens University, Belfast, United Kingdom
Duration: 13 Oct 202213 Oct 2022
https://aiihpc.org/event/thursday-13-october-2022-cross-sector-partnerships-to-build-capacity-for-palliative-and-end-of-life-care-research/

Conference

ConferenceCross-Sector Partnerships to Build Capacity for Palliative and End-of-Life Care Research Conference
Country/TerritoryUnited Kingdom
CityBelfast
Period13/10/2213/10/22
Internet address

Bibliographical note

Cross-sector Partnerships to Build Capacity for Palliative and End-of-life Care Research. ; Conference date: 13-10-2022

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