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Chronic heart failure and multiple micronutrient supplementation: realistic hope or idealistic conjecture?

Abstract

Recent studies have demonstrated the inefficacy of nutritional supplements containing various combinations of vitamins and minerals for otherwise healthy elderly people and patients with ischemic heart disease. However, patients with chronic heart failure (CHF) have, up until recently, been excluded from such studies. CHF has a high mortality and morbidity and patients are often elderly with poor general nutrition and high levels of micronutrient deficiency. It is in this population that nutritional supplementation has the most potential benefit. Evidence is accumulating that a strategy of long-term highdose multiple micronutrient supplementation might improve symptoms and cardiac function in elderly patients with CHF. In this article, we review the effects of individual micronutrients and how they might impact on CHF, and present recent data that dietary supplementation might offer an addition to standard therapy for CHF.

Links

Authors+Show Affiliations

,

Mount Sinai Hospital, University Health Network, Toronto, ON, Canada. klauswitte@hotmail.com

Source

Heart failure monitor 4:4 2005 pg 123-9

MeSH

Dietary Supplements
Heart Failure
Humans
Micronutrients
Treatment Outcome
Ventricular Function

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

16234899

Citation

Witte, Klaus K A., and Andrew L. Clark. "Chronic Heart Failure and Multiple Micronutrient Supplementation: Realistic Hope or Idealistic Conjecture?" Heart Failure Monitor, vol. 4, no. 4, 2005, pp. 123-9.
Witte KK, Clark AL. Chronic heart failure and multiple micronutrient supplementation: realistic hope or idealistic conjecture? Heart Fail Monit. 2005;4(4):123-9.
Witte, K. K., & Clark, A. L. (2005). Chronic heart failure and multiple micronutrient supplementation: realistic hope or idealistic conjecture? Heart Failure Monitor, 4(4), pp. 123-9.
Witte KK, Clark AL. Chronic Heart Failure and Multiple Micronutrient Supplementation: Realistic Hope or Idealistic Conjecture. Heart Fail Monit. 2005;4(4):123-9. PubMed PMID: 16234899.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chronic heart failure and multiple micronutrient supplementation: realistic hope or idealistic conjecture? AU - Witte,Klaus K A, AU - Clark,Andrew L, PY - 2005/10/20/pubmed PY - 2006/4/12/medline PY - 2005/10/20/entrez SP - 123 EP - 9 JF - Heart failure monitor JO - Heart Fail Monit VL - 4 IS - 4 N2 - Recent studies have demonstrated the inefficacy of nutritional supplements containing various combinations of vitamins and minerals for otherwise healthy elderly people and patients with ischemic heart disease. However, patients with chronic heart failure (CHF) have, up until recently, been excluded from such studies. CHF has a high mortality and morbidity and patients are often elderly with poor general nutrition and high levels of micronutrient deficiency. It is in this population that nutritional supplementation has the most potential benefit. Evidence is accumulating that a strategy of long-term highdose multiple micronutrient supplementation might improve symptoms and cardiac function in elderly patients with CHF. In this article, we review the effects of individual micronutrients and how they might impact on CHF, and present recent data that dietary supplementation might offer an addition to standard therapy for CHF. SN - 1470-8590 UR - https://www.unboundmedicine.com/medline/citation/16234899/Chronic_heart_failure_and_multiple_micronutrient_supplementation:_realistic_hope_or_idealistic_conjecture L2 - https://medlineplus.gov/heartfailure.html DB - PRIME DP - Unbound Medicine ER -