Nutritional problems in acute myocardial infarct

Hypocaloric nutrition in patients during the first days of myocardial infarction cannot be suggested any longer. Because of several reasons the minimum calory uptake should be about 2000 kcal/per day. Patients with enddiastolic pulmonary artery pressures above 20 mm Hg which is especially a high risk group should be treated parenterally with solutions of carbohydrates, insulin, and potassium. This regimen appears to be of a special importance at beginning shock or during cardiogenic shock.