低血糖・低トリグリセライド血症・たこつぼ型心筋症を呈する極度の低栄養患者に間接熱量計を用いて栄養管理を行った1例(A case of severe malnutrition presenting with hypoglycemia, hypotriglyceridemia and takotsubo cardiomyopathy managed with nutritional therapy using indirect calorimetry)

Key Result

Nutritional therapy guided by indirect calorimetry successfully improved the general condition of a severely malnourished patient with takotsubo cardiomyopathy without harmful complications.

Key Points

• The aim is to report on nutritional management in a patient with severe malnutrition presenting with hypoglycemia and takotsubo cardiomyopathy.
• Case of a 43-year-old woman with a BMI of 8.6 kg/m2 and altered consciousness due to severe malnutrition.
• Used indirect calorimetry to guide nutritional therapy, including continuous infusion of glucose and lipid emulsion.
• Monitored energy expenditure and adjusted caloric intake based on indirect calorimetry measurements.
• Initial blood sugar was 6 mg/dL and triglycerides were 4 mg/dL; significant improvement seen after nutritional therapy.
• Energy expenditure measured at 552 kcal/day; caloric intake gradually increased to exceed this amount.
• Improvement in overall physical condition observed within one week without harmful complications.