NAANutrition Academic Award Program
 
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D. Cardiovascular System
D.3 Heart Failure & Cardiomyopathy

Content Areas

  • Nutritional causes of cardiac failure
  • Pathophysiology of cardiac cachexia
  • Exercise regimens and restrictions
  • Herbal supplement-nutrient/drug interactions
  • Medical nutrition therapy
After training, the learner will be able to:
Knowledge Objectives: Medical Students
  • List at least eight physical signs and symptoms of congestive heart failure.
  • Summarize the dietary and hygienic modifications that should be recommended to patients with congestive heart failure.
Knowledge Objectives: Residents
  • Identify at least three nutritional deficiencies and two toxins that may precipitate heart failure; explain the mechanism of each effect.
  • Identify the two most common pharmacologic regimens used to treat heart failure, and identify the two most common drug-nutrient interactions.
  • Describe how heart failure may lead to cardiac cachexia. 
Practice Behavior Skills: Residents
  • Take an appropriate nutrition history to determine whether a patient’s heart failure is due at least in part to a nutritional cause, and evaluate the level of each of the following in the diet:  alcohol, salt, potassium, calcium, magnesium, selenium, total and saturated fat, and herbal supplements.
  • Based on an accurate assessment of the physician’s own knowledge and limitations, seek consultation with and refer patients to registered dieticians or other credentialed healthcare professionals as appropriate.
Attitude Objectives: All Learners
  • Recognize the importance of nutritional deficiencies as potential causes of heart failure.
  • Demonstrate a commitment to promoting a healthy diet and lifestyle modification in patients with congestive heart failure.

*Red bold items were ranked in the top 1/3 of all objectives.
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