Cachexia

What does cachectic mean?

By June 3, 2020 No Comments

Cachectic: Having cachexia, physical wasting with loss of weight and muscle mass due to disease. Patients with advanced cancer, AIDS, severe heart failure and some other major chronic progressive diseases may appear cachectic.

what is cachectic?

A general state of ill health involving marked weight loss and muscle loss. Wasting syndrome is often a sign of disease, such as cancer, AIDS, heart failure or advanced chronic obstructive pulmonary disease (COPD). Symptoms include weight loss, muscle loss, a lack of appetite, fatigue and decreased strength.

what is cachectic appearance?

Symptoms. Symptoms of cachexia include: Involuntary weight loss: Weight loss occurs despite getting adequate nutrition or a high number of calories. … Loss of appetite, or anorexia: Not only does food become not appealing, but a person with cachexia will also lose their desire to eat any food at all.

 

what is a cachectic patient?

Cachectic: Having cachexia, physical wasting with loss of weight and muscle mass due to disease. Patients with advanced cancer, AIDS, severe heart failure and some other major chronic progressive diseases may appear cachectic. Weight loss is greater than 5 percent or other symptoms and conditions consistent with the diagnostic criteria for cachexia. Patients experiencing cachexia who are no longer responsive to cancer treatment, have a low performance score, and have a life expectancy of less than 3 months.

Symptoms of cachexia

  • severe weight loss, including loss of fat and muscle mass.
  • loss of appetite.
  • anaemia (low red blood cells)
  • weakness and fatigue.

what is cachectic state?

Having cachexia, physical wasting with loss of weight and muscle mass due to disease. Patients with advanced cancer, AIDS, severe heart failure and some other major chronic progressive diseases may appear cachectic.

Can cardiac cachexia be reversed?

Cachexia is a complex syndrome associated with an underlying illness causing ongoing muscle loss that is not entirely reversed with nutritional supplementation.

 

Cardiac Cachexia Syndrome

Heart failure is a chronic, progressive, and incurable disease. Cardiac cachexia is a strong predictor of poor prognosis, regardless of other important variables. This review intends to gather evidence to enable recognition of cardiac cachexia, identification of early stages of muscle waste and sarcopenia, and improve identification of patients with terminal heart failure in need of palliative care, whose symptoms are no longer controlled by usual medical measures.

The pathophysiology is complex and multifactorial. There are many treatment options to prevent or revert muscle waste and sarcopenia; although, these strategies are less effective in advanced stages of cardiac cachexia. In these final stages, symptomatic palliation plays an important role, focussing on the patient’s comfort and avoiding the ‘acute model’ treatment of aggressive, disproportionate, and inefficient care. Heart failure (HF) is a progressive organ failure disorder, characterised by dyspnoea, fatigue, depression, and fluid retention, and affects ≤2% of the Western population.

It is a dynamic situation that, in the later stages, has high mortality rates. It is associated with several hospital readmissions due to its chronic and progressive disease evolution. There is a gradual loss of functional capacity and self-sufficiency of the patient, which is portrayed by a pattern of sudden worsening without complete recovery. In general, elderly patients with HF have other comorbidities, which cause different outcomes for these patients.

CardioSmart

CardioSmart is the American College of Cardiology’s patient education and empowerment initiative. CardioSmart provides resources for health care providers, patients, and caregivers to support and extend the clinical/patient relationship. CardioSmart, the patient education and empowerment initiative of the American College of Cardiology, has unveiled a newly redesigned and enhanced website (www.CardioSmart.org) with thousands of pages created by members of the cardiac care team to meet the unique health needs of heart patients.

Through CardioSmart.org, individuals trying to manage their heart disease have access to a variety of tools to help in understanding their disease, complying with medication adherence, losing and maintaining weight, implementing a heart healthy diet and making other necessary lifestyle changes to improve and maintain heart health. Information and tips on preventing heart disease and caring for a heart disease patient are also available. “Prevention is key in the fight against heart disease, and CardioSmart.org has a variety of resources for people who want to change their lifestyle habits now to avoid heart disease in the future,” said CardioSmart Chief Medical Expert JoAnne Foody, MD, FACC. “CardioSmart.org also has tools and resources for heart disease patients. The site has physician-created content to help patients manage their heart disease and establish heart healthy habits. We want every patient to succeed in battling this terrible disease.”

Some of the key features now available are:

  • Patients and their caregivers will have access to over 30 heart condition centers, which provide information on each stage of heart disease, including details on the disease, questions for patients to ask their doctors,  patient responsibilities, where to find support and more.
  • Registered users can create a personalized dashboard and select topic areas of interest, save pages of the site for easier access, set health goals (weight, waist circumference, blood pressure and activity) and track their progress.
  • Users can participate in CardioSmart Challenges and earn points through activities such as exercise and weight loss. Points can be used toward items in the CardioSmart store.
  • Patients can find a community-based peer to peer support program or connect virtually via online support groups.
  • The medication manager allows users to enter in the name, dose and frequency of each of their medications to help patients comply with their doctor’s orders.
  • Mi Corazon section offers CardioSmart content translated into Spanish, where available.

The mission of the American College of Cardiology is to transform cardiovascular care and improve heart health. The College is a 43,000-member medical society comprised of physicians, surgeons, nurses, physician assistants, pharmacists and practice managers. The College is a leader in the formulation of health policy, standards and guidelines. The ACC provides professional education, operates national registries to measure and improve quality of care, disseminates cardiovascular research, and bestows credentials upon cardiovascular specialists who meet stringent qualifications.