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Nutrition clinique et métabolisme
Volume 29, n° 1
pages 26-28 (février 2015)
Doi : 10.1016/j.nupar.2014.10.003
Received : 23 December 2013 ;  accepted : 2 October 2014
Choc cardiogénique et syndrome de renutrition inappropriée
Cardiogenic shock and refeeding syndrome

Francis Quinty a, , Nicolas Portet a, Mathieu Parcevaux b, David Couret a, Philippe Ocquidant a
a Service de neuroréanimation, CHU Sud Réunion site Saint-Pierre, 97448 St-Pierre cedex, France 
b Service d’anesthésie - réanimation, CH Gabriel-Martin, 97460 Saint-Paul cedex, France 

Auteur correspondant.

Le syndrome de renutrition inapproprié (SRI) est une pathologie rare et grave avec des manifestations polyviscérales survenant chez des patients dénutris sévères. La prévention est la clé de la prise en charge. Bien que les troubles du rythme cardiaque secondaires aux désordres hydro électrolytiques soient le plus souvent décrits, nous rapportons le cas original d’un choc cardiogénique survenu au troisième jour de la renutrition chez une patiente de 32 ans.

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Refeeding syndrome (RS) is a rare and serious disease with multi-organ system failure occurring in severely malnourished patients. Prevention is the key to support. Although cardiac arrhythmias due to fluid and electrolyte disorders are often described, we report the original case of cardiogenic shock occurred in a third day refeeding of a 32-year-old patient.

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Mots clés : Syndrome de renutrition inappropriée, Choc cardiogénique, Hypophosphorémie

Keywords : Refeeding syndrome, Cardiogenic shock, Hypophosphataemia

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