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Victoria Rus, Diana Opincariu, Roxana Hodas, Tiberiu Nyulas, Marian Hintea and Theodora Benedek

E, Permert J. Nutritional assessment and muscle energy metabolism in severe chronic congestive heart failure – effects of long-term dietary supplementation. Eur Heart J. 1994;15:1641-1650. 27. Iseki K, Yamazato M, Tozawa M, Takishita S. Hypocholesterolemia is a significant predictor of death in a cohort of chronic hemodialysis patients. Kidney Int. 2002;61:1887-1893. doi: 10.1046/j.1523-1755.2002.00324.x. 28. Tuikkala P, Hartikainen S, Korhonen MJ, et al. Serum total cholesterol levels and all-cause mortality in a home-dwelling elderly population: a

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Victoria Ancuța Rus, Florina Ruța, Maria Sălcudean, Monica Tarcea, Costela Șerban, Călin Avram, Iustinian Simion and Theodora Benedek

: 9. Lichtenstein AH, Appel LJ, Brands M, et al. Diet and lifestyle recommendations revision 2006. A scientific statement from the American Heart Association nutrition committee. Circulation . 2006;114:82-96. 10. Hyun K, Flavia CD. Diagnostic status of hypertension on the adherence to the Dietary Approaches to Stop Hypertension (DASH) diet. Prev Med Rep . 2016;4:525-531. 11. Fung TT, Chiuve SE, McCullough ML, Rexrode KM, Logroscino G, Hu FB. Adherence to a DASH-Style Diet and Risk of

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Mircea Mureșan, Simona Mureșan, Ioan Balmoș, Daniela Sala, Bogdan Suciu and Arpad Torok

reserved only for specific situations [ 38 ]. ( Figure 3 ) Fig. 3 Surgical and endoscopic treatment indication according to location and perforation size. When oesophageal perforation is suspected, dietary intake and oral hydration are discontinued, and broad-spectrum antibiotic therapy is initiated to prevent infections usually caused by Gram-positive, gramnegative, and anaerobic microorganisms. Antifungal agents are normally prescribed to immunosuppressed patients. Blood culture results will indicate appropriate antibiotic therapy [ 29 , 38