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Methods We made an observational, analytical, prospective, longitudinal pilot study. Dependents variables: LS, echocardiographic parameter used to assess myocardial deformity (contraction). We considered as an improvement an increase ≥10%. E/e ratio, parameter used to assess DF. A reduction of E/e ratio ≥10% was considered DF improvement. I. V,: NEB during the first week of admision. Improvement in the NS: assessed by an increase in at least one level of prealbumin nutritional scale (PNS) after 10 days of receiving 100% of estimated energy (EE) requirements (H. Benedict). (PNS: Normal>18 md/dl, mild undernutrition: 17.9-15, moderate: 14.9-10 severe 100 Hz, for further analysis “of line” of LS. (Blind analysis). Exclusion crit.: nephrotic syndrome, cirrhosis, chronic renal and HF. PCR, MV (PEEP), PVC were recorded.

0531. Cumulative effects of negative energy balance on myocardial deformity and diastolic function during the first week of ICU: a pilot study