Nutritional Optimization in Anemic Patients Scheduled for Elective Open-Heart Surgery

1. To test the effect and feasibility of culturally relevant SNP program in Anaemic patients scheduled for elective open-heart surgery versus those getting usual preoperative care in a public sector hospital. 2. To evaluate the incidence of transfusion during intra-operative and postoperative periods among cardiac patients undergoing elective open-heart surgery who receive iron correction therapy as part of the Solo Nutrition Prehabilitation (SNP) program

Inclusion Criteria: * Adult patients (≥18 years) scheduled for elective open heart surgery (CABG), with a minimum preoperative waiting period of 8-12 weeks and presenting with preoperative hemoglobin levels of 10-11 g/dL in females and 11-12 g/dL in males, were eligible for inclusion in the study. No Female below 9 and male below 11 will be recruited. * Moderate to good LV (EF 40 and above) Exclusion Criteria: * Emergency cases requiring immediate surgery * Pregnant females * Patients with any type of malignancy, that limits their life expectancy at the time of admission * Hepatic disease of any Kind * Renal diseases of all kind * Thalassemia