Pay Attention to Heart Health While Fasting During Ramadan

Ramadan is the holiest month of the Islamic calendar, which obliges healthy adult Muslims to refrain from lying and immoral behavior, and to abstain from eating and drinking, including oral or intravenous medication, from dawn to dusk. This forced change in lifestyle, such as a change in daily calorie intake or medication schedule through two meals instead of four or five meals in daily life, or a reduction in daily sleep time, can affect people with heart disease. So, what should heart patients pay attention to during Ramadan?

Which heart patients are inconvenient to fast?

  • Patients with recurrent chest pain.
  • Those with advanced heart failure who cannot do their daily work.
  • Frequent use of diuretic drugs.
  • Those who have uncontrolled hypertension or those who use large amounts of drugs at frequent intervals to control it.
  • Those who have had a heart attack or heart surgery in the last 1.5 months.
  • Patients with severe stenosis of the aortic valve.
  • Those who use blood thinners.
  • Those who have serious rhythm problems and need to take medication at frequent intervals.

Patients outside of this group can fast, in consultation with their doctor, in order to review their treatment and change it if necessary. If necessary, your doctor can start long-acting drugs that can be used once a day, and adjust your medication hours according to iftar and sahur. However, it should be noted that the treatment is individual and depending on your clinical situation, your doctor may not allow you to fast in order not to put you at risk.

How should it be fed?

Avoid caffeinated beverages, fatty foods, heavily processed foods, and high-glycemic carbohydrates (for example, refined flour or sugar, white bread, white rice).

Use monounsaturated oils such as olive or canola oil when cooking.

Make sure to have sahur and iftar with a well-balanced menu every day. Choose complex carbohydrates that release energy more slowly during your fast (for example, barley, wheat, oats, millet, semolina, beans, lentils). This balances the insulin level and the feeling of hunger.

Drink plenty of water during non-fasting hours, especially in hot weather.

Increase fiber-rich foods for slow digestion. For example, bran, whole grain cereals, whole grain bread, cereals, fruits…

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