Association between Ramadan Fasting and cerebrovascular diseases

AlShimmery, Ihsan K.; Yazdeen, Abdullah Faky; Hummadi, Mutaz Fadhil; Jarjees, Srood N; Al-Tawil, Namir G.

doi:10.15218/zjms.2017.043

Cited by 6 publications

(4 citation statements)

References 5 publications

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“…Conversely, others found the opposite, with Ramadan fasting being associated with a significantly higher risk of stroke. Yazdeen et al found, in a cohort that were primarily middle aged, that there was evidence showing that fasting was associated with a higher risk towards stroke (p = 0.03) [109].…”

Section: Fasting During Ramadan and Strokementioning

confidence: 98%

Diabetes and Ramadan: Practical guidelines 2021

Hassanein

Afandi

Ahmedani

et al. 2022

Diabetes Research and Clinical Practice

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Section: Fasting During Ramadan and Strokementioning

confidence: 98%

Diabetes and Ramadan: Practical guidelines 2021

Hassanein

Afandi

Ahmedani

et al. 2022

Diabetes Research and Clinical Practice

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“…The study showed a significant association between fasting Ramadan and stroke as an independent risk factor for stroke, and specifically ischemic stroke [14]. Atrial fibrillation is a type of irregular heartbeat.…”

Section: Discussionmentioning

confidence: 82%

The Effect of Ramadan Fasting on Oral Anticoagulant: Experience of Tertiary Academic Hospital

AlAyoubi¹

2021

ARR

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Introduction: Direct oral anticoagulants (DOACs) have been approved for stroke prevention in non-valvular atrial fibrillation (AF). The outcomes achieved by clinical trials depend on pharmacokinetics and pharmacodynamics of these drugs which are used orally in regular doses once or twice daily. During our routine practice we face an obligatory choice to prescribe NOAC twice daily during the month of Ramadan. Twice daily dose drugs in our practice as well as with Muslim patients everywhere in the world during the holy month of Ramadan.Objective: to evaluate the effectiveness and safety of NOACs either once daily or twice daily used during the month of Ramadan for stroke prevention in Non-Valvular atrial fibrillation.Methods: An observational study in tertiary university hospital at Saudi Arabia for 114 patient's non-valvular atrial fibrillation on NOACs during the month of Ramadan 1441 H/ 2019 with laboratory follow ups before Ramadan and one month after for each patient who completed at least 15 days fasting during this Holy month of Ramadan 1441 H/ 2019.Results: 114 patients, 40 were on Rivaroxaban and 74 on Dabigatran, the baseline characteristic are similar except the history of myocardial infarction 28%, and Heart failure 58% in the Rivaroxaban arm which was higher than the Dabigatran arm 9%, & 12%. Regarding the concomitant medications used Aspirin in Rivaroxaban arm 33%, Dabigatran arm 11%, NSAID only Dabigatran arm 8%, %, no significant deferent in the stroke and bleeding events between two arms. Conclusion:The data shows that the Direct oral anticoagulant are effective and safe to be used in Ramadan for non-valvular atrial fibrillation regardless the frequency of anticoagulant , further studies are needed to support these findings in non-valvular atrial fibrillation and other indications.

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“…Comouglu et al reported an increase in stroke incidence among PwDM fasting during Ramadan but a decrease in the risk of hemorrhagic stroke among HTN patients; they attributed this to an increase in hyperglycemia [ 128 ]. In another study involving 22 PwDM among 60 patients, researchers noted Ramadan fasting as an independent risk factor for ischemic stroke, which they attributed to the hot weather and long fasting hours [ 129 ]. In contrast, there was no statistically significant increase in the number of ischemic strokes among T2D individuals who fasted during Ramadan [ 130 ].…”

Section: Methodsmentioning

confidence: 99%

Risk Stratification in People with Diabetes for Fasting During Ramadan: Consensus from Arabic Association for the Study of Diabetes and Metabolism

Shaltout,

Abdelwahab,

El Meligi

et al. 2024

CDR

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Background: Current international guidelines recommend a pre-Ramadan risk assessment for people with diabetes (PwDM) who plan on fasting during the Holy month. However, a comprehensive risk assessment-based recommendation for the management of PwDM intending to fast is still controversial. Therefore, the Arabic Association for the Study of Diabetes and Metabolism (AASD) developed this consensus to provide further insights into risk stratification in PwDM intending to fast during Ramadan. Methods: The present consensus was based on the three-step modified Delphi method. The modified Delphi method is based on a series of voting rounds and in-between meetings of the expert panel to reach agreements on the statements that did not reach the consensus level during voting. The panel group comprised professors and consultants in endocrinology (both adult and pediatric). Other members included experts in the fields of cardiovascular medicine, nephrology, ophthalmology, and vascular surgery, affiliated with academic institutions in Egypt. Result: In PwDM who intend to fast during Ramadan, risk stratification is crucial to optimize patient outcomes and prevent serious complications. The present consensus provides risk assessment of those living with diabetes according to several factors, including the type of diabetes, presence, and severity of complications, number of fasting hours, and other socioeconomic factors. According to their risk factors, patients were classified into four categories (very high, high, moderate, and low risk). Conclusion: Future research is warranted due to the controversial literature regarding the impact of fasting on certain comorbidities.

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Association between Ramadan Fasting and cerebrovascular diseases

Cited by 6 publications

References 5 publications

Diabetes and Ramadan: Practical guidelines 2021

Diabetes and Ramadan: Practical guidelines 2021

The Effect of Ramadan Fasting on Oral Anticoagulant: Experience of Tertiary Academic Hospital

Risk Stratification in People with Diabetes for Fasting During Ramadan: Consensus from Arabic Association for the Study of Diabetes and Metabolism

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