Ramadan Fast in Patients With Coronary Artery Disease

Mousavi, Mehdi; Mirkarimi, Sadaf Sadat; Rahmani, Gita; Hosseinzadeh, Elinaz; Salahi, Navid

doi:10.5812/ircmj.7887

Cited by 15 publications

(14 citation statements)

References 23 publications

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“…More recently, Mousavi et al . [ 6 ] prospectively studied 148 patients with documented CAD and normal ejection fraction. They found that patients with CAD were able to observe Ramadan fast safely, and their symptoms were not significantly different from that of the nonfasting ones.…”

Section: Stable Cardiac Diseasementioning

confidence: 99%

The cardiac patient in Ramadan

Chamsi-Pasha

Chamsi‐Pasha

2016

Avicenna J Med

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Ramadan is one of the five fundamental pillars of Islam. During this month, the majority of the 1.6 billion Muslims worldwide observe an absolute fast from dawn to sunset without any drink or food. Our review shows that the impact of fasting during Ramadan on patients with stable cardiac disease is minimal and does not lead to any increase in acute events. Most patients with the stable cardiac disease can fast safely. Most of the drug doses and their regimen are easily manageable during this month and may need not to be changed. Ramadan fasting is a healthy nonpharmacological means for improving cardiovascular risk factors. Most of the Muslims, who suffer from chronic diseases, insist on fasting Ramadan despite being exempted by religion. The Holy Quran specifically exempts the sick from fasting. This is particularly relevant if fasting worsens one's illness or delays recovery. Patients with unstable angina, recent myocardial infarction, uncontrolled hypertension, decompensated heart failure, recent cardiac intervention or cardiac surgery or any debilitating diseases should avoid fasting.

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Section: Stable Cardiac Diseasementioning

confidence: 99%

The cardiac patient in Ramadan

Chamsi-Pasha

Chamsi‐Pasha

2016

Avicenna J Med

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“…Pekdemir et al identified significant association of the change of dietary and sleeping patterns during the month of Ramadan, with the change in health conditions of patients with cardiovascular diseases [ 14 ]. Contrary to this, Mousavi et al observed no significant change among patients with CAD during and after the month of Ramadan, since the number of patients that were admitted during the given period was like those in normal days [ 13 ]. For Chamsi-Pasha et al individuals exposed to the high-level risks of ACS are advised to exempt fasting to avoid severe illness [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

“…Alshareef observed a significant increase in the prevalence of cardiovascular diseases and ACS among different populations, specifically during and after Ramadan [ 12 ]. Mousav et al provided a detailed analysis regarding the effect of fasting on coronary artery disease (CAD) [ 13 ]. Findings indicated that patients with CAD were able to observe fast, while symptoms of chest pain were like that in normal conditions.…”

Section: Introductionmentioning

confidence: 99%

An observational study of the occurrence of acute coronary syndrome (ACS) among jordanian patients: Identifying the influence of Ramadan Fasting

Raffee

Alawneh

Suleiman

et al. 2020

Annals of Medicine and Surgery

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Introduction Patients with Acute Coronary Syndrome (ACS) tend to face several health issues during the Holy month of Ramadan, due to the change in dietary patterns. This study aims to investigate the influence of fasting during Ramadan on the occurrence of ACS. Methods The study followed a retrospective observational design, and was conducted in King Abdullah University Hospital (KAUH) of Jordan, during the period of June 06, 2016 to Aug 08, 2016 and May 27, 2017 to July 27, 2017. Data was collected from a sample of 226 male and female patients, aged between 20 and 80 years with major diagnosis of acute coronary syndrome. Therefore, this is a case series of ACS patients. Results Findings of the study indicated that, Ramadan fasting is insignificantly related to the occurrence of ACS, since no significant difference was found in the incidence of hypertension (65%), diabetes (51.7%), unstable angina (56.6%) and coronary artery disease (CAD) (57.6%) findings during and after Ramadan respectively. Similar, findings were attained for patients' final diagnosis which had normal Kidney Function Test (KFT) (72.5%), platelets (91.5%), and Ejection Fraction (EF) (64.6%). Also, no significant difference was found between patients’ smoking status (61.0%), hospital stay (89.8%) and discharge rate (96.9%). Conclusion The study concluded that there is an insignificant association of Ramadan fasting on the cardiac patients and occurrence of acute coronary syndrome.

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“…The metabolic and clinical effects of RF have been previously studied systematically [1]. Most of the studies suggested that RF is safe in stable patients with Coronary Artery Disease (CAD) [2,3].…”

Section: Introductionmentioning

confidence: 99%

The safety of Ramadan Fasting following Percutaneous Coronary Intervention

Amin

Alaarag

2020

BMC Cardiovasc Disord

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Background This work aimed to assess the safety of Ramadan Fasting following the Percutaneous Coronary Intervention. Methods In our two centers’ Prospective Cohort Study, We included 303 patients who had successful Percutaneous Coronary Intervention before the first day of Ramadan. We advised the patients that recent Percutaneous Coronary Intervention could be a valid excuse for not fulfilling Ramadan Fasting. However, many patients intended to fast the following Ramadan, and we included them in the fasting Group I. We added the patients who decided not to fast the following Ramadan as a control Group II. We followed all the patients during Ramadan and for 6 months after Ramadan. Results The demographic data of both groups and the complexity of the coronary anatomy showed no statistically significant difference. Group I (n = 153) showed a statistically significant difference in the incidence of Major Adverse Cardiac Events compared to Group II with a P value (0.005). The logistic multivariate regression analysis showed that the duration from index PCI till the start of RF, SYNTAX score > 22, and Complex procedure were independent predictors of Major Adverse Cardiac Events in the fasting Group I with {P = 0.001, OR (2.302), P = 0.026, OR (2.419), and P = 0.032 OR (1.952)}, respectively. Major Adverse Cardiac Events in Group I occurred mainly during Ramadan Fasting, with 19 patients having Major Adverse Cardiac Events during Ramadan and four patients during the remaining of the follow-up period. The Receiver Operating Characteristic curve analysis showed the decline of the incidence of Major Adverse Cardiac Events after 90 days from Percutaneous Coronary Intervention till the start of Ramadan Fasting with Sensitivity and specificity (90% and 65%), respectively. Conclusions We suggest that low-risk patients with a normal systolic function who underwent Percutaneous Coronary Intervention may safely fast Ramadan. At the same time, Ramadan Fasting during the first 3 months following the Percutaneous Coronary Intervention may not be safe.

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Ramadan Fast in Patients With Coronary Artery Disease

Cited by 15 publications

References 23 publications

The cardiac patient in Ramadan

The cardiac patient in Ramadan

An observational study of the occurrence of acute coronary syndrome (ACS) among jordanian patients: Identifying the influence of Ramadan Fasting

The safety of Ramadan Fasting following Percutaneous Coronary Intervention

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