Studies on the safety of Ramadan fasting in patients with cardiac disease are sparse, observational, of small sample size and have short follow-up. Using expert consensus and a recognised framework, we risk stratified patients into 'low or moderate risk', for example, stable angina or non-severe heart failure; 'high risk', for example, poorly Using expert consensus and a recognised framework, we risk stratified patients into ‘low or moderate risk’, for example, stable angina or non-severe heart failure; ‘high risk’, for example, poorly controlled arrhythmias or recent myocardial infarction; and ‘very high risk’, for example, advanced heart failure. Studies on the safety of Ramadan fasting in patients with cardiac disease are sparse, observational, of small sample size and have short follow-up. We reviewed the literature to help healthcare professionals educate, discuss and manage patients with cardiovascular conditions, who are considering fasting. Studies on the safety of Ramadan fasting in patients with cardiac disease are sparse, observational, of small sample size and have short follow- up. Patients with high risk are advised not to fast during Ramadan. Patients with low risk can fast during Ramadan but their eligibility for fasting should be assessed individually. Pre-Ramadan clinical assessment is an essential component of management of patients with CVD. Patients with the acute coronary syndrome, advanced heart failure, recent percutaneous coronary intervention (PCI), or cardiac surgery should avoid fasting, as Islam exempts Muslims from fasting if they are unwell. Cardiology and Angiology: An International Using practical guidelines of the European Society of Cardiology (ESC), we categorized patients into low-, moderate-, and high-risk categories and proposed a pre-Ramadan checklist for the Recommendations for Ramadan fasting to patients with cardiovascular diseases; Turkish Society of Cardiology consensus report Anatol J Cardiol . 2021 May;25(5):284-293. doi: 10.5152/AnatolJCardiol.2021.206. Using expert consensus and a recognised framework, we risk stratified patients into low or moderate risk', for example, stable angina or non-severe heart failure; high risk', for example, poorly controlled arrhythmias or recent myocardial infarction; and very high risk', for example, advanced heart failure. Chamsi-Pasha and Ahmed recruited 86 outpatients with different kinds of heart disease (46 patients [53%] with CAD) and reported that 74 patients (86%) succeeded in fasting for the whole duration of Ramadan, while 9 (10.4%) missed the fasting for up to seven days and 3 (3.5%) could not fast at all. management of patients with cardiovascular disease who wish to undertake Ramadan fasting, we under - took a narrative review of the existing literature to underpin guidance for HCPs managing patients with cardiovascular conditions desiring to fast in Ramadan. Our work builds on a limited survey of the literature with brief recommendations by the management of patients with cardiovascular disease who wish to undertake Ramadan fasting, we under - took a narrative review of the existing literature to underpin guidance for HCPs managing patients with cardiovascular conditions desiring to fast in Ramadan. Our work builds on a limited survey of the literature with brief recommendations by the While recommendations on ‘safe’ fasting exist for patients with some chronic conditions, such as diabetes mellitus, guidance for patients with cardiovascular disease is lacking. NasrAllah et al. observed adverse cardiovascular events in six patients (11.5%) in the fasting cohort during the month of Ramadan compared with only one patient (1.9%) in the control group (p = 0.036) and were associated with an increase in serum creatinine after one week of fasting and the presence of pre-existing cardiovascular disease . This study aims to investigate the association between fasting during Ramadan and the prevalence and risk of having coronary artery disease (CAD) in patients who underwent coronary catheterization. METHODS: Retrospectively, we recruited all adult patients who were admitted to King Abdullah University Hospital, Jordan, and underwent coronary 7. Patients with hypertension, coronary artery disease, or recent acute coronary syndrome should have their blood pressure, kidney function, and medications reviewed by healthcare providers before Ramadan fasting. 8. Patients with well-controlled blood pressure and who are compliant with medications are considered low-moderate risk for fasting. 9. Ramadan fasting: recommendations for patients with cardiovascular disease Abid Mohammed Akhtar , 1 Nazim Ghouri, 2,3 C. Anwar A Chahal, 1,4,5 Riyaz Patel, 1,6 guidance for patients with cardiovascular disease is lacking. We reviewed the literature to help healthcare professionals educate, discuss and manage patients with cardiovascular conditions, who are considering fasting. Studies on the safety of Ramadan fasting in patients with cardiac disease are sparse, observational, of small sample While recommendations on 'safe' fasting exist for patients with some chronic conditions, such as diabetes mellitus, guidance for patients with cardiovascular disease is lacking. We reviewed the literature to help healthcare professionals educate, discuss and manage patients with cardiovascular conditions, who are considering fasting. Europe PMC is an archive of life sciences journal literature.
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