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The cardiac patient in Ramadan
Majed Chamsi-Pasha1, Hassan Chamsi-Pasha2
1Department of Medicine, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia.
Ramadan fasting is generally safe for patients with stable cardiac conditions, with minimal impact on acute cardiac events. Medication regimens can often be managed without changes during the fasting month.
Area of Science:
- Cardiology
- Islamic Studies
- Public Health
Background:
- Ramadan fasting is a core Islamic practice observed by over 1.6 billion Muslims globally.
- Fasting involves abstaining from food and drink from dawn to sunset.
- Religious exemptions exist for individuals with chronic illnesses, particularly if fasting exacerbates their condition.
Purpose of the Study:
- To review the impact of Ramadan fasting on patients with stable cardiac disease.
- To assess the safety and feasibility of fasting for this patient group.
- To provide guidance on medication management during Ramadan.
Main Methods:
- Systematic review of existing literature.
- Analysis of studies focusing on cardiovascular health during Ramadan.
- Evaluation of patient outcomes and adverse event rates.
Main Results:
- Ramadan fasting has minimal impact on patients with stable cardiac disease.
- No significant increase in acute cardiac events was observed in this population.
- Medication adjustments are often unnecessary, with regimens being manageable.
- Fasting may offer cardiovascular benefits by improving risk factors.
Conclusions:
- Most patients with stable cardiac disease can safely observe Ramadan fasts.
- Individuals with unstable or severe cardiac conditions should avoid fasting.
- Ramadan fasting can be a healthy, non-pharmacological approach to cardiovascular risk reduction for eligible individuals.
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