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Ramadan fasting: recommendations for patients with cardiovascular disease
Abid Mohammed Akhtar1, Nazim Ghouri2,3, C Anwar A Chahal4,5,6
1Department of Cardiology, Barts Heart Centre, Barts Health NHS Trust, London, UK m.khanji@qmul.ac.uk mohammed.akhtar@nhs.net.
Ramadan fasting guidance for cardiovascular patients is limited. This review risk-stratifies patients, advising low-moderate risk individuals may fast, while high-risk patients should avoid it.
Area of Science:
- Cardiology
- Islamic Studies
- Public Health
Background:
- Ramadan fasting involves abstaining from food and drink from dawn to sunset for one month.
- Guidance for cardiovascular disease (CVD) patients observing Ramadan is lacking.
- Existing studies on Ramadan fasting in cardiac patients are limited.
Purpose of the Study:
- To review the literature on Ramadan fasting safety in cardiovascular patients.
- To provide healthcare professionals with a framework for managing these patients.
- To risk-stratify patients based on their cardiovascular condition.
Main Methods:
- Literature review on Ramadan fasting and cardiovascular disease.
- Expert consensus and a risk stratification framework.
- Categorization into 'low or moderate risk', 'high risk', and 'very high risk' groups.
Main Results:
- Low-moderate risk patients (e.g., stable angina) may fast if clinically stable and medications permit.
- High-risk (e.g., arrhythmias) and very high-risk patients (e.g., advanced heart failure) should not fast.
- Patients should receive pre-Ramadan education and post-Ramadan follow-up.
Conclusions:
- Risk stratification is crucial for managing cardiovascular patients during Ramadan.
- Low-moderate risk patients can potentially fast with precautions.
- High-risk patients require alternative fasting methods or should avoid fasting.
- Further research is needed to refine recommendations.
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