Management of patients with cardiovascular diseases during Ramadan

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Published May 3, 2022
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Vol. 100 No. 5 (2022): Issue Mai 2022

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Lilia Zakhama
rania hammami
Khadija Mzoughi
Manel Ben Halima
Saoussen Antit
Fatma Chaker
Lilia Ben Fatma
Henda Jamoussi
Rym Gribaa
Selma Charfeddine
Meriem Drissa
Amine Tarmiz
Karima Taamallah
Sami Milouchi
Samir Nouira
Elyes Neffati
Wejdene Ouechtati
Sana Ouali
Afef Ben Halima
Faten Turki
Habib Skhiri
Chiraz Amrouch
Ines Slim
Khaled Zghal
Alia Koubaa
Mounir Karoui
Mohamed Boussarsar
Mohamed Hechmi Besbes
Khouloud Ben Jeddou
Hella Ouertatani
Mohamed Ben Hamouda
Asma Ben Brahem
Chokri Hamouda
Leila Bezdah
Fatma Said
Rim Lakhdhar

Abstract

During the month of Ramadan, over 1 billion Muslims observe a water and food fast from sunrise to sunset. The practice of this religious
duty causes marked changes in eating and sleeping habits. With the increasing incidence of cardiovascular (CV) risk factors, the number of
patients with CV pathologies who wish to fast is increasing worldwide, and in Tunisia, which is ranked as a high CV risk country. If fasting has
been shown to be beneficial for the improvement of some metabolic parameters, its practice in patients with CV pathology remains debated.
The Tunisian Society of Cardiology and Cardiovascular Surgery (STCCCV) in consultation with the National Instance of Evaluation and Accreditation in
Health (INEAS) has established this document in the form of a consensus after having analysed the literature with the aim of addressing these questions:


  • What is the impact of fasting in patients with CV pathologies?

  • How to stratify the risk of fasting according to CV pathology and comorbidities?

  • How to plan fasting in patients with CV diseases?

  • What are the hygienic and dietary measures to be recommended during fasting in patients with CV pathologies?

  • How to manage medication during the month of Ramadan in patients with CV diseases?


Keywords:

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