斋月禁食对心脏病患者的影响。

Impact of fasting in Ramadan in patients with cardiac disease.

作者信息

Al Suwaidi Jassim, Zubaid Mohammad, Al-Mahmeed Wael A, Al-Rashdan Ibrahim, Amin Haitham, Bener Abdulbari, Hadi Hadi R, Helmy Ashraf, Hanifah Mohammed, Al-Binali Hajar A

机构信息

Department of Cardiology and Cardiovascular Surgery, Hamad General Hospital and Hamad Medical Corporation, Doha, State of Qatar.

出版信息

Saudi Med J. 2005 Oct;26(10):1579-83.

PMID:16228059

Abstract

OBJECTIVES

To investigate whether Ramadan fasting has any effect on patients with heart disease.

METHODS

We prospectively studied 465 outpatients with heart disease who were fasting during the month of Ramadan from October 24 to November 24, 2003. These studied subjects were from various medical centers in the Gulf region; State of Qatar, Kuwait, United Arab Emirates, and Bahrain. We performed detailed clinical assessments one month before Ramadan, during Ramadan and one month after Ramadan and analyzed predictors of outcome.

RESULTS

Overall, the mean age was 55.9+/-11.3 years (age range 32-72). Of the 465 patients treated, 363 (78.1%) were males and 102 (21.9%) females. Among them, 119 (25.6%) patients had congestive heart failure, 288 (62%) patients with angina, 22 (4.7%) patients with atrial fibrillation and 11 (2.4%) patients with prosthetic metallic valves. Three hundred and seventy (79%) had prior myocardial infarction (MI), 195 (17.2%) had prior coronary artery bypass surgery (CABG), and 177 (38%) had prior percutaneous coronary interventions (PCI). At the time of follow-up, we found that 91.2% could fast and only 6.7% felt worse while fasting in Ramadan. Of the studied subjects, 82.8% were compliant with cardiac medications and 68.8% were compliant with dietary instructions. We hospitalized 19 patients during Ramadan for cardiac reasons (unstable angina, worsening heart failure, MI, uncontrolled hypertension, subtherapeutic anticoagulation or arrhythmias)

CONCLUSION

The effects of fasting during Ramadan on stable patients with cardiac disease are minimal. Most patients with stable cardiac disease can fast.

摘要

目的

探讨斋月禁食对心脏病患者是否有任何影响。

方法

我们对2003年10月24日至11月24日斋月期间禁食的465例心脏病门诊患者进行了前瞻性研究。这些研究对象来自海湾地区的各个医疗中心；卡塔尔国、科威特、阿拉伯联合酋长国和巴林。我们在斋月前一个月、斋月期间和斋月后一个月进行了详细的临床评估，并分析了预后的预测因素。

结果

总体而言，平均年龄为55.9±11.3岁（年龄范围32 - 72岁）。在接受治疗的465例患者中，363例（78.1%）为男性，102例（21.9%）为女性。其中，119例（25.6%）患者患有充血性心力衰竭，288例（62%）患者患有心绞痛，22例（4.7%）患者患有心房颤动，11例（2.4%）患者有人工金属瓣膜。370例（79%）有既往心肌梗死（MI），195例（17.2%）有既往冠状动脉搭桥手术（CABG），177例（38%）有既往经皮冠状动脉介入治疗（PCI）。在随访时，我们发现91.2%的患者能够禁食，只有6.7%的患者在斋月禁食期间感觉更糟。在研究对象中，82.8%的患者遵医嘱服用心脏药物，68.8%的患者遵守饮食指导。我们在斋月期间因心脏原因（不稳定型心绞痛、心力衰竭加重、MI、未控制的高血压、抗凝治疗不足或心律失常）收治了19例患者。