Alam Shafiq, Hussain Shoukat, Abbas Jawad, Raza Muhammad Hassan, Rasool Waqar Arif, K Alsubai Abdulla, Al-Mousawi Razan, Aldhaheri Khaled Saeed Obaid, Malik Jahanzeb, Almas Talal
Department of Cardiology, Mardan Medical Complex, Mardan, Pakistan.
Department of Medicine, Abbas Institute of Medical Sciences, Muzzafrabad, Pakistan.
Ann Med Surg (Lond). 2022 Aug 18;81:104373. doi: 10.1016/j.amsu.2022.104373. eCollection 2022 Sep.
Fasting is a part of many world religions and in Islam fasting is obligatory for every adult Muslim during the month of Ramadan. Islam has exempted sick people from fasting; however, many people still partake in this activity. We investigated how Islamic fasting affects patients with heart failure with preserved ejection fraction (HFpEF). We enrolled 938 patients (fasting n = 456; non-fasting = 482) in this prospective observational study. The fasting group showed a decrease in NYHA functional class III (23.36% vs. 17.77%; p-value < 0.05) and IV (3.76% vs. 2.19%; p-value < 0.05), and an increase in class I(35.57% vs. 43.64%; p-value < 0.05). symptoms. This is an important area for physicians to advise patients with HFpEF to fast in the month of Ramadan as it can have a favorable effect on their symptoms and quality of life.
禁食是许多世界宗教的一部分，在伊斯兰教中，成年穆斯林在斋月期间必须禁食。伊斯兰教允许病人免予禁食；然而，许多人仍然参与这项活动。我们研究了伊斯兰教禁食如何影响射血分数保留的心力衰竭（HFpEF）患者。在这项前瞻性观察研究中，我们招募了938名患者（禁食组n = 456；非禁食组 = 482）。禁食组纽约心脏协会（NYHA）功能分级III级（23.36%对17.77%；p值<0.05）和IV级（3.76%对2.19%；p值<0.05）的比例下降，I级（35.57%对43.64%；p值<0.05）的比例上升。症状方面。这是一个重要领域，医生应建议HFpEF患者在斋月期间禁食，因为这可能对他们的症状和生活质量产生有利影响。
