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心血管疾病患者在斋月期间的管理。

Management of patients with cardiovascular diseases during Ramadan.

出版信息

Tunis Med. 2022;100(5):358-373.

Abstract

During the month of Ramadan, over one 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?

摘要

在斋月期间,超过 10 亿穆斯林从日出到日落禁食水。这种宗教义务的实践导致饮食习惯和睡眠习惯发生明显变化。随着心血管(CV)危险因素发病率的增加,全球希望斋戒的 CV 病理患者数量正在增加,突尼斯也被列为 CV 风险较高的国家。尽管斋戒已被证明对改善某些代谢参数有益,但在 CV 病理患者中进行斋戒的做法仍存在争议。突尼斯心脏病学会和心血管外科学会(STCCCV)与国家评估和认证健康机构(INEAS)协商后,在分析了相关文献后,以共识的形式制定了这份文件,旨在回答以下问题:

  • 斋戒对 CV 病理患者有何影响?

  • 如何根据 CV 病理和合并症对斋戒风险进行分层?

  • 如何为 CV 疾病患者计划斋戒?

  • 在 CV 病理患者斋戒期间应推荐哪些卫生和饮食措施?

  • 如何在 CV 疾病患者的斋月期间管理药物?

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本文引用的文献

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[Maladies cardiaques et Ramadan : revue de la littérature].[心脏疾病与斋月:文献综述]
Ann Cardiol Angeiol (Paris). 2022 Jun;71(3):166-172. doi: 10.1016/j.ancard.2021.09.011. Epub 2022 Jan 14.
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May Measurement Month 2019: an analysis of blood pressure screening results from Tunisia.2019年5月测量月:突尼斯血压筛查结果分析
Eur Heart J Suppl. 2021 May 20;23(Suppl B):B144-B146. doi: 10.1093/eurheartj/suab032. eCollection 2021 May.
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Ramadan fasting: recommendations for patients with cardiovascular disease.斋月禁食:心血管疾病患者的建议。
Heart. 2022 Feb;108(4):258-265. doi: 10.1136/heartjnl-2021-319273. Epub 2021 May 14.
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Use of SGLT2 inhibitors during Ramadan: An expert panel statement.《斋月期间使用 SGLT2 抑制剂:专家小组声明》。
Diabetes Res Clin Pract. 2020 Nov;169:108465. doi: 10.1016/j.diabres.2020.108465. Epub 2020 Sep 22.

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