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Holy month ramadan is auspicious for worldwide muslims and most of them starts fasting early in the morning up to the sunset in the evening during this entire month.
Heart disease patients tend to fast during ramadan but they have many questions:
1. Cardiac patients can fast?
The holy Quran exempts sick people from fasting. Fasting is allowed only for stable heart disease patient and it's strictly the discretion of the treating cardiologist.
Common types of cardiac conditions as follows:
A. Patients who had heart attack or recent stenting or open heart surgery
Many studies comparing ramadan with other months in cardiac patients shows there is no significant differences in the incidence of heart attack or typical cardiac chest pain during ramadan. Patients with recent acute heart attack, heart attack equivalent chest pain with high cardiac enzymes, recent stenting, recent open heart surgery should strictly avoid fasting.
B. Patients with low pumping of heart i. E, reduced ejection fraction
Low pumping of the heart is one of the common cause of frequent hospitalisations among cardiac patients. Many studies done in the middle east shows there was no significant difference in the number of hospitalizations for patients with low heart pumping during ramadan. Its almost similar to other months without fasting. But in this category certain groups of patients cannot fast especially patients with difficulty in breathing, associated swelling of legs, associated cough and sudden increase in weight.
C. Patients with high blood pressure.
Most of the high blood pressure patients on controlled medications can fast during ramadan as it will not affect the blood pressure readings and it was proved in many studies. Certain group of patients with resistant blood pressure who requires multiple drugs for controlling should consult treating doctors before ramadan for appropriate dose adjustments. If dose adjustment is not possible then for such patients it is advisable to abstain from fasting to avoid cardiac and other complications.
2. How to take their cardiac drugs during this month?
Stomach ulcer and related complications are common during ramadan. Hence drugs which can cause gastric irritation (like aspirin) should be taken as per the advice of treating doctor. Before ramadan you should consult your doctor and make sure regarding the dose and timing. Medications like water pill (lasix)to be avoided during fasting.
3. Lifestyle during ramadan
Avoid over eating while breaking the fast
Avoid exercise after a large meal
4. Can cardiac patients do hajj pilgrimage?
Cardiac patients who is certified as stable and fit by the treating cardiologist can go for hajj
Full medical workup is mandatory before hajj.
Patients with recent acute heart attack, heart attack equivalent chest pain with high cardiac enzymes, recent stenting, recent open heart surgery are unfit for hajj.
Take home messages-:
A. Consult your doctor before ramadan regarding your health condition and dose adjustments if required.
B. Comply to medication
C. High risk patients should avoid fasting
D. Unfit cardiac patients should not try hajj pilgrimage.
My moter has one stunt in heart from 16may this year what are the precatutions should she fallow please reply.
My father have brain stroke and he was hospitalized for 3month and now he came home but his right side of body does not work and also he have chest infection so what treatment best for him.
He has mainly gastric problem. And sometimes he had blood pressure problem what is the solution of this.
My wife is having high bp problem and she is taking muktavati from 5 months but now sometimes her bp goes down even without taking medicine, what should we do? she should continue with same medicine or she can take any other medicine.
I am a 16 year old boy I have blood pressure of 150/100 it is more for me or not how can I control it.
I am unable to breath normally. I am facing difficulty in breath for last 1 week. Is this any disease or what is it. Why I can not I breath properly. I do not have cough. Cold. Fever. Acidity. But why is this happening?
I am 67 years old man I have a high blood pressure problem my doctor suggest me T Let H and Aten 40 mg tablets to take while taking these tablets I feel more weakness. Suggest me.
cholesterol total-179 triglyceride-391 hdl-70 ldl-111 vldl-78.2 hdl ratio-2.6 ldl ratio-1.5 vit b12-139.30 vit d-23.60 plzz advice what medication I hv to take.
Hi Docs, My elder brother (41 yrs) is struggling with heart problem and his kidneys are affected. When checked up with docs thy said that his heart is functioning only 25% at the same time he is fighting with jaundice which is 5 as per report. Kidneys are also not helping due to these all weaknesses. Pl advice I am so much worried about my brother. Also JFYKI. He was serious yesterday in the hospital. I hope you experts give us your valued solution. Thank you.
My pulse rate is high and my BP also high normally and my feet are also pain also feel weakness and cholesterol and uric acid problem, my age is 21 why it is so and what SHOULD I DO ? PLEASE ADVICE.
I'm a regular smoker, like to know what kind of medical test has to be done. It's been 15 years I started smoking. Sometimes I have breathing problem & pain between my chest.
Hello doctor, This question is asked for my husband who is 64 years old. He is suffering with high blood sugar. FBS PLASMA 139 mg/dl and PPBS is 193 mg/dl. He is taking insulin Novomix tm 30 penfill morning 20 and night 10. In addition he is taking tab GLYCIPHAGE SR 1 gm daily 1 morning and 1 in the night. Also afternoon Vildagliptin and Metformin HCI tablets Vysov - M 50 mg/500 mg. FYI he had undergone a Heart Bypass surgery during January 2014. Awaiting your valuable advice. Kindly revert to us at your earliest. Thanks in advance.
The blood normally exerts some pressure as it passes through the blood vessels. However, due to various reasons, mainly narrowing of the blood vessels, the pressure exerted could be higher, which is known as hypertension.
In the Unani system, early reference to high blood pressure appears as Imtila, though it is today popularly known as Zaghtuddam Qawi. Imtila talks about symptoms including a headache, bulging eyes, epistaxis (bleeding nose), heavy headedness, and headache.
Types: Unani system believes in two ways that can increase blood pressure and therefore two types
- Increased amount of blood in the vessels, which is caused a hot, moist temperament or the sanguineous type.
- Dryness of the vessels (caused by narrowing) increases blood pressure, leading to the dry, cold melancholic type.
Causes: Unani believes high blood pressure as a result of the following sequence of events.
- Weakening of the arteries
- Increased food consumption, which produces more blood
- Weak arteries which are not able to accommodate the increased amounts of blood
- This is a vicious cycle where the arteries are further damaged, leading to further sluggish flow, further increasing pressure.
Complications: High blood pressure is not an isolated health condition. It leads to multiple complications like
- Chronic heart disease
- Angina pectoris (heart attacks)
- Stroke and paralysis
- Higher levels of cholesterol
- Predisposition to diabetes
Management: Managing high blood pressure is a combination of treatment and prevention. There are multiple Unani herbs, which are used in multiple formulations which help by
- Relaxing the muscles of the heart
- Improves blood flow
- Eases the blood flow through the arteries
These can be taken regularly along with restrictions on diet and lifestyle which can help in improving blood pressure. These changes would include:
- Increased consumption of potassium-rich foods as it will counter the effect of sodium which causes higher blood pressure readings
- Avoid adding extra salt and reduce eating the salted, fried foods. Especially, if you have a family history, it is time to reduce salt intake at an early stage. This helps prolong the onset of high blood pressure
- Herbs like garlic, pepper, ginger, and lemon are helpful in controlling blood pressure
- Herbal teas including hibiscus and green tea are proven to help control blood pressure as opposed to a cup of coffee
- Dark chocolate with more than 70 per cent of cocoa is beneficial for the heart
- Needless to say, regular exercise including brisk walking which can improve heart’s health
- Deep breathing which improves oxygen consumption across arteries
- Reduce consumption of alcohol
- Quit or cut down on smoking