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Research ArticleOriginal Article
Open Access

Impact of fasting in Ramadan in patients with cardiac disease

Jassim Al Suwaidi, Mohammad Zubaid, Wael A. Al-Mahmeed, Ibrahim Al-Rashdan, Haitham Amin, Abdulbari Bener, Hadi R. Hadi, Ashraf Helmy, Mohammed Hanifah and Hajar A. Al-Binali
Saudi Medical Journal October 2005, 26 (10) 1579-1583;
Jassim Al Suwaidi
Department of Cardiology and Cardiovascular Surgery, Hamad Medical Corporation and Hamad General Hospital, PO Box 3050, Doha, State of Qatar. Tel. +974 4392483. Fax. +974 4392454. E-mail: [email protected]
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  • For correspondence: [email protected]
Mohammad Zubaid
Department of Cardiology, Mubarak Al-Kabeer Hospital, Kuwait.
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Wael A. Al-Mahmeed
Department of Cardiology, Al-Jazeira Hospital, Abu Dhabi, United Arab Emirates
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Ibrahim Al-Rashdan
Department of Cardiology, Mubarak Al-Kabeer Hospital, Kuwait.
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Haitham Amin
Department of Cardiology, Mohammed Bin Khalifa Bin Salman Al-Khalifa Cardiac Center, Manama, Kingdom of Bahrain.
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Abdulbari Bener
Department of Cardiology and Cardiovascular Surgery, Hamad General Hospital and Hamad Medical Corporation, Doha, State of Qatar
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Hadi R. Hadi
Department of Cardiology and Cardiovascular Surgery, Hamad General Hospital and Hamad Medical Corporation, Doha, State of Qatar
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Ashraf Helmy
Department of Cardiology and Cardiovascular Surgery, Hamad General Hospital and Hamad Medical Corporation, Doha, State of Qatar
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Mohammed Hanifah
Department of Cardiology and Cardiovascular Surgery, Hamad General Hospital and Hamad Medical Corporation, Doha, State of Qatar
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Hajar A. Al-Binali
Department of Cardiology and Cardiovascular Surgery, Hamad General Hospital and Hamad Medical Corporation, Doha, State of Qatar.
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Abstract

OBJECTIVE: 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.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 26 (10)
Saudi Medical Journal
Vol. 26, Issue 10
1 Oct 2005
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Impact of fasting in Ramadan in patients with cardiac disease
Jassim Al Suwaidi, Mohammad Zubaid, Wael A. Al-Mahmeed, Ibrahim Al-Rashdan, Haitham Amin, Abdulbari Bener, Hadi R. Hadi, Ashraf Helmy, Mohammed Hanifah, Hajar A. Al-Binali
Saudi Medical Journal Oct 2005, 26 (10) 1579-1583;

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Impact of fasting in Ramadan in patients with cardiac disease
Jassim Al Suwaidi, Mohammad Zubaid, Wael A. Al-Mahmeed, Ibrahim Al-Rashdan, Haitham Amin, Abdulbari Bener, Hadi R. Hadi, Ashraf Helmy, Mohammed Hanifah, Hajar A. Al-Binali
Saudi Medical Journal Oct 2005, 26 (10) 1579-1583;
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© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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