Acute heart failure presentations and outcomes during the fasting month of Ramadan: an observational report from seven Middle Eastern countries

Amar M. Salam, Kadhim Sulaiman, Alawi A. Alsheikh-Ali, Rajvir Singh, Nidal Asaad, Awad Al-Qahtani, Imtiaz Salim, Khalid F. AlHabib, Ibrahim Al-Zakwani, Mohammed Al-Jarallah, Wael AlMahmeed, Bassam Bulbanat, Mustafa Ridha, Nooshin Bazargani, Haitham Amin, Ahmed Al-Motarreb, Husam Al Faleh, Hanan Albackr, Prashanth Panduranga, Abdulla ShehabJassim Al Suwaidi

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Fasting during the month of Ramadan is practiced by over 1.5 billion Muslims worldwide. It remains unclear, however, how this change in lifestyle affects heart failure, a condition that has reached epidemic dimensions. This study examined the effects of fasting in patients with acute heart failure (AHF) using data from a large multi-center heart failure registry. Methods and results: Data were derived from Gulf CARE (Gulf aCute heArt failuRe rEgistry), a prospective multi-center study of consecutive patients hospitalized with AHF during February–November 2012. The study included 4,157 patients, of which 306 (7.4%) were hospitalized with AHF in the fasting month of Ramadan, while 3,851 patients (92.6%) were hospitalized in other days. Clinical characteristics, precipitating factors, management, and outcome were compared among the two groups. Patients admitted during Ramadan had significantly lower prevalence of symptoms and signs of volume overload compared to patients hospitalized in other months. Atrial arrhythmias were significantly less frequent and cholesterol levels were significantly lower in Ramadan. Hospitalization in Ramadan was not independently associated with increased immediate or 1-year mortality. Conclusions: The current study represents the largest evaluation of the effects of fasting on AHF. It reports an improved volume status in fasting patients. There were also favorable effects on atrial arrhythmia and total cholesterol and no effects on immediate or long-term outcomes.

Original languageEnglish
Pages (from-to)1-9
Number of pages9
JournalCurrent Medical Research and Opinion
DOIs
Publication statusAccepted/In press - Oct 3 2017

Fingerprint

Fasting
Heart Failure
Registries
Cardiac Arrhythmias
Cholesterol
Precipitating Factors
Islam
Signs and Symptoms
Life Style
Hospitalization
Mortality

Keywords

  • fasting
  • Heart failure
  • middle east
  • morbidity
  • mortality

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Acute heart failure presentations and outcomes during the fasting month of Ramadan : an observational report from seven Middle Eastern countries. / Salam, Amar M.; Sulaiman, Kadhim; Alsheikh-Ali, Alawi A.; Singh, Rajvir; Asaad, Nidal; Al-Qahtani, Awad; Salim, Imtiaz; AlHabib, Khalid F.; Al-Zakwani, Ibrahim; Al-Jarallah, Mohammed; AlMahmeed, Wael; Bulbanat, Bassam; Ridha, Mustafa; Bazargani, Nooshin; Amin, Haitham; Al-Motarreb, Ahmed; Al Faleh, Husam; Albackr, Hanan; Panduranga, Prashanth; Shehab, Abdulla; Al Suwaidi, Jassim.

In: Current Medical Research and Opinion, 03.10.2017, p. 1-9.

Research output: Contribution to journalArticle

Salam, AM, Sulaiman, K, Alsheikh-Ali, AA, Singh, R, Asaad, N, Al-Qahtani, A, Salim, I, AlHabib, KF, Al-Zakwani, I, Al-Jarallah, M, AlMahmeed, W, Bulbanat, B, Ridha, M, Bazargani, N, Amin, H, Al-Motarreb, A, Al Faleh, H, Albackr, H, Panduranga, P, Shehab, A & Al Suwaidi, J 2017, 'Acute heart failure presentations and outcomes during the fasting month of Ramadan: an observational report from seven Middle Eastern countries', Current Medical Research and Opinion, pp. 1-9. https://doi.org/10.1080/03007995.2017.1376629
Salam, Amar M. ; Sulaiman, Kadhim ; Alsheikh-Ali, Alawi A. ; Singh, Rajvir ; Asaad, Nidal ; Al-Qahtani, Awad ; Salim, Imtiaz ; AlHabib, Khalid F. ; Al-Zakwani, Ibrahim ; Al-Jarallah, Mohammed ; AlMahmeed, Wael ; Bulbanat, Bassam ; Ridha, Mustafa ; Bazargani, Nooshin ; Amin, Haitham ; Al-Motarreb, Ahmed ; Al Faleh, Husam ; Albackr, Hanan ; Panduranga, Prashanth ; Shehab, Abdulla ; Al Suwaidi, Jassim. / Acute heart failure presentations and outcomes during the fasting month of Ramadan : an observational report from seven Middle Eastern countries. In: Current Medical Research and Opinion. 2017 ; pp. 1-9.
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abstract = "Background: Fasting during the month of Ramadan is practiced by over 1.5 billion Muslims worldwide. It remains unclear, however, how this change in lifestyle affects heart failure, a condition that has reached epidemic dimensions. This study examined the effects of fasting in patients with acute heart failure (AHF) using data from a large multi-center heart failure registry. Methods and results: Data were derived from Gulf CARE (Gulf aCute heArt failuRe rEgistry), a prospective multi-center study of consecutive patients hospitalized with AHF during February–November 2012. The study included 4,157 patients, of which 306 (7.4{\%}) were hospitalized with AHF in the fasting month of Ramadan, while 3,851 patients (92.6{\%}) were hospitalized in other days. Clinical characteristics, precipitating factors, management, and outcome were compared among the two groups. Patients admitted during Ramadan had significantly lower prevalence of symptoms and signs of volume overload compared to patients hospitalized in other months. Atrial arrhythmias were significantly less frequent and cholesterol levels were significantly lower in Ramadan. Hospitalization in Ramadan was not independently associated with increased immediate or 1-year mortality. Conclusions: The current study represents the largest evaluation of the effects of fasting on AHF. It reports an improved volume status in fasting patients. There were also favorable effects on atrial arrhythmia and total cholesterol and no effects on immediate or long-term outcomes.",
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T1 - Acute heart failure presentations and outcomes during the fasting month of Ramadan

T2 - an observational report from seven Middle Eastern countries

AU - Salam, Amar M.

AU - Sulaiman, Kadhim

AU - Alsheikh-Ali, Alawi A.

AU - Singh, Rajvir

AU - Asaad, Nidal

AU - Al-Qahtani, Awad

AU - Salim, Imtiaz

AU - AlHabib, Khalid F.

AU - Al-Zakwani, Ibrahim

AU - Al-Jarallah, Mohammed

AU - AlMahmeed, Wael

AU - Bulbanat, Bassam

AU - Ridha, Mustafa

AU - Bazargani, Nooshin

AU - Amin, Haitham

AU - Al-Motarreb, Ahmed

AU - Al Faleh, Husam

AU - Albackr, Hanan

AU - Panduranga, Prashanth

AU - Shehab, Abdulla

AU - Al Suwaidi, Jassim

PY - 2017/10/3

Y1 - 2017/10/3

N2 - Background: Fasting during the month of Ramadan is practiced by over 1.5 billion Muslims worldwide. It remains unclear, however, how this change in lifestyle affects heart failure, a condition that has reached epidemic dimensions. This study examined the effects of fasting in patients with acute heart failure (AHF) using data from a large multi-center heart failure registry. Methods and results: Data were derived from Gulf CARE (Gulf aCute heArt failuRe rEgistry), a prospective multi-center study of consecutive patients hospitalized with AHF during February–November 2012. The study included 4,157 patients, of which 306 (7.4%) were hospitalized with AHF in the fasting month of Ramadan, while 3,851 patients (92.6%) were hospitalized in other days. Clinical characteristics, precipitating factors, management, and outcome were compared among the two groups. Patients admitted during Ramadan had significantly lower prevalence of symptoms and signs of volume overload compared to patients hospitalized in other months. Atrial arrhythmias were significantly less frequent and cholesterol levels were significantly lower in Ramadan. Hospitalization in Ramadan was not independently associated with increased immediate or 1-year mortality. Conclusions: The current study represents the largest evaluation of the effects of fasting on AHF. It reports an improved volume status in fasting patients. There were also favorable effects on atrial arrhythmia and total cholesterol and no effects on immediate or long-term outcomes.

AB - Background: Fasting during the month of Ramadan is practiced by over 1.5 billion Muslims worldwide. It remains unclear, however, how this change in lifestyle affects heart failure, a condition that has reached epidemic dimensions. This study examined the effects of fasting in patients with acute heart failure (AHF) using data from a large multi-center heart failure registry. Methods and results: Data were derived from Gulf CARE (Gulf aCute heArt failuRe rEgistry), a prospective multi-center study of consecutive patients hospitalized with AHF during February–November 2012. The study included 4,157 patients, of which 306 (7.4%) were hospitalized with AHF in the fasting month of Ramadan, while 3,851 patients (92.6%) were hospitalized in other days. Clinical characteristics, precipitating factors, management, and outcome were compared among the two groups. Patients admitted during Ramadan had significantly lower prevalence of symptoms and signs of volume overload compared to patients hospitalized in other months. Atrial arrhythmias were significantly less frequent and cholesterol levels were significantly lower in Ramadan. Hospitalization in Ramadan was not independently associated with increased immediate or 1-year mortality. Conclusions: The current study represents the largest evaluation of the effects of fasting on AHF. It reports an improved volume status in fasting patients. There were also favorable effects on atrial arrhythmia and total cholesterol and no effects on immediate or long-term outcomes.

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KW - Heart failure

KW - middle east

KW - morbidity

KW - mortality

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