heart failure

Does Heart Failure affected by salt eating ?

If you have heart failure, there is good news and bad news about how much it will help you reduce salt.

New research has shown that while it does not prevent death or hospitalization in patients, it does seem to improve their quality of life.

Does Heart Failure affected by salt eating ?

Heart failure patients have been asked to reduce salt in their diet for years as a way to help prolong their lives, but reducing salt intake in more than 800 patients in six countries has not prevented death, emergency room visits or hospitalization. , The researchers found.

The renowned scientist & researcher, Justin Ezekowitz, professor of cardiology at the University of Alberta in Edmonton, Canada said “we believe that small amounts of sodium in the diet can be used to gain small amounts,”.

The patients in the study were already eating much less salt than most Americans, although they did not achieve the optimal target for the recommended amount of salt, he explained.

“The expected goal is not necessarily to reduce clinical events, but it does improve quality of life, which can be very important for individual patients,” Izekovitz said.

For the study, the research team followed heart failure patients from 26 medical centers in Australia, Canada, Colombia, Chile, Mexico and New Zealand. Half were randomly assigned to normal care, and the rest received nutritional advice on how to further reduce their dietary salt intake.

Patients receiving counseling were advised on the menu and encouraged to cook at home and not to add salt. It has also been urged to avoid salty foods.

Patients were asked to keep their salt intake at 1,500 mg (mg) per day – about two-thirds of a teaspoon. Prior to the study, patients added an average of 2,217 mg or about one teaspoon per day. One year later, those who did not receive nutritional counseling ate an average of 2,072 milligrams of salt per day, and those who received nutritional guidance received 1,658 milligrams per day.

Although Ezekowitz’s group did not find significant differences between the two groups of patients in terms of death or hospitalization, those with a low-salt diet showed an improvement in their quality of life and the severity of their heart failure.

Ezekowitz thinks that these results may be different if the study was prolonged or if the salt intake was even lower.

He added that the results are not a license to eat salt as you like.

“People should be concerned about the amount of salt in their diet and reduce the amount of sodium in their diet as a whole,” Ezekovitz said. “There may be benefits that we have not measured in our clinical trials that can reduce the amount of salt in their diet. A low-salt diet can actually improve their overall quality of life . “

The report, published online April 2, was presented at the annual meeting of the American College of Cardiology in The Lancet Journal, Washington, DC.

The interim head of the Department of Cardiology at the University of California, Los Angeles. Greg Fonaro said that for decades patients with heart failure have been advised to limit their salt intake.

“This long-standing, widely accepted recommendation was based on a physiological argument, clinical observation and expert opinion rather than appearing in potential, randomized clinical trials,” he noted.

Although recent guidelines for heart failure have acknowledged uncertainty about the benefits of reducing salt, many patients are still being told to reduce their salt intake, Fonaro said.

“Evidence from this crucial randomized clinical trial showed that dietary sodium limitation for targets less than 1,500 mg per day for heart failure patients did not reduce mortality, cardiovascular-related hospital admissions, or cardiovascular-related emergency room visits.” .

heart failure

For patients with heart failure, it remains unclear whether salt intake of any level provides clinical benefits, Fonaro said.

“However, it is important to note that the normal care group received a little more than 2,000 milligrams of sodium daily, which is still less than the 3,400 milligrams of sodium that is the average amount consumed by the general population in the United States.” He said.

Patients with heart failure should discuss with their doctor how these new findings may apply to them, Fonaro said.

The key to surviving heart failure is to follow proven medical advice, he said.

“Importantly, the use of disease-correcting guidelines and medical therapy and adherence have been shown to be the best and safest way to improve clinical outcomes for patients with heart failure,” Fonaro said.

More info

To learn more about salt and heart health, visit the American Heart Association.

Sources: Justin Ezekovits, MBBCH, Professor, Department of Cardiology, University of Alberta, Edmonton, Canada; Greg Fonro, MD, Interim Head, UCL