ArticleBMC cardiovascular disorders2020
The safety of Ramadan Fasting following Percutaneous Coronary Intervention.
Article in BMC cardiovascular disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 11 citations in OpenAlex.
- Review on the effects of fasting on cardiac patients.American heart journal plus : cardiology research and practice · 2025Review
- Percutaneous Coronary Intervention in Africa: A Systematic Review of Associated Outcomes.Cureus · 2025Review
- The Safety of Ramadan Fasting in Chronic Heart Failure Patients With Reduced Ejection Fraction.Journal of the Saudi Heart Association · 2025Article
- Consensus recommendations on fasting during Ramadan for patients with kidney disease: review of available evidence and a call for action (RaK Initiative).BMC nephrology · 2024Review
- Risk Stratification in People with Diabetes for Fasting During Ramadan: Consensus from Arabic Association for the Study of Diabetes and Metabolism.Current diabetes reviews · 2024Review
- Ramadan fasting: recommendations for patients with cardiovascular disease.Heart (British Cardiac Society) · 2022Review
- Recommendations for Ramadan fasting to patients with cardiovascular diseases; Turkish Society of Cardiology consensus report.Anatolian journal of cardiology · 2021Article
- Management of patients with cardiovascular diseases during Ramadan.La Tunisie medicaleArticle
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis work aimed to assess the safety of Ramadan Fasting following the Percutaneous Coronary Intervention.
methodsIn our two centers' Prospective Cohort Study, We included 303 patients who had successful Percutaneous Coronary Intervention before the first day of Ramadan. We advised the patients that recent Percutaneous Coronary Intervention could be a valid excuse for not fulfilling Ramadan Fasting. However, many patients intended to fast the following Ramadan, and we included them in the fasting Group I. We added the patients who decided not to fast the following Ramadan as a control Group II. We followed all the patients during Ramadan and for 6 months after Ramadan.
resultsThe demographic data of both groups and the complexity of the coronary anatomy showed no statistically significant difference. Group I (n = 153) showed a statistically significant difference in the incidence of Major Adverse Cardiac Events compared to Group II with a P value (0.005). The logistic multivariate regression analysis showed that the duration from index PCI till the start of RF, SYNTAX score > 22, and Complex procedure were independent predictors of Major Adverse Cardiac Events in the fasting Group I with {P = 0.001, OR (2.302), P = 0.026, OR (2.419), and P = 0.032 OR (1.952)}, respectively. Major Adverse Cardiac Events in Group I occurred mainly during Ramadan Fasting, with 19 patients having Major Adverse Cardiac Events during Ramadan and four patients during the remaining of the follow-up period. The Receiver Operating Characteristic curve analysis showed the decline of the incidence of Major Adverse Cardiac Events after 90 days from Percutaneous Coronary Intervention till the start of Ramadan Fasting with Sensitivity and specificity (90% and 65%), respectively.
conclusionsWe suggest that low-risk patients with a normal systolic function who underwent Percutaneous Coronary Intervention may safely fast Ramadan. At the same time, Ramadan Fasting during the first 3 months following the Percutaneous Coronary Intervention may not be safe.
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