Review on the effects of fasting on cardiac patients.

Alaaeddine El Ghazawi, Dunia Alhareth, Marwan Refaat

Abstract readReview

In one paragraph

Review in American heart journal plus : cardiology research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Alaaeddine El GhazawiCardiology Division, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.

Dunia AlharethCardiology Division, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.

Marwan RefaatCardiology Division, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fasting in Ramadan involves the cessation of food, water, and other behaviors from dawn to sunset, creating a unique physiological stressor that might have a potentially injurious or beneficial effect on cardiac patients. Its impact should be known so as to optimize patient care. The aim of this paper is to review the literature relating to the effects of Ramadan fasting on cardiac health, with particular regard to high-risk patient management, medication adherence, and life-style modifications. Available data suggests that fasting in Ramadan is safe for stable cardiac patients, with improvements in BMI, lipid profiles, blood pressure, and others. However, high-risk groups, including patients with recent myocardial infarction or severe heart failure, were considered inappropriate for fasting. Additionally, medication adjustments and lifestyle changes regarding balanced diets and hydration strategies are necessary to make fasting safe in cardiac patients who are candidate for fasting patients. These findings support the need for future tailored fasting plans and evidence-based guidelines to optimize outcomes in cardiac patients.

Indexed as

Cardiac outcomesCardiac patientsFasting recommendationsHigh-risk patientsLifestyle modificationsMedication adherenceRamadan fasting

Identifiers

PMID41049263

DOI10.1016/j.ahjo.2025.100620

PMCPMC12495073

What OpenQuestion holds

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LicenceCC BY-NC-ND

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.