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Does Ramadan Fasting Improve Echocardiographically Assessed Tei Index in Patients With Coronary Artery Disease?

Year 2025, Volume: 7 Issue: 1, 107 - 113, 15.01.2025
https://doi.org/10.37990/medr.1574109

Abstract

Aim: Ramadan fasting (RF) can affect the health status of patients with coronary artery disease or risk factors. The aim of this study is to evaluate echocardiographic functions and tei index according to ramadan fasting status in patients followed for clinically existing coronary artery disease.
Material and Method: This single-centre, cross-sectional study included 49 patients who were being followed up with a diagnosis of coronary artery disease. The patients were separated into 2 groups as those who were fasting during the month of Ramadan (RF (+), n=24) and those who were not (RF (-), n=25). Detailed echocardiographic evaluations were made. Analyses of the study data were performed using MedCalc software.
Results: The demographic and echocardiographic characteristics of the patients in both groups were similar at the start of the study. When the fasting and non-fasting groups were compared separately, a statistically significant decrease was determined in the tei index value in the ramadan fasting (+) group after 1 month of fasting (0.44±0.14 vs. 0.40±0.12) (p: 0.025).
Conclusion: In this study, the effects of RF on cardiac functions were investigated in patients with coronary artery disease and a previous stent procedure. The results of the echocardiographic evaluation after one month of fasting showed a statistically significant decrease in the tei index in the patient group fasting for Ramadan. This finding demonstrated positive effects of RF on cardiac functions.

References

  • Norouzy A, Salehi M, Philippou E, et al. Effect of fasting in Ramadan on body composition and nutritional intake: a prospective study. J Hum Nutr Diet. 2013;26:97-104.
  • Salim I, Al Suwaidi J, Ghadban W, et al. Impact of religious Ramadan fasting on cardiovascular disease: a systematic review of the literature. Curr Med Res Opin. 2013;29:343-54.
  • Persynaki A, Karras S, Pichard C. Unraveling the metabolic health benefits of fasting related to religious beliefs: a narrative review. Nutrition. 2017;35:14-20.
  • Nematy M, Alinezhad-Namaghi M, Rashed MM, et al. Effects of Ramadan fasting on cardiovascular risk factors: a prospective observational study. Nutr J. 2012;11:69.
  • Khafaji HA, Bener A, Osman M, et al. The impact of diurnal fasting during Ramadan on the lipid profile, hs-CRP, and serum leptin in stable cardiac patients. Vasc Health Risk Manag. 2012;8:7-14.
  • Mousavi M, Mirkarimi S, Rahmani G, et al. Ramadan fast in patients with coronary artery disease. Iran Red Crescent Med J. 2014;16:e7887.
  • Prisco SZ, Eklund M, Moutsoglou DM, et al. Intermittent fasting enhances right ventricular function in preclinical pulmonary arterial hypertension. J Am Heart Assoc. 2021;10:e022722.
  • Lang RM, Bierig M, Devereux RB, et al; Chamber Quantification Writing Group; American Society of Echocardiography's Guidelines and Standards Committee; European Association of Echocardiography. Recommendations for chamber quantification: a report from the American Society of Echocardiography's Guidelines and Standards Committee and the Chamber Quantification Writing Group, developed in conjunction with the European Association of Echocardiography, a branch of the European Society of Cardiology. J Am Soc Echocardiogr. 2005;18:1440-63.
  • Voulgari C, Moyssakis I, Papazafiropoulou A, et al. The impact of metabolic syndrome on left ventricular myocardial performance. Diabetes Metab Res Rev. 2010;26:121-7.
  • Lang RM, Bierig M, Devereux RB, et al; American Society of Echocardiography's Nomenclature and Standards Committee; Task Force on Chamber Quantification; American College of Cardiology Echocardiography Committee; American Heart Association; European Association of Echocardiography, European Society of Cardiology. Recommendations for chamber quantification. Eur J Echocardiogr. 2006;7:79-108.
  • Amin OA, Alaarag A. The safety of Ramadan fasting following percutaneous coronary intervention. BMC Cardiovasc Disord. 2020;20:489.
  • Zouhal H, Bagheri R, Triki R, et al. Effects of Ramadan intermittent fasting on gut hormones and body composition in males with obesity. Int J Environ Res Public Health. 2020;17:5600.
  • Lessan N, Ali T. Energy metabolism and intermittent fasting: the ramadan perspective. Nutrients. 2019;11:1192.
  • Tei C, Ling LH, Hodge DO, et al. New index of combined systolic and diastolic myocardial performance: a simple and reproducible measure of cardiac function--a study in normals and dilated cardiomyopathy. J Cardiol. 1995;26:357-66.
  • Møller JE, Søndergaard E, Poulsen SH, et al. Serial Doppler echocardiographic assessment of left and right ventricular performance after a first myocardial infarction. J Am Soc Echocardiogr. 2001;14:249-55.
  • Tei C, Dujardin KS, Hodge DO, et al. Doppler index combining systolic and diastolic myocardial performance: clinical value in cardiac amyloidosis. J Am Coll Cardiol. 1996;28:658-64.
  • Møller JE, Poulsen SH, Egstrup K. Effect of preload alternations on a new Doppler echocardiographic index of combined systolic and diastolic performance. J Am Soc Echocardiogr. 1999;12:1065-72.
  • Harjai KJ, Scott L, Vivekananthan K, et al. The Tei index: a new prognostic index for patients with symptomatic heart failure. J Am Soc Echocardiogr. 2002;15:864-8.
  • Jatain S, Kapoor A, Sinha A, et al. Metabolic manipulation in dilated cardiomyopathy: assessing the role of trimetazidine. Indian Heart J. 2016;68:803-8.
  • Finch GM, Day JE, Razak, et al. Appetite changes under free-living conditions during Ramadan fasting. Appetite. 1998;31:159-70.
  • Yun N, Nah J, Lee MN, et al. Post-effects of time-restricted feeding against adipose tissue inflammation and insulin resistance in obese mice. Nutrients. 2023;15:2617.
Year 2025, Volume: 7 Issue: 1, 107 - 113, 15.01.2025
https://doi.org/10.37990/medr.1574109

Abstract

References

  • Norouzy A, Salehi M, Philippou E, et al. Effect of fasting in Ramadan on body composition and nutritional intake: a prospective study. J Hum Nutr Diet. 2013;26:97-104.
  • Salim I, Al Suwaidi J, Ghadban W, et al. Impact of religious Ramadan fasting on cardiovascular disease: a systematic review of the literature. Curr Med Res Opin. 2013;29:343-54.
  • Persynaki A, Karras S, Pichard C. Unraveling the metabolic health benefits of fasting related to religious beliefs: a narrative review. Nutrition. 2017;35:14-20.
  • Nematy M, Alinezhad-Namaghi M, Rashed MM, et al. Effects of Ramadan fasting on cardiovascular risk factors: a prospective observational study. Nutr J. 2012;11:69.
  • Khafaji HA, Bener A, Osman M, et al. The impact of diurnal fasting during Ramadan on the lipid profile, hs-CRP, and serum leptin in stable cardiac patients. Vasc Health Risk Manag. 2012;8:7-14.
  • Mousavi M, Mirkarimi S, Rahmani G, et al. Ramadan fast in patients with coronary artery disease. Iran Red Crescent Med J. 2014;16:e7887.
  • Prisco SZ, Eklund M, Moutsoglou DM, et al. Intermittent fasting enhances right ventricular function in preclinical pulmonary arterial hypertension. J Am Heart Assoc. 2021;10:e022722.
  • Lang RM, Bierig M, Devereux RB, et al; Chamber Quantification Writing Group; American Society of Echocardiography's Guidelines and Standards Committee; European Association of Echocardiography. Recommendations for chamber quantification: a report from the American Society of Echocardiography's Guidelines and Standards Committee and the Chamber Quantification Writing Group, developed in conjunction with the European Association of Echocardiography, a branch of the European Society of Cardiology. J Am Soc Echocardiogr. 2005;18:1440-63.
  • Voulgari C, Moyssakis I, Papazafiropoulou A, et al. The impact of metabolic syndrome on left ventricular myocardial performance. Diabetes Metab Res Rev. 2010;26:121-7.
  • Lang RM, Bierig M, Devereux RB, et al; American Society of Echocardiography's Nomenclature and Standards Committee; Task Force on Chamber Quantification; American College of Cardiology Echocardiography Committee; American Heart Association; European Association of Echocardiography, European Society of Cardiology. Recommendations for chamber quantification. Eur J Echocardiogr. 2006;7:79-108.
  • Amin OA, Alaarag A. The safety of Ramadan fasting following percutaneous coronary intervention. BMC Cardiovasc Disord. 2020;20:489.
  • Zouhal H, Bagheri R, Triki R, et al. Effects of Ramadan intermittent fasting on gut hormones and body composition in males with obesity. Int J Environ Res Public Health. 2020;17:5600.
  • Lessan N, Ali T. Energy metabolism and intermittent fasting: the ramadan perspective. Nutrients. 2019;11:1192.
  • Tei C, Ling LH, Hodge DO, et al. New index of combined systolic and diastolic myocardial performance: a simple and reproducible measure of cardiac function--a study in normals and dilated cardiomyopathy. J Cardiol. 1995;26:357-66.
  • Møller JE, Søndergaard E, Poulsen SH, et al. Serial Doppler echocardiographic assessment of left and right ventricular performance after a first myocardial infarction. J Am Soc Echocardiogr. 2001;14:249-55.
  • Tei C, Dujardin KS, Hodge DO, et al. Doppler index combining systolic and diastolic myocardial performance: clinical value in cardiac amyloidosis. J Am Coll Cardiol. 1996;28:658-64.
  • Møller JE, Poulsen SH, Egstrup K. Effect of preload alternations on a new Doppler echocardiographic index of combined systolic and diastolic performance. J Am Soc Echocardiogr. 1999;12:1065-72.
  • Harjai KJ, Scott L, Vivekananthan K, et al. The Tei index: a new prognostic index for patients with symptomatic heart failure. J Am Soc Echocardiogr. 2002;15:864-8.
  • Jatain S, Kapoor A, Sinha A, et al. Metabolic manipulation in dilated cardiomyopathy: assessing the role of trimetazidine. Indian Heart J. 2016;68:803-8.
  • Finch GM, Day JE, Razak, et al. Appetite changes under free-living conditions during Ramadan fasting. Appetite. 1998;31:159-70.
  • Yun N, Nah J, Lee MN, et al. Post-effects of time-restricted feeding against adipose tissue inflammation and insulin resistance in obese mice. Nutrients. 2023;15:2617.
There are 21 citations in total.

Details

Primary Language English
Subjects Clinical Sciences (Other)
Journal Section Original Articles
Authors

Ömer Furkan Demir 0000-0002-0230-8442

Fatih Levent 0000-0002-7160-4050

Enes İsmet Erkoç 0009-0008-4652-5546

Fatih Koca 0000-0002-6824-1017

Publication Date January 15, 2025
Submission Date October 26, 2024
Acceptance Date November 20, 2024
Published in Issue Year 2025 Volume: 7 Issue: 1

Cite

AMA Demir ÖF, Levent F, Erkoç Eİ, Koca F. Does Ramadan Fasting Improve Echocardiographically Assessed Tei Index in Patients With Coronary Artery Disease?. Med Records. January 2025;7(1):107-113. doi:10.37990/medr.1574109

17741

Chief Editors

Assoc. Prof. Zülal Öner
İzmir Bakırçay University, Department of Anatomy, İzmir, Türkiye

Assoc. Prof. Deniz Şenol
Düzce University, Department of Anatomy, Düzce, Türkiye

Editors
Assoc. Prof. Serkan Öner
İzmir Bakırçay University, Department of Radiology, İzmir, Türkiye
 
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