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Diet after a heart attack: What patients must eat and avoid to prevent recurrence 

Dr. Girish Godbole, Director & Senior Consultant – Interventional Cardiology, KIMS Hospitals, Electronic City, BengaluruA heart attack is a serious health concern, and if frequently fatal. It is critical to allow theheart to heal well,

Dr. Girish Godbole, Director & Senior Consultant – Interventional Cardiology, KIMS Hospitals, Electronic City, Bengaluru

A heart attack is a serious health concern, and if frequently fatal. It is critical to allow the
heart to heal well, and also to prevent recurrences.
Some general principles apply:

  1. Moderation is key. Avoid extremes.
  2. Quality / Quantity / Timing of food – all these must improve
  3. Your food intake should not exceed your energy expenditure – make adjustments
    accordingly.

Here’s one simple, practical guide I often share with my patients.
What Heart Attack Survivors Should Shift To

  1. Whole grains – Oats, brown rice, millets, and whole wheat – avoid refined grains. These
    will help control cholesterol levels and maintain blood sugar levels steadily.
  2. Fresh vegetables and fruits – Aim for a colourful plate – leafy greens, tomatoes, carrots,
    berries, apples and citrus fruits. Their antioxidants reduce inflammation and support the
    health of your arteries.
  3. Healthy fats in moderation – Nuts, seeds, olive oil, mustard oil, in small portions. These
    improve “good” HDL cholesterol and reduce plaque build-up.
  4. Lean sources of protein – Pulses, legumes, tofu, low-fat dairy, fish, and skinless poultry.
    Fatty fish like salmon or Indian options such as rohu provide heart-protective omega-3 fats.
  5. Low-sodium meals prepared at home – Fresh food prepared at home helps in better
    control over the consumption of salt and fat, which are quite vital after a heart attack.

What Patients Must Strictly Avoid

  1. Excess Salt – Table salt; Packaged snack foods, pickles, papads, sauces, and ready-to-
    eat products are major contributors of sodium that increase blood pressure and burden the
    heart.
  2. Trans fats and deep-fried foods – Bakery products, fast foods, namkeens, and fried
    savoury snacks can raise bad cholesterol levels and should be totally avoided.
  3. Refined sugars and sugary beverages – Sweets, desserts, soft drinks, and packaged
    juices, which can cause insulin resistance, weight gain, and heart disease.
  4. Red and processed meats – Bacon, sausages, salami, and red meat
  5. Alcohol – Avoid or Limit alcohol consumption; alcohol can raise blood pressure, and is
    also directly toxic to the heart.

The Golden Rule to Remember
A healthy lifestyle is for a lifetime – make practical changes that you can sustain.
“A heart-healthy diet is about making smart choices, day in and day out. Along with exercise,
medications, and stress management, a healthy diet is a very strong preventive measure
against a second heart attack.”

medgatetoday@gmail.com

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