Heart Attack
Lower cholesterol, blood pressure and risk of heart attack with this evidence based diet
Recommended For
Acute coronary syndrome (ACS), Acute myocardial infarction (AMI), Cardiac infarction, Coronary spasm, Coronary thrombosis, Heart attack, Myocardial infarction (MI), NSTEMI, Post heart attack, STEMI, Unstable angina.
Diet Goals
Lower sat fats, sugar
- Restrict foods high in saturated, trans fats; affect cholesterol level most
- Fiber helps decrease cholesterol; low sodium helps lowers BP
- Sugar increases triglycerides; increase risk of heart disease
Diet could prevent 70% of heart attacks because the two biggest risk factors are high BP and high cholesterol which are both affected by food.
Food Recommendations
Foods to Eat
Whole grains: Whole wheat bread & pasta, oatmeal, popcorn, quinoa, brown rice
Lean meats: Chicken, turkey, fish, tuna, shrimp, pork chops
Fish 2 x week: Salmon, bass, cod, crab, scallops, shrimp
Low fat dairy: Skim, 1% milk, yogurt, cheeses, buttermilk
Nuts, Seeds: Chia seeds, flax, pepitas, almonds, walnuts
Fruits, Vegetables: Berries, avocado, leafy greens, carrots
Foods to Avoid
Red meat: Beef, lamb, pork, goat, veal, mutton
High sugar: Fruit yogurt, granola, energy bars; raisins, ketchup, pasta sauce
Saturated fats: Beef, lamb, pork, full fat dairy, butter, pastry, pie, biscuits
Full fat dairy: Whole milk, yogurt, butter, cheese
Fried foods: Pan fried or deep fried in hot oil or butter
Processed foods: Fast or fried foods, packaged foods, frozen dinners, cakes
Diet Rules
Additional Information
Research
Following the Therapeutic Lifestyle Changes (TLC) Diet for 6 weeks led to significant reductions in total cholesterol and triglyceride levels, major risk factors for clogging arteries in heart disease.
Studies show lowering LDL (bad) cholesterol can reduce the risk of dying from heart attacks; high levels of HDL (good) cholesterol remove cholesterol and plaque.
TLC linked to weight loss; decreased risk of T2 diabetes and/or coronary heart disease; health risks increase with weight increase.
Caveats
Controllable risk factors for heart attack: High BP, high cholesterol, overweight, inactivity, diabetes, smoking.
Saturated fat increases cholesterol level most; cholesterol from diet has minimal effect on levels.
Losing just 5-10 lbs can lower your cholesterol and triglycerides.
Regular exercise affects cholesterol level and overall heart health; add 30 mins of walking per day.
References
As HIV patients live longer, heart disease might be their next challenge. (2019). American Heart Association. https://www.heart.org/en/news/2019/06/03/as-hiv-patients-live-longer-heart-disease-might-be-their-next-challenge
Suggested Servings from Each Food Group. (2021). American Heart Association. https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/nutrition-basics/suggested-servings-from-each-food-group
American Heart Association Recommendations for Physical Activity in Adults and Kids. (2024). American Heart Association. https://www.heart.org/en/healthy-living/fitness/fitness-basics/aha-recs-for-physical-activity-in-adults?appName=WebApp
Rheumatoid Arthritis and Heart Disease. (2022). Arthritis Foundation. https://www.arthritis.org/health-wellness/about-arthritis/related-conditions/other-diseases/rheumatoid-arthritis-heart-disease
Diet and heart disease risk. (2021). Better Health. https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/heart-disease-and-food
Caffrey, M. (2017). Gestational Diabetes Raises Heart Attack, Stroke Risk, NIH Study Finds. The American Journal of Managed Care. https://www.ajmc.com/view/gestational-diabetes-raises-heart-attack-stroke-risk-nih-study-finds
Stroke-Conditions. (2020). Centers for Disease Control. https://www.cdc.gov/stroke/conditions.htm
Sodium Intake and Health. (2021). Centers for Disease Control. https://www.cdc.gov/salt/index.htm
How Effective Are Anti-Inflammatory Diets for Lowering Heart Attack Risk? (2015). Cleveland HeartLab. https://www.clevelandheartlab.com/blog/horizons-how-effective-are-anti-inflammatory-diets-for-lowering-heart-attack-risk/
Dumitru MD, I. (2021). Heart Failure Workup. Medscape. https://emedicine.medscape.com/article/163062-workup#c9
Eilat-Adar, S., Sinai, T., Yosefy, C., & Henkin, Y. (2013). Nutritional Recommendations for Cardiovascular Disease Prevention. NIH, National Library of Medicine, Nutrients. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3798927/
Fan, L., Chen, B., & Dai, Z. (2017). The relation between gallstone disease and cardiovascular disease. NIH, National Library of Medicine, Scientific Reports. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678091/
2015-2020 Dietary Guidelines. (n.d.). health.gov. https://health.gov/our-work/food-nutrition/2015-2020-dietary-guidelines/guidelines/
Heller MS, M. (2022). The DASH Diet and the Mediterranean Diet US News & World Reports: Best and Healthiest Diet Plans. Grand Central Publishing. https://dashdiet.org/
Hinzey RDN, E. (2023). What Is The Dash Diet? US News. https://health.usnews.com/best-diet/dash-diet/health-and-nutrition
Weight: A Silent Heart Risk. (n.d.). Johns Hopkins Medicine. Retrieved January 21, 2022, from https://www.hopkinsmedicine.org/health/wellness-and-prevention/weight-a-silent-heart-risk
Justin, B., Turek, M., & Hakim, A. (2012). Heart disease as a risk factor for dementia. NIH, National Library of Medicine, Dove Press. https://www.dovepress.com/heart-disease-as-a-risk-factor-for-dementia-peer-reviewed-fulltext-article-CLEP
Kim, H., Caulfield, L., Garcia-Larsen, V., Steffen, L., Coresh, J., & Rebholz, C. (2019). Plant‐Based Diets Are Associated With a Lower Risk of Incident Cardiovascular Disease, Cardiovascular Disease Mortality, and All‐Cause Mortality in a General Population of Middle‐Aged Adults. Journal of the American Heart Association. https://www.ahajournals.org/doi/10.1161/JAHA.119.012865
Korody RD, P. (2012). Gluten-Free and Heart Health. RD4Health. https://rd4health.com/806/gluten-free-and-heart-health/
LaMotte, S. (2020). Choose anti-inflammatory foods to lower heart disease and stroke risk, study says. CNN Health. https://www.cnn.com/2020/12/02/health/anti-inflammatory-foods-heart-disease-wellness/index.html
Trans fat is double trouble for heart health. (2022). Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/high-blood-cholesterol/in-depth/trans-fat/art-20046114
Heart failure: Symptoms and Causes. (2023). Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/heart-failure/symptoms-causes/syc-20373142#targetText=Lifestyle%20changes%20%E2%80%94%20such%20as%20exercising,blood%20pressure%2C%20diabetes%20or%20obesity.
MedlinePlus. (2018). DASH Eating Plan Also called: DASH Diet, Dietary Approaches to Stop Hypertension. National Library of Medicine. https://medlineplus.gov/dasheatingplan.html
MedlinePlus. (2022). Facts about monounsaturated fats. National Library of Medicine. https://medlineplus.gov/ency/patientinstructions/000785.htm
MedlinePlus. (2022). Facts about trans fats. National Library of Medicine. https://medlineplus.gov/ency/patientinstructions/000786.htm
MedlinePlus. (2022). Heart Failure. National Library of Medicine. https://medlineplus.gov/heartfailure.html
MedlinePlus. (2022). Heart failure. National Library of Medicine. https://medlineplus.gov/ency/article/000158.htm
Heart Healthy DASH or Cardiac Diet – What It is. (n.d.). Memorial Sloan Kettering Cancer Center. Retrieved January 25, 2022, from https://www.mskcc.org/experience/patient-support/nutrition-cancer/diet-plans-cancer/cardiac-diet
Pozuelo MD, L. (2022). Life After a Heart Attack: Caring for Your Mental Health. Cleveland Clinic. https://health.clevelandclinic.org/how-to-protect-your-mental-health-after-a-heart-attack/
Reeves MD, M. (2022). Want to decrease your chances for chronic disease? Researchers found that a vegetarian diet does just that. Loma Linda University Health. https://lipidworld.biomedcentral.com/articles/10.1186/s12944-019-0972-0#citeas
Schmidt, H. (2022). Top 10 Most Expensive Chronic Diseases for Healthcare Payers. Health Payer Intelligence. https://healthpayerintelligence.com/news/top-10-most-expensive-chronic-diseases-for-healthcare-payers
Sinha MD, R. (n.d.). Inflammation: The Real Cause of Heart Attacks. Sutter Health. Retrieved January 27, 2022, from https://www.sutterhealth.org/health/heart/inflammation-the-real-cause-of-heart-attacks
Physical Activity Guidelines for Americans 2nd edition. (2018). U.S. Department of Health. https://health.gov/sites/default/files/2019-09/Physical_Activity_Guidelines_2nd_edition.pdf
Understanding the link between depression and heart disease. (2016). The University of Iowa Hospitals & Clinics. https://uihc.org/health-topics/understanding-link-between-depression-and-heart-disease