Reduced Salt Intake for Heart Failure: A Systematic Review | Cardiology | JAMA Internal Medicine | JAMA Network

https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2712563?guestAccessKey=0a69688c-1460-4f16-9415-a5cedc82b8d2&utm_source=silverchair&utm_campaign=jama_network&utm_content=weekly_highlights&cmp=1&utm_medium=email


"Conclusions and Relevance  Limited evidence of clinical improvement was available among outpatients who reduced dietary salt intake, and evidence was inconclusive for inpatients. Overall, a paucity of robust high-quality evidence to support or refute current guidance was available. This review suggests that well-designed, adequately powered studies are needed to reduce uncertainty about the use of this intervention."

Al-Mohammad  A, Mant  J.  The diagnosis and management of chronic heart failure: review following the publication of the NICE guidelines.  Heart. 2011;97(5):411-416. doi:10.1136/hrt.2010.214999

Nutritional factors in the prevention and management of coronary ar... - PubMed - NCBI

Nutritional factors in the prevention and management of coronary ar... - PubMed - NCBI

Abstract

"Nutritional factors such as magnesium, folic acid, vitamins B12 and B6, l-arginine, and polyunsaturated fatty acids (PUFAs) appear to be significantly beneficial for patients with coronary artery disease (CAD), and in the prevention and arresting the progression of HF and cardiac arrhythmias. Additionally, ingestion of adequate amounts of protein and maintaining normal concentrations of plasma albumin seem to be essential for these patients. These nutrients closely interact with the metabolism of l-arginine-nitric oxide (NO) system, essential fatty acids, and eicosanoids such that beneficial products such as NO, prostaglandin E1, prostacyclin, prostaglandin I3, lipoxins, resolvins, and protectins are generated and synthesis of proinflammatory cytokines is suppressed that results in platelet anti-aggregation, vasodilation, angiogenesis, and prevention of CAD, cardiac arrhythmias, and stabilization of HF. This implies that individuals at high risk for CAD, cardiac arrhythmias, and HF and those who have these diseases need to be screened for plasma levels of magnesium, folic acid, vitamins B12 and B6, l-arginine, NO, various PUFAs, lipoxin A4, resolvins, protectins, asymmetrical dimethylarginine (an endogenous inhibitor of NO), albumin, and various eicosanoids and cytokines and correct their abnormalities to restore normal physiology."

Das UN.

Nutrition. 2015 Feb;31(2):283-91. doi: 10.1016/j.nut.2014.08.011. Epub 2014 Sep 4. Review.

PMID:

 

25592005