An observational study of the occurrence of acute coronary syndrome (ACS) among jordanian patients: Identifying the influence of Ramadan Fasting

• Published in: Annals of medicine and surgery Vol. 59; pp. 171 - 175
• Main Authors: Raffee, Liqaa A., Alawneh, Khaled Z., Al Suleiman, Mohammad Khaled, Ibdah, Rashid K., Rawashdeh, Sukaina I., Al-Mistarehi, Abdel-Hameed W.
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01.11.2020; Elsevier
• Subjects: Acute coronary disease; Fasting; Jordanian patients ramadan; Kidney function test; Original Research; Fasting; Acute coronary disease; Jordanian patients ramadan; Kidney function test
• ISSN: 2049-0801; 2049-0801
• DOI: 10.1016/j.amsu.2020.09.042

Patients with Acute Coronary Syndrome (ACS) tend to face several health issues during the Holy month of Ramadan, due to the change in dietary patterns. This study aims to investigate the influence of fasting during Ramadan on the occurrence of ACS. The study followed a retrospective observational design, and was conducted in King Abdullah University Hospital (KAUH) of Jordan, during the period of June 06, 2016 to Aug 08, 2016 and May 27, 2017 to July 27, 2017. Data was collected from a sample of 226 male and female patients, aged between 20 and 80 years with major diagnosis of acute coronary syndrome. Therefore, this is a case series of ACS patients. Findings of the study indicated that, Ramadan fasting is insignificantly related to the occurrence of ACS, since no significant difference was found in the incidence of hypertension (65%), diabetes (51.7%), unstable angina (56.6%) and coronary artery disease (CAD) (57.6%) findings during and after Ramadan respectively. Similar, findings were attained for patients' final diagnosis which had normal Kidney Function Test (KFT) (72.5%), platelets (91.5%), and Ejection Fraction (EF) (64.6%). Also, no significant difference was found between patients’ smoking status (61.0%), hospital stay (89.8%) and discharge rate (96.9%). The study concluded that there is an insignificant association of Ramadan fasting on the cardiac patients and occurrence of acute coronary syndrome. •Weak metabolism in patients during fasting causes vascular disease.•The effect of medicine can be altered by change in eatery habits.•The findings of the study can support in planning suitable diet for patients with acute coronary syndrome.•The findings can be practically implemented on extracting new linkage between diet and health conditions.