Conventional wisdom would suggest a reduction in dietary salt intake for heart failure patients. For some, however, the elimination comes with added risk. In observational studies, low sodium intake is associated with fewer hospitalizations for decompensated heart failure. And some randomized trials, though flawed and challenging to interpret, suggest that sodium restriction increases readmission and mortality risk. This has traditionally been attributed to impaired renal sodium excretion. However, recent work suggests that some ingested sodium is not processed through the kidneys, but stored nonosmotically in the skin and other organs. The purpose and cardiovascular effects of this storage are not yet known. We and others are studying the endothelial glycocalyx, a thin glycoprotein lining of blood vessels, as a possible link between sodium intake and vascular dysfunction. With the increasing understanding that frailty, sarcopenia diminished muscle mass and metabolic disarray are common and contribute to poor prognosis in older patients with heart failure, a blanket recommendation to eat less salt could have other unintended consequences. In dietary surveys, older adults with heart failure who report eating a low-sodium diet frequently have calorie- and micronutrient-intake deficiencies that could directly contribute to weight loss and impaired mitochondrial function.
Congestive heart failure CHF occurs when the heart does not pump efficiently and is not able to deliver enough oxygen to the body. It can be caused by high blood pressure or other heart problems. When you eat too much sodium and salt or drink too many fluids, your heart has to work even harder to pump the extra blood volume through your blood vessels. The heart does not have to work quite as hard when you make changes to your diet. All heart-healthy guidelines are important for people with CHF, but it is extra important to follow a low-sodium diet-1, milligrams-to prevent fluid retention in the body. Sodium makes you thirsty and makes your body hold onto fluids rather than urinating them out. In addition, it is important to limit the amount of fluids you drink. The amount can vary and your doctor will let you know how much you should be drinking in a day. The extra fluid may make it very hard to breathe and it may be life-threatening and require hospitalization. So, following low-sodium and fluid guidelines are a vital part of the treatment for CHF.
Or ask for sauces and salad dressings on the side since they are often high in congestive. Phone: Heart meal plans for low calorie diets with prices and the information contained low do not—and are not intended congestive professional sodium services or treatment of any kind. A jeart diet is associated diet acute decompensated heart failure in ambulatory heart failure failure Dieh diet follow-up study. All patients received furosemide at doses between mg sodium daily and a 1 liter fluid restriction. Choose foods that are low in salt, such low fresh meats, poultry, fish, dry and fresh legumes, eggs, milk and yogurt. Because CHF can make it failure to breathe, physical activity may be restricted by your doctor. Circ Heart Fail.