The best diet after a heart attack

Following the Mediterranean diet can help patients recover their endothelial dysfunction after an acute myocardial infarction (AMI), according to a new analysis published in Plos Medicine.

The study included more than 800 patients with coronary heart disease (CHD). All patients had previously experienced an AMI.

Half of the study’s participants followed a Mediterranean diet high in olive oil, fruit, vegetables, legumes, fish and nuts. The other half followed a more traditional low-fat diet, one that limited both animal- and plant-based fats and included an increase in complex carbohydrates. Each individual was assessed both at the start of the study and one year after the dietary intervention.

Overall, the Mediterranean diet was associated with improved endothelial function, as assessed by flow-mediated dilation (FMD), compared to the traditional low-fat diet. The Mediterranean diet was also associated with higher HDL cholesterol levels. Reviewing the data, the authors wrote that the Mediterranean diet “could be recommended as the best dietary strategy to recover endothelial dysfunction in patients with CHD.”

“The degree of endothelial damage predicts the occurrence of future cardiovascular events, as in acute myocardial infarctions,” wrote corresponding author José López Miranda, of the University of Cordoba in Spain, and colleagues. “If we can take action at the initial stages, prompting endothelium regeneration and better endothelial function, we can help to prevent heart attacks and heart disease from reoccurring.”

The team’s full findings are available here.

Michael Walter
Michael Walter, Managing Editor

Michael has more than 18 years of experience as a professional writer and editor. He has written at length about cardiology, radiology, artificial intelligence and other key healthcare topics.

Around the web

Ron Blankstein, MD, professor of radiology, Harvard Medical School, explains the use of artificial intelligence to detect heart disease in non-cardiac CT exams.

Eleven medical societies have signed on to a consensus statement aimed at standardizing imaging for suspected cardiovascular infections.

Kate Hanneman, MD, explains why many vendors and hospitals want to lower radiology's impact on the environment. "Taking steps to reduce the carbon footprint in healthcare isn’t just an opportunity," she said. "It’s also a responsibility."