Ramadan Fasting Is Safe for Hypertension and Coronary Patients, Says Dr. Sami Milouchi
Cardiology department head at the University Hospital of Médenine
Overview
Dr. Sami Milouchi, chief of cardiology at the University Hospital of Médenine, confirms that patients with high blood pressure and coronary artery disease can observe the fast during Ramadan—provided their health has been stable for the three months preceding the holy month.
Conditions for Hypertensive Patients
- Stable health indicators are essential.
- Blood‑pressure readings must consistently fall within 120/80 mm Hg to 130/80 mm Hg.
- Stability can be achieved through:
- Appropriate medication regimens.
- A tailored diet that supports blood‑pressure control.
When these criteria are met, fasting remains a viable option for people with hypertension.
Conditions for Patients with Coronary Artery Disease
Fasting is also permissible for those with coronary disease, but only if the following conditions are satisfied:
- Clinical stability during the preceding three‑month period.
- No recent surgical interventions or stent placements.
- No acute heart‑failure episodes.
If these requirements are fulfilled, patients may fast safely during Ramadan.
Why a Pre‑Ramadan Medical Check‑Up Is Crucial
Dr. Milouchi stresses the importance of seeing a physician six weeks before Ramadan begins. This appointment allows the doctor to:
- Assess overall health status and confirm that the patient meets the stability criteria.
- Adjust medication dosages and synchronize dosing times with the two daily meals—Iftar (sunset) and Suhoor (pre‑dawn).
- Provide personalized advice on diet, activity, and monitoring during the fast.
Cardiovascular Benefits Linked to Ramadan Fasting
While cardiovascular disease remains the leading cause of global mortality, often exacerbated by lifestyle factors, Dr. Milouchi notes that Ramadan fasting can bring several heart‑health advantages:
- Reduction of risk factors such as elevated cholesterol and blood‑sugar levels.
- Improved heart‑rate regulation and autonomic balance.
- Extended periods of smoking cessation, which support vascular recovery.
These effects collectively contribute to enhanced cardiovascular protection throughout the holy month.
Key Takeaways
- Eligibility: Hypertensive and coronary patients may fast if they have been clinically stable for the past three months.
- Blood‑pressure target: 120/80 mm Hg – 130/80 mm Hg.
- Medical clearance: Schedule a consultation at least six weeks before Ramadan.
- Potential benefits: Lowered risk factors, better heart‑rate control, and prolonged smoking abstinence.
For anyone with a cardiovascular condition, the safest approach is to consult a healthcare professional well in advance of Ramadan to ensure a healthy and spiritually fulfilling fast.
