Authors' reply to Degree of adherence to the Mediterranean diet in patients with heart failure in hospital emergency services

Background: Mediterranean diet was evaluated on erectile performance and cardiovascular hemodynamics, in chronic heart failure patients. Methods: 150 male stable heart failure patients were enrolled in the study (62 ± 10 years, New York Heart Association (NYHA) classes I–II, ejection fraction ≤40%). A detailed echocardiographic evaluation including estimation of the global longitudinal strain of the left ventricle and the systolic tissue doppler velocity of the tricuspid annulus was performed. Erectile dysfunction severity was assessed by the Sexual Health Inventory for Men-5 (SHIM-5) score. Adherence to the Mediterranean diet was evaluated by the MedDietScore. Results: The SHIM-5 score was positively correlated with the MedDietScore (p = 0.006) and augmentation index (p = 0.031) and inversely correlated with age (p = 0.002). MedDietScore was negatively associated with intima-media-thickness (p < 0.001) and serum prolactin levels (p = 0.05). Multi-adjusted analysis revealed that the inverse relation of SHIM-5 and prolactin levels remained significant only among patients with low adherence to the Mediterranean diet (p = 0.012). Conclusion: Consumption of Mediterranean diet benefits cardiovascular hemodynamics, while suppressing serum prolactin levels. Such physiology may enhance erectile ability independently of the of the left ventricle ejection fraction.

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The association of the Mediterranean diet with heart failure risk in a Dutch population

Nutrition Metabolism and Cardiovascular Diseases ◽

10.1016/j.numecd.2020.08.003 ◽

2020 ◽

Author(s):

Julia G. Strengers ◽

Hester M. den Ruijter ◽

Jolanda M.A. Boer ◽

Folkert W. Asselbergs ◽

W.M. Monique Verschuren ◽

...

Keyword(s):

Heart Failure ◽

Mediterranean Diet ◽

Dutch Population ◽

Failure Risk ◽

The Mediterranean

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The Mediterranean Diet to Treat Heart Failure

JACC Heart Failure ◽

10.1016/j.jchf.2017.12.008 ◽

2018 ◽

Vol 6 (3) ◽

pp. 264 ◽

Cited By ~ 5

Author(s):

Salvatore Carbone ◽

Hayley E. Billingsley ◽

Antonio Abbate

Keyword(s):

Heart Failure ◽

Mediterranean Diet ◽

Treat Heart Failure ◽

The Mediterranean

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Effect of the Mediterranean diet on heart failure biomarkers: a randomized sample from the PREDIMED trial

European Journal of Heart Failure ◽

10.1002/ejhf.61 ◽

2014 ◽

Vol 16 (5) ◽

pp. 543-550 ◽

Cited By ~ 79

Author(s):

Montserrat Fitó ◽

Ramón Estruch ◽

Jordi Salas-Salvadó ◽

Miguel Angel Martínez-Gonzalez ◽

Fernando Arós ◽

...

Keyword(s):

Heart Failure ◽

Mediterranean Diet ◽

The Mediterranean

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Health-Care Utilization After Hospice Enrollment in Patients With Heart Failure and Cancer

American Journal of Hospice and Palliative Medicine® ◽

10.1177/1049909116688209 ◽

2017 ◽

Vol 35 (2) ◽

pp. 229-235 ◽

Cited By ~ 2

Author(s):

Meredith A. MacKenzie ◽

Alexandra Hanlon

Keyword(s):

Heart Failure ◽

Health Care ◽

Health Care Utilization ◽

Emergency Service ◽

Service Use ◽

Emergency Services ◽

Hospice Care ◽

Care Utilization ◽

Patients With Heart Failure ◽

Utilization Patterns

This study aimed to examine the role of diagnosis in health-care utilization patterns after hospice enrollment. Using 2007 National Home and Hospice Care Survey data from hospice patients with heart failure (n = 311) and cancer (n = 946), we analyzed emergency service use and discharge to hospital via logistic regression pre- and postpropensity score matching. Prematching, patients with heart failure had twice the odds of emergency services use than patients with cancer ( P < .001) and twice the odds of discharge to hospital ( P = .02). Differences were reduced postmatching for emergency service use (odds ratio [OR]: 1.6, P = .05) and eliminated for discharge to hospital (OR: 1.32, P = .45). Health-care utilization correlates included diagnosis, place of care, and advance directives. Attention to the unique needs of patients with heart failure is needed, along with improved advanced care planning.

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Mediterranean diet in secondary prevention of CHD

Public Health Nutrition ◽

10.1017/s136898001100259x ◽

2011 ◽

Vol 14 (12A) ◽

pp. 2333-2337 ◽

Cited By ~ 28

Author(s):

Michel de Lorgeril ◽

Patricia Salen

Keyword(s):

Heart Failure ◽

Secondary Prevention ◽

Mediterranean Diet ◽

Cardiac Death ◽

Coronary Thrombosis ◽

Left Ventricular ◽

Preventive Strategy ◽

Cardiac Events ◽

Plaque Erosion ◽

The Mediterranean

AbstractObjectiveTo summarise our present knowledge on the Mediterranean diet in secondary prevention of CHD.DesignReview of literature.SettingAdult coronary patients.SubjectsCHD patients at high risk of cardiac death.ResultsThe two main causes of death in these patients are sudden cardiac death (SCD) and chronic heart failure (CHF). The main mechanism underlying recurrent cardiac events is coronary thrombosis resulting from atherosclerotic plaque erosion or ulceration. The occurrence of thrombosis is usually associated with plaque weakness in relation to high lipid content of the lesion where cholesterol only represents a very small part compared with other lipids (i.e. fatty acids). Thus, the three main aims of the preventive strategy are to prevent coronary thrombosis, malignant ventricular arrhythmia and the development of left ventricular dysfunction (and CHF) and finally to minimise the risk of plaque erosion and ulceration. There is now a consensus about recommending the Mediterranean diet pattern for the secondary prevention of CHD because no other dietary pattern has been successfully tested so far in these patients. The most important aspect, in contrast with the pharmacological prevention of CHD (including cholesterol lowering), is that the Mediterranean diet results in a striking effect on survival.ConclusionsThe traditional Mediterranean diet is effective in reducing both coronary atherosclerosis/thrombosis and the risk of fatal complications such as SCD and heart failure.

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