La tunisie Medicale - 2022 ; Vol 100 ( n°05 ) : 358-373
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Résumé

Pendant le mois de Ramadan, plus de 1 milliard de musulmans observent un jeûne hydrique et alimentaire du lever au coucher du soleil. La pratique de ce devoir religieux provoque des changements marqués dans les habitudes alimentaires et le sommeil. Devant l’incidence croissante des facteurs de risques cardiovasculaires (CV), le nombre de patients atteints de pathologies CV qui désirent jeûner ne cesse d’augmenter dans le monde, et en Tunisie, classée pays à haut risque CV. S’il a été démontré que le jeûne est bénéfique pour l’amélioration de certains paramètres métaboliques, sa pratique chez les patients atteints de pathologie cardiovasculaire reste discutée. La société Tunisienne de Cardiologie et de Chirurgie Cardiovasculaire (STCCCV) en concertation avec l’Instance Nationale d’Evaluation et d’Accréditation en Santé (INEAS) a établi ce document sous forme de consensus après avoir analysé la littérature dans l’objectif de répondre à ces questions :

  • Quel est l’impact du jeûne chez le patient atteint de pathologies cardiovasculaires ?
  • Comment stratifier le risque lié au jeûne selon la pathologie cardiovasculaire et les comorbidités ?
  • Comment planifier le jeûne chez le patient atteint de pathologies cardiovasculaires ?
  • Quelles sont les mesures hygiéno-diététiques à préconiser au cours du jeûne chez le patient atteint de pathologies cardiovasculaires ?
  • Comment gérer les médicaments pendant le mois de Ramadan chez le patient atteint de pathologies cardiovasculaires ?

Ce guide est destiné aux médecins de toutes les lignes de soins dans le secteur privé et public.

Mots Clés
Article
Références
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