Gestion du patient atteint de pathologies cardiovasculaires pendant le Ramadan

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Publiée mai 3, 2022
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Vol. 100 No 5 (2022): Revue Mai 2022

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Lilia Zakhama
rania hammami
Khadija Mzoughi
Manel Ben Halima
Saoussen Antit
Fatma Chaker
Lilia Ben Fatma
Henda Jamoussi
Rym Gribaa
Selma Charfeddine
Meriem Drissa
Amine Tarmiz
Karima Taamallah
Sami Milouchi
Samir Nouira
Elyes Neffati
Wejdene Ouechtati
Sana Ouali
Afef Ben Halima
Faten Turki
Habib Skhiri
Chiraz Amrouch
Ines Slim
Khaled Zghal
Alia Koubaa
Mounir Karoui
Mohamed Boussarsar
Mohamed Hechmi Besbes
Khouloud Ben Jeddou
Hella Ouertatani
Mohamed Ben Hamouda
Asma Ben Brahem
Chokri Hamouda
Leila Bezdah
Fatma Said
Rim

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 :

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