TY - JOUR
T1 - Siddha fasting in obese acute decompensated heart failure may improve hospital outcomes through empowerment and natural ketosis
AU - Chockalingam, Anand
AU - Kumar, Senthil
AU - Ferrer, Mauricio Sendra
AU - Gajagowni, Saivaroon
AU - Isaac, Maxwell
AU - Karuparthi, Poorna
AU - Aggarwal, Kul
AU - Shunmugam, Selva
AU - Amuthan, Arul
AU - Aggarwal, Arpit
AU - Hans, Chetan P.
AU - Krishnaswamy, Kiruba
AU - Dorairajan, Smrita
AU - Liu, Zhenguo
AU - Flaker, Greg
N1 - Funding Information:
Whole Health Program and Office of Rural health support for developing novel Self-Inquiry Cardiac Wellness clinics at Truman Veterans Hospital.
Publisher Copyright:
© 2021
PY - 2022/11/1
Y1 - 2022/11/1
N2 - Background: Morbid obesity (BMI > 35 kg/m2 with comorbid conditions) is present in 25 – 35% of acute decompensated heart failure (AHF) patients. Prevalence of HF increases with duration of morbid obesity from 30% at 15 years to over 90% at 30 years. There is a need to develop pragmatic therapies that address the unique physical and mental challenges faced by obese AHF patients. Siddha is 5,000 year old Tamil Medicine using yoga and mind-body methods towards higher consciousness. Hunger gratitude Experience (HUGE) is intuitive Siddha fasting method which may improve in-hospital AHF outcomes independent of weight reduction. Case summary: We present 5 cases of morbidly obese patients with cardiorenal syndrome (CRS) that began intermittent fasting either during their AHF hospitalization or in the outpatient setting for refractory symptoms despite hospitalization. Initiation of fasting correlated with reduction of respiratory distress and edema as well as improvements in psychological wellbeing and functional capacity. Discussion: Siddha fasting mediates hemodynamic and anti-inflammatory effects through natural ketosis and psychological benefits through empowerment in AHF. Potential role of fasting in reducing myocardial workload, coronary steal, angina, volume overload, and CRS needs further study in cardiac patients.
AB - Background: Morbid obesity (BMI > 35 kg/m2 with comorbid conditions) is present in 25 – 35% of acute decompensated heart failure (AHF) patients. Prevalence of HF increases with duration of morbid obesity from 30% at 15 years to over 90% at 30 years. There is a need to develop pragmatic therapies that address the unique physical and mental challenges faced by obese AHF patients. Siddha is 5,000 year old Tamil Medicine using yoga and mind-body methods towards higher consciousness. Hunger gratitude Experience (HUGE) is intuitive Siddha fasting method which may improve in-hospital AHF outcomes independent of weight reduction. Case summary: We present 5 cases of morbidly obese patients with cardiorenal syndrome (CRS) that began intermittent fasting either during their AHF hospitalization or in the outpatient setting for refractory symptoms despite hospitalization. Initiation of fasting correlated with reduction of respiratory distress and edema as well as improvements in psychological wellbeing and functional capacity. Discussion: Siddha fasting mediates hemodynamic and anti-inflammatory effects through natural ketosis and psychological benefits through empowerment in AHF. Potential role of fasting in reducing myocardial workload, coronary steal, angina, volume overload, and CRS needs further study in cardiac patients.
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U2 - 10.1016/j.explore.2021.12.003
DO - 10.1016/j.explore.2021.12.003
M3 - Article
AN - SCOPUS:85122326486
SN - 1550-8307
VL - 18
SP - 714
EP - 718
JO - Explore
JF - Explore
IS - 6
ER -