Cardiac Diet: Eating Healthy & Dieting

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It's important for people like you to do everything possible to manage your overall cardiovascular health. A diet low in saturated fat and cholesterol can help lower blood cholesterol levels and help prevent a heart attack or stroke. If you're also watching your blood pressure, a diet low in sodium is a good idea.

The American Heart Association has endorsed the National Heart Lung and Blood Institute's Therapeutic Lifestyle Changes (TLC) diet. This healthy cardiac diet encourages intensive lifestyle changes to lower cholesterol and reduce the risk for developing heart disease or having a heart attack. The table below shows the essential components of a healthy cardiac diet.

TLC Diet Guidelines

Nutrient Recommended Intake as Percentage of Total Calories
Total Fat 25%–35%
Saturated Less than 7%
Polyunsaturated Up to 10%
Monounsaturated Up to 20%
Carbohydrate 50%–60%
Protein Approximately 15%
Cholesterol Less than 200 mg per day

Total Calories
Your cardiac diet calorie target depends on your weight and activity level. A general rule: you can calculate the calories needed to keep your weight constant by multiplying your weight in pounds by these values at right. Ask your doctor or registered dietitian what is a reasonable calorie level for you.

  • 10 (if sedentary or very obese)
  • 13 (low activity level or over 55 years of age)
  • 15 (moderate activity level)
  • 18 (high activity level)
  • People with diabetes or the metabolic syndrome who may substitute unsaturated fat for carbohydrates are included in the 25% to 35% fat recommendation.
  • Carbohydrates should come mainly from foods rich in complex carbohydrates. These include grains (especially whole grains), fruits, and vegetables.
  • Daily energy expenditure should include at least moderate physical activity if approved by your doctor.

Because the TLC Diet may include changes to your current eating plan, your doctor may refer you to a registered dietitian (RD) who can help you make these changes. An RD will teach you about the TLC Diet, help you choose foods and plan menus, monitor your progress, encourage you to stay on the TLC Diet, and help you to adjust your calorie level accordingly.

Nutrition labels

Remember to read nutrition labels carefully. Look closely at the percentage of total fat, saturated fat, and cholesterol. It’s important to realize that these percentages are the amount contained in one serving of the food product. Check the label to see how much of the food is considered to be one serving and remember that the information is based on a 2000-calorie-per-day cardiac diet.

Food for thought

Try making these simple food substitutions. They can help lower your weight and your overall health risk.

Instead of: Substitute:
Mayonnaise >> Mustard
Potato chips >> Baked tortilla chips
Shortening >> Fat-free cooking spray
Ice cream >> Low-fat frozen yogurt
Whole milk >> 1% or skim milk
Corn oil >> Canola oil
Beef >> Grilled fish or chicken


Healthy tips for dining out

Eating a heart healthy diet that’s low in fat, cholesterol, and sodium doesn’t mean you have to stay home. Most restaurants offer plenty of low-fat, low-cholesterol, low-sodium menu choices, including desserts! If you dine out on a regular basis, be sure to talk to your doctor about the best types of dishes to order to keep your diet on track.

Here are a few things to keep in mind when dining out:

  • Low-fat dishes tend to be those that are steamed, broiled, baked, grilled, poached, or roasted.
  • Avoid foods that are fried, sautéed, basted, braised, or stuffed—they’re usually high in fat. If you’re not sure, ask your server how the food is prepared.
  • Most restaurants are happy to prepare foods to order. If you can’t find any lighter choices on the menu, just ask.
  • Keep sodium intake low by avoiding foods that are pickled or smoked, or are prepared with cocktail sauce, broth, au jus, or soy or teriyaki sauce.

IMPORTANT SAFETY INFORMATION
Certain genetic factors and some medicines such as Prilosec reduce the effect of PLAVIX leaving you at greater risk for heart attack and stroke. Your doctor may use genetic tests to determine treatment. Don’t stop taking PLAVIX without talking to your doctor as your risk of heart attack or stroke may increase. People with stomach ulcers or conditions that cause bleeding should not use PLAVIX. Taking PLAVIX alone or with some other medicines, including aspirin, may increase bleeding risk which can potentially be life-threatening. So tell your doctor when planning surgery. Tell your doctor all medicines you take, including aspirin, especially if you’ve had a stroke. If fever, unexplained weakness or confusion develops, tell your doctor promptly. These may be signs of TTP, a rare but potentially life-threatening condition, reported sometimes less than 2 weeks after starting PLAVIX.

Click here for US Full Prescribing Information Including BOXED WARNING and Medication Guide

Remember, your doctor is the single best source of information regarding your health. Please consult your doctor if you have any questions about your health or your medicine.

What to do next: Learn how exercise can help improve your cardiovascular health.

Did You Know?

Heart medicines, as prescribed by your doctor, are an important way to help reduce your risk of heart attack or stroke, but lifestyle changes also play an important role.

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