Is it possible to eat nuts after a heart attack? Principles of diet after a heart attack for men

In the modern world, full of stress, anxiety and a disturbed environment, an increasing number of people are faced with diseases of the cardiovascular system. Atherosclerosis, coronary heart disease, arterial hypertension and simple narrowing of the coronary vessels of the heart as a result of smoking are not the entire list of causes of heart attack. Risk factors for the development of this acute condition also include: age exceeding 45 years, impaired fat metabolism, insufficient physical activity, diabetes mellitus and a previous small-focal attack. Being one of the main causes of disability in adults and causing a high mortality rate, myocardial infarction requires competent treatment and full rehabilitation.

The main directions of the rehabilitation program after a heart attack are:

  • Physical activity;
  • Reducing excess weight;
  • Constant monitoring of blood glucose, blood pressure and cholesterol levels;
  • Prevention of chronic fatigue and stressful conditions;
  • Dieting.

Diet after myocardial infarction: gradual return to a full life

The main purpose of rehabilitation after a heart attack is to restore vital functions, possible activity and reduce the risk of a second attack. That is why the diet after a heart attack and stenting involves excluding from the diet fats of animal origin - cholesterol, which promotes the growth of plaques in blood vessels and the progression of atherosclerosis.

Products rich in animal fats include: lard, poultry, fatty meat, liver and other offal, butter, sausages, cheese and fatty dairy products. The fight against excess weight and reducing the calorie content of food is carried out by avoiding high-carbohydrate foods, which are transformed as a result of metabolism into fats harmful to the heart and blood vessels.

We are talking about everything, confectionery, white bread, ice cream, sweet fruits, sweet carbonated drinks and even high carbohydrate vegetables. In addition, the diet for a heart attack should limit as much as possible the amount of salt present in the diet. To improve the taste of the food you eat, regular salt can be replaced with low-sodium dietary salt, dill, parsley, or other herbs.

The basis of the post-heart attack diet should be the following products:

  • Vegetable oil;
  • Seaweed, fish and seafood;
  • High fiber vegetables;
  • Whole grain products, black bread made from wholemeal flour;
  • Nuts, legumes and soybeans;
  • Non-sugar fruits;
  • Low-fat dairy and lactic acid products;
  • Lean meat and poultry.

The diet after a heart attack for men includes three stages:

  • First stage (first week after the attack)– an acute period requiring six meals a day. The diet for this period should include: lean beef, fermented milk products, boiled fish or chicken, crackers, cereals, steamed omelettes, pureed vegetable soups. Taboos should be placed on smoked meats, baked goods, chocolate, hard cheeses, coffee and alcohol.
  • Second stage (second and third week after heart attack)– the subacute period allows the consumption of already unprocessed dishes, but not completely salted. Continues 5 times a day in small portions.
  • Third stage (beginning of the fourth week)– a period of scarring, during which a low-calorie menu is prescribed with limited salt and liquid (up to 1 liter per day). To saturate the body with potassium, the menu should contain raisins, dried apricots and prunes, and to replenish iodine reserves, seafood and seaweed should be included in the diet.

Diet after myocardial infarction: tasty and healthy recipes

To diversify the dietary menu, the following dishes can be included in the diet of people who have had a heart attack.

Carrot salad

Carrots are a storehouse of vitamin A, contain a large amount of antioxidants and are excellent for lowering blood cholesterol levels. That is why carrot dishes must be included in the post-heart attack menu. To prepare the salad, you need to grate the carrots, add sea buckthorn or currants grated with sugar, walnuts and season with vegetable oil.

Homemade yogurt

Kefir grains are added to a half-liter jar of warm boiled milk and left for a day in a warm place. After 24 hours, the mushroom is removed from the milk and the thickened fermented milk is placed in the refrigerator. Add a tablespoon of currants or raspberries grated with sugar to the prepared and cooled yogurt.

Beet stew with beans

Beets, cut into small strips, are stewed in vegetable oil until half cooked, onions, carrots and boiled beans are added to it, and brought to readiness. The dish turns out very tasty, healthy and satisfying.

Such nutrition after a heart attack will help maintain a diseased heart, prevent relapse and restore health.

Video about myocardial infarction

Video about nutrition for heart disease

Myocardial infarction is a serious complication of coronary heart disease that requires complex treatment, in which proper nutrition plays a vital role.

For this purpose, nutritionists have developed a special therapeutic diet after a heart attack.

Causes, symptoms and nutritional habits after a heart attack ^

Myocardial infarction develops against the background of blockage of a coronary artery by a blood clot (thrombus). In this case, oxygen supply to the heart tissue area is disrupted, cell death occurs, and a scar forms at the site of the cardiac “catastrophe.”

Atherosclerosis is considered the main culprit in the occurrence of heart attacks. However, there are other factors that significantly increase the likelihood of the disease:

  • Obesity, overweight, physical inactivity.
  • Male gender. Women suffer from heart attacks after 50 years of age on an equal basis with men.
  • Heredity.
  • Smoking.
  • An increased level of cholesterol in the blood leads to the formation of atherosclerotic plaques - they are the ones that block the vessel.
  • Hypertension.
  • Diabetes.

The main symptom of a heart attack is severe pain in the center of the chest. Even at rest, the pain is burning, pressing, reminiscent of angina, but more pronounced. Pain sensations can radiate to different parts of the body.

A heart attack is often accompanied by a lack of oxygen, suffocation, heart rhythm disturbances (interruptions), nausea or vomiting. However, sometimes it happens that the disease is detected only during echocardiography. Most often, asymptomatic heart attack, not accompanied by pain, occurs in patients with diabetes mellitus.

What should you eat during a heart attack?

Restoring health after a heart attack is not an easy task; this requires a set of measures, including drug treatment, physiotherapy, giving up bad habits and nutritional therapy.

  • The diet after a heart attack is approved by the Institute of Nutrition (diet No. 10). The treatment menu is aimed at improving blood circulation, normalizing metabolic processes, improving the functioning of the cardiovascular system, liver and kidneys.
  • The energy value of the diet is reduced due to fats and carbohydrates. Heavy foods, foods that excite the nervous system, irritate the gastrointestinal tract, liver and kidneys and cause flatulence are excluded.
  • Priority is given to foods rich in lyotropic substances, potassium and magnesium. Food is prepared using dietary methods (stewing, boiling, steaming, baking) and without salt.
  • Liquid is limited to 1.2 liters.
  • Dietary nutrition is aimed at eliminating the causes of the disease. To reduce blood cholesterol levels, it is recommended to exclude fatty protein foods from the diet. Limiting salt reduces the risk of hypertension.
  • It is vital for overweight patients to lose excess weight. This will not only reduce the excessive load on weakened heart muscles, but also normalize lipid metabolism.

  • Vegetarian first courses;
  • Lean fish and poultry;
  • Inconvenient pastries and daily bread or crackers;
  • Milk products;
  • Pasta dishes (not the highest grade), cereals;
  • Baked or boiled vegetables;
  • Fruits, berries.

Prohibited foods

  • Baking, fresh bread;
  • Rich broths (from mushrooms, meat, fish);
  • Fatty meat, kidneys, smoked meats, sausages;
  • Marinades, salted fish and cheese;
  • Beans;
  • Coarse fiber;
  • Tea (strong), coffee and chocolate.

Nutrition rules

Myocardial scarring occurs after 3 weeks. During this period, therapeutic nutrition is strictly controlled by a doctor.

  • Food prepared in a dietary manner is served without salt, pureed.
  • Portions are small, but meals are recommended up to 8 times a day.
  • The diet consists mainly of liquid cereals, vegetable soups and low-calorie dairy products.
  • Calorie content does not exceed 1000 kcal.

After discharge from the hospital, the diet becomes less strict, but salt, fatty foods, strong coffee and tea, alcohol and confectionery are still prohibited. The patient's daily calorie intake should be about 1400 kcal.

Taking into account the characteristics of the body, the diet for each patient is prepared individually by the doctor. For example, a diet after a heart attack for women is more (than for men) aimed at lowering blood sugar. The post-heart attack diet for men focuses on lowering cholesterol levels. In both cases, the diet may differ, but it is made up of permitted products and has the same restrictions.

Diet after a heart attack: sample menu ^

Feeding the patient should be frequent and divided and carried out in 7-8 doses per day. An approximate menu in the acute period after an attack may be as follows:

  • Compote without sugar, from prunes, 1/2 cup of low-calorie kefir.
  • Cereal porridge with milk, half a glass of carrot juice + a teaspoon of olive oil, grated apple.
  • Chicken breast (50 gr.), rosehip decoction.
  • Half a glass of carrot juice with olive oil.
  • A piece of steamed fish (50 g) and vegetable broth.
  • Half a glass of jelly.
  • Grated low-fat cottage cheese and half a glass of blackcurrant juice.
  • Half a glass of curdled milk.

Nutrition 2-4 weeks after a heart attack

Gradually, the diet expands, but meals still remain fractional. From 2-4 weeks the diet may look like this:

  • A glass of rosehip decoction.
  • Buckwheat porridge, not pureed. Salad of greens, cucumbers and tomatoes, tea with a spoon of sugar.
  • Vegetarian borscht, boiled chicken and rice, freshly squeezed apple juice.
  • Cottage cheese with a teaspoon of sugar, pear, compote.
  • Vegetable puree, a piece of fish, tea.
  • Milk and crackers.
  • Cottage cheese with raisins and a teaspoon of sour cream, apple, tea.
  • Kefir and steamed prunes.

As the patient's condition improves, the daily calorie content increases to 2200 kcal. You can switch to four meals a day, creating a menu of permitted foods, gradually including salt.

Diet after a major heart attack

  • The diet during the recovery period should contain no more than 10% fat, about 30% protein and 60% complex carbohydrates.
  • Meals four times a day, up to 7 grams permissible. salt,.
  • Before going to bed, you can drink fermented baked milk or kefir.
  • It is recommended to drink 3 glasses of water and get the same portion of liquid with food.

Diet after heart attack and stenting

  • The diet is recommended by a doctor individually - its goal is to reduce cholesterol levels and the risk of plaque formation.
  • Therefore, the content of animal fats is reduced to a minimum. You will have to monitor your cholesterol levels especially carefully.

Strict adherence to the diet will shorten the period of illness and rehabilitation. The results of a diet after a heart attack are quite positive, since thanks to it the patient will be able to return to their usual lifestyle in a shorter period of time. It is especially good if the patient develops correct eating habits.

Doctors' opinion

Reviews from doctors about diet after a heart attack are only positive:

  • Products that cause hypercholesterolemia and hypertension are excluded from the diet, and caloric restriction is aimed at reducing weight, the culprit of many cardiovascular diseases.
  • For the prevention of heart attack, cardiologists consider the most acceptable. The use of fatty fish, poultry, olive oil, garlic, cereals, nuts, green vegetables, fruits, and durum wheat products in the diet maintains the elasticity of blood vessels and reliably protects against cardiovascular problems.

Eastern horoscope for May 2019

After description diets after myocardial infarction Recipes for dishes recommended by nutritionists for a diet after a heart attack are presented.

Diet after myocardial infarction depends on the period of the disease (acute, subacute, period of scarring) and the motor mode.

Diet for heart attack, goal

1. Reduce the calorie content of the diet, limit foods containing a lot of cholesterol (offal, fatty meats and fish, pork, beef, lamb fats, yolks, cod liver oils, halibut, sausages, canned food, meat, fish, mushroom broths). Reduce the amount of sugar, which can increase blood clotting, it is advisable to replace it with honey.

2. Exclude from the diet after myocardial infarction foods that cause flatulence in the intestines (milk, fresh bread, rye bread, pastries, cucumbers, cabbage, legumes, grape juice, carbonated drinks).

3. Exclude from the diet after myocardial infarction foods that stimulate the vascular and nervous systems (chocolate, coffee, cocoa, spicy snacks, spices)

4. Limit the amount of salt and free liquid administered.

5. Include in the diet after myocardial infarction vegetable oil, vegetables and fruits that promote gentle bowel movements - compotes, infusions of dried fruits, kefir, beet puree, carrots, apples, apricot juice.

6. Cook food boiled.

7. Avoid very hot and cold foods.

8.To improve the taste of unsalted food and appetite, use citric acid when cooking. tomato and lemon juice, table vinegar, vanillin.

9. In the first days of the acute period of a heart attack, give food 7-8 times a day, then 5-6 times a day.

10. Give food in small portions, easily digestible to prevent the rise of the diaphragm, which can impede the work of the heart.

In the first 1-2 days after a heart attack, the patient’s need for food is small, so the patient is only given warm, weak tea with sugar (semi-sweet) and 1/4 cup of lemon, rosehip decoction, orange juice diluted with water, black tea juice diluted with water. currants and others, liquid from compote, cranberry juice, liquid jelly, alkaline mineral waters without gas. Cold drinks can cause heart pain, so they are not recommended.

I diet plan for myocardial infarction

1-2 days after an acute heart attack, the first ration of diet No. 10i is prescribed for a week, containing:

60g proteins,

30g fat,

180g carbohydrates,

1.5-2g salt in products,

Calorie content - 1200kcal,

Free liquid 0.7-0.8 l,

Diet weight 1700g,

Number of meals - 6.

Dishes are prepared pureed, food temperature is not higher than 50 degrees.

In the first diet of the diet after myocardial infarction, it is recommended to include vegetable broth soups with pureed cereals and vegetables, egg flakes, 50 g of crackers, steamed cutlets, dumplings, meatballs, soufflé, boiled fish, kefir, pureed cottage cheese, curd soufflé, protein omelet, semolina porridge in milk, pureed buckwheat and oatmeal in milk, pureed carrots, potatoes, beets, pureed carrot-curd pudding, applesauce, jelly, mousses, prunes soaked in water, dried apricots, weak tea with lemon, milk, rosehip decoction, prune infusion , fruit, carrot, beet juices. Butter and vegetable oil are added only to dishes. Milk is added only to dishes.

In the first days of illness, if the patient does not want to eat, he should not be forced to eat.

Diet menu after myocardial infarction for 1 day - I diet

1st breakfast: 100g of mashed milk porridge from rolled oats, 50g of curd paste, 150g of tea with milk.

2nd breakfast: 100g applesauce.

Lunch: 150g semolina soup with vegetable broth, 100g carrot puree with vegetable oil, 50g meat soufflé, 100g fruit jelly.

Afternoon snack: 10g rosehip decoction, 50g curd paste.

Dinner: 100g pureed buckwheat porridge, 50g fish dumplings, 150g tea with lemon

At night: 100g prune decoction.

II diet after myocardial infarction

The diet after myocardial infarction in the subacute period (2-3 weeks of illness) is expanded and the II ration of diet No. 10i is prescribed, which contains:

80g proteins,

50g fat,

200g carbohydrates,

3g salt on hands,

Calorie content - 1600kcal,

Free liquid 800ml,

Dishes are prepared mainly chopped,

Number of meals - 5,

Diet weight 2000g,

The food temperature is normal.

In the second ration of the diet after myocardial infarction, 150 g of day-old wheat bread, vegetable broth soups with well-cooked cereals and vegetables, boiled meat and fish in pieces or minced meat products, kefir, curd puddings with cereals, fruits, carrots, low-fat, unsalted cheese are recommended. liquid viscous ungrated porridge, semolina casserole, mashed potatoes, beets, carrots, and also add cauliflower puree, grated raw carrots, raw soft fruits and berries, baked apples, compote, milk jelly and jelly, meringues, up to 50 g of sugar, drinks and fats as in diet I. To improve the taste of unsalted food, add tomato, lemon, fruit juices, boiled and lightly fried onions, sauces with vegetable broth and milk.

Diet menu after myocardial infarction for 1 day - II diet

1st breakfast: 200g semolina porridge with fruit puree, 50g protein omelet, 180g tea with milk.

2nd breakfast: 100g curd paste, 100g rosehip decoction.

Lunch: 250g vegetarian borscht with vegetable oil, 150g mashed potatoes. 55g boiled meat, 100g fruit jelly.

Afternoon snack: 100g baked apples

Dinner: 100 carrot puree, 50g boiled fish, 180g tea with lemon..

At night: 180g low-fat kefir.

III diet ration

At week 4, during the scarring period, diet III of diet No. 10i is prescribed, containing:

90g proteins,

50g fat,

250-300g carbohydrates,

5g salt on hands,

1 liter of free liquid,

Calorie content - 2000kcal,

Food is prepared boiled, chopped and in pieces, without salt, cold dishes below 15 degrees are excluded,

Number of meals - 5.

In the third ration of the diet after myocardial infarction, add to the dishes of the first two rations 250 g of stale wheat bread, you can replace 50 g of it with 50 g of rye bread, stewed carrots with beets, soaked herring, lean ham, boiled jellied meat and fish, boiled vermicelli with cottage cheese, casserole semolina with apples, buckwheat-curd pudding, porridge, butter on hand 10g.

Diet menu after myocardial infarction for 1 day - III diet

1st breakfast: 150g buckwheat porridge, 10g butter, 30g cheese, 180g tea with milk.

2nd breakfast: 150g cottage cheese with milk, 180g rosehip decoction.

Lunch: 250g oatmeal soup with vegetables, 150g beets stewed in sour cream sauce, 100g boiled chicken, 100g fresh apples.

Dinner: 150g mashed potatoes, 85g boiled fish, 180g tea with lemon.

At night: 180g kefir.

Diet 10i rations are created on the basis of diet 10a, taking into account the caloric content, chemical composition and allowed dishes of the three rations of diet 10i.

Further diet after myocardial infarction

After three diets, diet No. 10 and the diet after myocardial infarction are expanded and the patient is transferred to diet No. 10, No. 10c. With increased weight, the patient is prescribed fasting days along with the main diet.

During the period of some improvement with decreased appetite, the patient can be given a small amount of foods containing fats and cholesterol (cream, Ukrainian eggs, eggs and other products).

Below are recipes for dietary dishes recommended by nutritionists for a diet after myocardial infarction.

Myocardial infarction is accompanied by sudden sharp changes in the functioning of the heart muscle and coronary vessels. Urgent adaptation to the loss of a portion of ventricular tissue is required. It not only ceases its functions, but turns into a necrotic mass that releases decay products into the blood.

The patient faces a period of restorative replacement of necrosis with scar tissue, development of collateral vessels, and elimination of the ischemic zone. The diet for myocardial infarction is designed to help medications solve these problems.

Basic nutritional requirements for a heart attack patient

The only way to ease your heart rate is through bed rest. But a person must get energy from food. How can we ensure that nutrition during myocardial infarction does not burden the affected muscle tissue, but contributes to its restoration? There are a number of requirements for this:

  • You should not eat large amounts of meat and fried food, it will require a lot of energy to digest;
  • food should be light, but high in calories;
  • the number of meals has to be increased to 6 - 7, and portions reduced;
  • products that lead to bloating are contraindicated, since the rise of the diaphragm complicates heart contractions;
  • the diet should have enough protein (building material);
  • Potassium and magnesium salts are needed, they improve the electrical activity of myocardial cells;
  • table salt is limited to 3 - 5 g, the total content in food is agreed with the doctor, since it depends on possible complications;
  • total calorie content can be reduced to 1500 kcal by limiting fatty foods, sugar, flour and confectionery products;
  • the volume of liquid is reduced to 0.5 l;
  • the patient does not need excess caffeine contained in strong coffee, tea, and carbonated drinks;
  • stool retention plays a positive role in the first days (tension of the peritoneal muscles during straining causes an increase in the load on the fragile myocardium), but in the future it is necessary to ensure that the diet after myocardial infarction includes foods with a laxative effect.

When purchasing kefir, be sure to check the production date: only the daily drink has a laxative effect

Diet for the first week of illness

The acute period determines the compensatory capabilities of the body and is dangerous for the development of complications. Therefore, special attention should be paid to nutrition.

Useful ones are:

  • low-fat meat broths with white crackers;
  • boiled fish;
  • pureed boiled meat (soufflé, casserole);
  • porridge with water (preferably buckwheat);
  • cottage cheese, low-fat kefir;
  • salad of boiled beets, seaweed;
  • decoction of rose hips, prunes;
  • compote of raisins, dried apricots;
  • Boiled potatoes;
  • citrus fruits.

Food is prepared under-salted. Sugar and sweets are limited.

  • animal fats (lard, butter, fatty meat), sausages and smoked products;
  • brown bread and fresh pastries;
  • grapes and juice from them;
  • carbonated drinks.

The total calorie content of the daily diet is 1300 kcal, weight - up to 1500 g.

Diet for the second or third week

Restrictions are loosening somewhat:

  • salt is allowed, but not more than 3 g (half a teaspoon) per day, food is prepared without salt, addition is possible during meals;
  • porridges are prepared not pureed, crumbly, in casseroles;
  • grated raw carrots are shown;
  • soups with vegetables made from lean meat;
  • cutlets;
  • limited consumption of sour cream and hard cheese;
  • sugar no more than 50 g;
  • tomato juice;
  • sauces prepared with vegetable broth;
  • weak tea with lemon;
  • 10 g butter.

Calorie content increases to 1800 kcal, diet weight - up to 2000 g.

Recovery diet

Nutrition after myocardial infarction from the fourth week at home is equivalent to treatment table No. 10. This is a common diet for patients with heart disease (without or with decompensation), hypertension.


Even adding lettuce leaves does not improve the dangerous properties of various fast food hot dogs.

Peculiarities:

  1. Animal fats are very strictly controlled. The diet aims to reduce the level of low-density lipoproteins in the blood and prevent the development of atherosclerosis. Therefore, it is recommended to replace fats with vegetable oils and vegetable sauces.
  2. Spicy seasonings, pickles and marinades are not allowed, as these products contain salt and will require additional fluid intake. Salt remains limited, its amount should be agreed with your doctor.
  3. Meat products are recommended in the form of cutlets, meatballs, meatballs, chicken ham is allowed. Dishes made from lamb, fatty pork, kebabs, and fried foods are not allowed.
  4. We recommend sea fish, soups made from it, stewed with vegetables.
  5. Steamed dishes are preferred. Allowed are casseroles with cottage cheese, pasta (limited if you are overweight), and porridge with milk in an ungrated form. Apples and other fruits are being introduced into the menu gradually.
  6. The calorie content increases to 2300 kcal, the weight of food products increases to 2300 g.

If there are signs of decompensation, it is necessary to agree with the doctor on the total amount of fluid. If the patient is overweight, then you will have to reduce the consumption of high-calorie foods and arrange fasting days.

After a heart attack, a patient needs to monitor regular bowel movements. Straining is undesirable, so the diet should always include grated beets, prunes and dried apricots soaked overnight. In the evening you need to take kefir no more than a day old.

Only the basic principles of nutrition for patients with a heart attack are outlined. If complications occur, your doctor may recommend additional restrictions. Difficulties are possible if the patient has concomitant diseases of the stomach or kidneys. The attitude towards nutrition should be equal to other types of therapy.

The death of cardiac muscle tissue occurs, the cause of which is a violation of blood circulation and metabolic processes. Nutrition is not a cure for this pathology, but it can improve the patient’s well-being and protect him from relapses. It is important to reduce the amount of calories, salt and fluid you consume so as not to overload already damaged organs. Also, the diet must contain foods that stimulate the digestive system.

Diet after myocardial infarction

At different stages of the disease, the patient requires different nutrition. The doctor will assess the patient’s condition and then prescribe one of three diet options:

The importance of proper nutrition after myocardial infarction

Doctors recommend that after a myocardial infarction not to eat food later than 15:00 in the afternoon and in no case to eat at night. It is unlikely that a sick person will want to overeat in such a state, but, nevertheless, this process must be controlled. The main points of therapeutic nutrition after myocardial infarction:

  1. Don't overuse salt. This substance thickens the blood and retains fluid in the body, which is very harmful for such patients.
  2. Include vitamin-rich foods in your diet and . This is , and .
  3. Don't drink alcohol. Alcohol, like coffee and strong tea, are strictly contraindicated for those who have already suffered a myocardial infarction.
  4. Limit fat intake, this especially applies to margarine, butter, lard and dishes prepared using these products.

Doctors helped the man survive and stabilized his condition. Now the most important thing is to support him and take care of yourself.

Sample menu after a heart attack

There is a list of certain foods that will be especially useful in the post-infarction period. They do not overload the stomach, are low in calories, but are rich in vitamins and other microelements that will support the functioning of the heart muscle. So, here is what doctors recommend to include in the diet of a person who has had a heart attack:

  • Cereals – , ;
  • garden berries, fruits, especially citrus fruits;
  • fresh vegetables, emphasis should be placed on various types of cabbage;
  • greenery, ;
  • milk, products made from it, non-spicy hard cheese is not prohibited;
  • sea ​​fish, preferably white varieties;
  • lean meat, poultry;
  • dried fruits - , ;
  • whole wheat bread.

The strictest diet is observed in the first days after a heart attack.. Portions are prepared very small, all dishes are ground or crushed in a blender. Vegetables and cereals must be well boiled and under no circumstances should they be salted. In total, no more than 1000 kcal per day is allowed, but even this amount is reduced if the patient is overweight.

Here is what a sample menu for a “severe” patient would look like:

In the future, as the patient’s condition improves, he is transferred to diet No. 10. You can increase the portions - accordingly, the number of calories per day will increase. Now there can be up to 1400, but you must not forget about fractional meals and control the consumption of fats and carbohydrates. The menu is complemented by an omelet made from proteins, low-fat and, vegetable salads and soups, steamed cutlets and meatballs made from meat or fish.

For dessert, you can eat not very sweet mousses and fruit jellies, jelly casseroles with cottage cheese, pasta or sour cream. Recommended drinks are herbal teas, compotes and fruit drinks, pure mineral water without carbon.

You can see a detailed approximate nutritional plan after a heart attack in accordance with the requirements of therapeutic diet No. 10 in the table:

A proper lifestyle plays a huge role for everyone who monitors their health, in particular the heart. Strict nutritional management is necessary, otherwise neither medications nor a stay in a sanatorium will have the desired effect. To a large extent, it depends on the consciousness of the patient himself how quickly he will recover and be able to live, if not in the usual rhythm, then at least in one close to it. That is why it is imperative to adhere to a strict diet immediately after a heart attack, and monitor your diet for the rest of your life. This is one of the main guarantees that it will last for many more years.

Konev Alexander, therapist

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