The study found that the limitation of salt consumption can even worse the consequences of a common heart failure.In addition to black and other ethnic minorities, young individuals seem to be at the most risk. Although the limitation of salt consumption is thought to be an important part of treating heart failure, research published in Heart magazine reveals that doing this very seriously can make things worse for those who have a common form of the situation.
The findings show that the most vulnerable groups are
groups of young individuals, black and other ethnic origins.
Salt restriction is often recommended in heart
failure guides, but the ideal range (less than 3 g per day) and is uncertain of
the effect of patients with heart failure with preserved ejection fraction,
because such patients are often left out.
With the preserved ejection fraction that forms half
of the heart failure, the heart failure is the heart failure, the left ventricle,
the lower left room of the heart, can not fill it properly with blood
(diastolic phase), which causes less blood pumping into the body.
The researchers used the secondary analysis of 1713
Topcat trial participants, which are 50 years old or larger and To investigate
the link between preserved ejection fraction and heart failure and heart
failure due to heart failure salt consumption.
This study, which is a study of phase III, double
blind, randomized, controlled work, is designed to learn whether the drug
spironolactone can effectively treat symptomatic heart failure with preserved
ejection fraction.
Participants were asked how much salt they added to
cooking staples such as rice, pasta and potatoes; soup; meat; and vegetables
and this: 0 points (no); 1 (⅛ teaspoon); 2 (¼ teaspoon); and 3 (½+teaspoon).
Their health was watched for 3 years for the primary
last point. Routinely go to the hospital for a composition of death from
cardiovascular disease or heart failure to maintain sudden heart stop. Secondary
The consequences were admitted to the hospital for death and heart failure from
any case.
Approximately half of the participants (816) cooking
salt score was zero: more than half of them were male (56%) and most white
ethnic origin (81%). They were significantly weighed more and had lower
diastolic blood pressure (70 mm Hg) than those with a cooking salt score of
over zero (897).
In addition, more often for heart failure, Type 2
diabetes, weaker kidney function to have, to control the heart sufficiency
medication to control the left ventricular ejection fraction (lower cardiac
output) was not less.
For the primary last point, the participants with a
cooking salt score of over zero are significantly lower than the zero ones, and
their probability of being adopted to a hospital for heart failure is lower.
However, the possibility of dying from cardiovascular disease for any reason
was not less than the zero with cooking salt score.
People aged 70 and under were significantly higher
than adding salt to a hospital for accepting a hospital for primary end point
and heart failure.
Similarly, those who came from black and other ethnic
origins were small, although the numbers were small, they were more beneficial
than adding salt to cooking compared to white ethnic origin.
Gender was not associated with the use of previous
hospital admission and the use of heart failure drugs for heart failure,
increasing risks of measured results and cooking salt score.
This is an observational study and therefore why
cannot create. Not all data obtained from the Topcat experiment was not
available, the cooking salt score was reported to itself and accepted the
researchers. In addition, the reverse causality, which can be recommended to
further restrict salt intake of people with lower health, cannot be ignored.
Low sodium intake is usually associated with low
blood pressure and risk of cardiovascular disease in general public opinion and
with high blood pressure. It is thought that it reduces fluid holding and
triggering the hormones in the blood pressure regulation.
However, researchers say that the restriction of salt
intake to control heart failure is less simple. It may cause intravascular
volume contraction, which may reduce the need to alleviate the blockage and the
need for liquid retention of water tablets.
However, the findings of the study show that the
plasma volume in the blood is not significantly related to the scaling of the
gauge-tanning salt score, which shows that low sodium intake does not alleviate
fluid in people with heart failure with preserved ejection fraction, and pay
attention to the researchers.
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