Macro partitioning
Adherence to a Mediterranean-type diet significantly reduces the rate of cardiovascular complications (recurrent myocardial infarction and cardiac death) in patients recovering from a first myocardial infarction compared to a prudent Western-type diet.
If you have had a heart attack, switching to a Mediterranean-style diet (high in plant fats like olive/flax oil, fruits, vegetables, and whole grains; low in saturated fats) can significantly reduce your risk of another heart event or death. This diet is effective even when combined with standard medications like aspirin. Success requires professional guidance and family support to maintain adherence over the long term.
In the Mediterranean diet group, CO 1 was reduced (14 events versus 44 in the prudent Western-type diet group, P<0.0001)... The protective effect of the Mediterranean dietary pattern was maintained up to 4 years after the first infarction
Why this rating
Randomized controlled trial with long-term follow-up (mean 46 months) and statistically significant results, though the sample size is modest.
Source
Mediterranean Diet, Traditional Risk Factors, and the Rate of Cardiovascular Complications After Myocardial Infarction
Michel de Lorgeril et al. · Circulation · 1999
DOI 10.1161/01.cir.99.6.779
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