Counseling based on DASH and Mediterranean-style nutrition with sodium, saturated fat, and sugar control for conditions such as hypertension, coronary artery disease, heart failure, and dyslipidemia.
Indication
- Individuals diagnosed with hypertension (high blood pressure)
- Patients with coronary artery disease or a history of myocardial infarction
- Patients followed up for heart failure
- Individuals with elevated LDL cholesterol or triglyceride levels
- People in the high-risk group for cardiovascular disease
- Patients requesting a nutrition plan after stent or bypass procedures
Preparation
- Bring blood test results from the last 6 months (lipid panel, glucose, kidney function)
- Prepare a list of antihypertensive, cholesterol, and anticoagulant medications you use
- Bring home blood pressure measurements as a record if possible
- Write down your typical daily eating pattern (breakfast, snacks, meals)
How it's performed
- A detailed cardiovascular risk and nutritional history is taken
- Body composition analysis, waist circumference, and blood pressure measurements are performed
- A plan is created to keep sodium intake below 2.3 g/day
- Vegetables, fruits, whole grains, and healthy fats are recommended based on DASH and Mediterranean nutrition
- Sources of saturated fat and added sugar are identified and limited
- A sustainable meal plan suitable for the patient's preferences is prepared
Post-procedure
- Monthly follow-up sessions are scheduled for the first 3 months
- Blood pressure, weight, and waist circumference are measured regularly
- Lipid profile and, when needed, blood glucose are evaluated every 3-6 months
- Medication changes are followed in coordination with the cardiologist
- Long-term follow-up every 6 months is maintained for stable patients
Risks
- Excessive salt restriction may cause hyponatremia risk in patients using diuretics
- Insufficient calorie intake may lead to muscle loss
- Herbal or high-dose omega-3 supplements may interact with some blood thinners
- Rapid and excessive weight loss may not be appropriate for elderly cardiac patients
- Care is needed in kidney disease, as ready-made low-sodium products may be high in potassium
FAQ
Is heart-healthy nutrition tasteless?
No. Mediterranean and DASH approaches are based on fresh vegetables and fruits, spices, olive oil, and whole grains, making them flavorful and sustainable plans.
Should I completely cut out salt?
Rather than completely eliminating it, it is recommended to keep daily intake below 2.3 grams (approximately 1 teaspoon). Hidden salt in processed foods is also taken into account.
Can I eat eggs?
For most people, a certain number of eggs per week is suitable. It is personalized according to your LDL cholesterol level.
Are coffee and tea allowed?
As long as it is not excessive, moderate daily consumption is generally acceptable. The amount may be reduced if arrhythmia or uncontrolled hypertension is present.
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