Coronary disease & ACS

Intermittent Fasting After ST-Segment–Elevation Myocardial Infarction Improves Left Ventricular Function: The Randomized Controlled INTERFAST-MI Trial

Circ Heart FailPublished Randomised controlled trial

Authors' conclusion

Our results suggest that intermittent fasting after myocardial infarction may be safe and could improve left ventricular function after STEMI.

Study context

Population
Patients after STEMIITT: 22 + 20 analysed
Participants
48 patients
Comparison
Intermittent fasting vs regular diet
  • Intermittent fastingn = 24
  • Regular dietn = 24reference
Primary endpoint
Improvement in LVEF
Follow-up
4 weeks
Methodological detailsprospective, nonblinded, single-center, investigator-initiated, Randomised October 1, 2020, to July 15, 2022; followed for 6 months with visits at 4 weeks and 3 months
  • Prospective
  • Nonblinded
  • Single-center
  • Investigator-initiated
  • Randomised October 1, 2020, to July 15, 2022; followed for 6 months with visits at 4 weeks and 3 months

Primary result

As reported in the abstract

Intermittent fasting

6.636

mean · SD 7.122 · %

Regular diet

1.450

mean · SD 4.828 · %

P = 0.038

Further findings

Adherence to intermittent fasting
83.7% · median · IQR 69.0%–98.4% · of all days

Improvement in LVEF · 3 and 6 months

Effect still significant and even more pronounced

DBP and body weight

Greater reduction in DBP and body weight with intermittent fasting vs control

Safety

None of the patients from either group reported dizziness, syncope or collapse
0

Original publication

Intermittent Fasting After ST-Segment–Elevation Myocardial Infarction Improves Left Ventricular Function: The Randomized Controlled INTERFAST-MI Trial. Circ Heart Fail. Published 2 May 2024. doi:10.1161/circheartfailure.123.010936

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