Heart failure and a plant-based diet. A case-report and literature review

Kathleen E. Allen, Divya Gumber, Robert J Ostfeld

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

A 54-year-old female with grade 3 obesity body mass index (BMI 45.2 kg/m2) and type II diabetes (hemoglobin A1c 8.1%) presented to her primary care physician in May 2017 with a chief complaint of left lower extremity edema. Work-up revealed heart failure with depressed left ventricular systolic function. Upon diagnosis, she substantially altered her lifestyle, changing her diet from a “healthy western” one to a whole food plant-based one. Guideline directed medical therapy for heart failure was also utilized. Over five and a half months, she lost 22.7 kg and reversed her diabetes without the use of diabetes medications. Her left ventricular systolic function normalized. Although causality cannot be determined, this case highlights the potential role of a plant-based diet in helping to reverse heart failure with reduced ejection fraction. This article will review how a minimally processed whole food plant-based dietary pattern and similar dietary patterns, such as the Dietary Approach to Stop Hypertension diet, may contribute to the reversal of left ventricular dysfunction.

Original languageEnglish (US)
Article number82
JournalFrontiers in Nutrition
Volume6
DOIs
StatePublished - Jun 11 2019
Externally publishedYes

Fingerprint

plant-based diet
heart failure
plant-based foods
Edible Plants
Heart Failure
Diet
case studies
Left Ventricular Function
eating habits
diabetes
Dietary Approaches to Stop Hypertension diet
medicated feeds
glycohemoglobin
Primary Care Physicians
Left Ventricular Dysfunction
physicians
noninsulin-dependent diabetes mellitus
Causality
edema
Type 2 Diabetes Mellitus

Keywords

  • Diet
  • Heart failure
  • Hypertension
  • Plant-based
  • Vegetarian

ASJC Scopus subject areas

  • Food Science
  • Nutrition and Dietetics
  • Endocrinology, Diabetes and Metabolism

Cite this

Heart failure and a plant-based diet. A case-report and literature review. / Allen, Kathleen E.; Gumber, Divya; Ostfeld, Robert J.

In: Frontiers in Nutrition, Vol. 6, 82, 11.06.2019.

Research output: Contribution to journalArticle

@article{e8575a57a4304e46a25947d9439b9dc0,
title = "Heart failure and a plant-based diet. A case-report and literature review",
abstract = "A 54-year-old female with grade 3 obesity body mass index (BMI 45.2 kg/m2) and type II diabetes (hemoglobin A1c 8.1{\%}) presented to her primary care physician in May 2017 with a chief complaint of left lower extremity edema. Work-up revealed heart failure with depressed left ventricular systolic function. Upon diagnosis, she substantially altered her lifestyle, changing her diet from a “healthy western” one to a whole food plant-based one. Guideline directed medical therapy for heart failure was also utilized. Over five and a half months, she lost 22.7 kg and reversed her diabetes without the use of diabetes medications. Her left ventricular systolic function normalized. Although causality cannot be determined, this case highlights the potential role of a plant-based diet in helping to reverse heart failure with reduced ejection fraction. This article will review how a minimally processed whole food plant-based dietary pattern and similar dietary patterns, such as the Dietary Approach to Stop Hypertension diet, may contribute to the reversal of left ventricular dysfunction.",
keywords = "Diet, Heart failure, Hypertension, Plant-based, Vegetarian",
author = "Allen, {Kathleen E.} and Divya Gumber and Ostfeld, {Robert J}",
year = "2019",
month = "6",
day = "11",
doi = "10.3389/fnut.2019.00082",
language = "English (US)",
volume = "6",
journal = "Frontiers in Nutrition",
issn = "2296-861X",
publisher = "Frontiers Media S. A.",

}

TY - JOUR

T1 - Heart failure and a plant-based diet. A case-report and literature review

AU - Allen, Kathleen E.

AU - Gumber, Divya

AU - Ostfeld, Robert J

PY - 2019/6/11

Y1 - 2019/6/11

N2 - A 54-year-old female with grade 3 obesity body mass index (BMI 45.2 kg/m2) and type II diabetes (hemoglobin A1c 8.1%) presented to her primary care physician in May 2017 with a chief complaint of left lower extremity edema. Work-up revealed heart failure with depressed left ventricular systolic function. Upon diagnosis, she substantially altered her lifestyle, changing her diet from a “healthy western” one to a whole food plant-based one. Guideline directed medical therapy for heart failure was also utilized. Over five and a half months, she lost 22.7 kg and reversed her diabetes without the use of diabetes medications. Her left ventricular systolic function normalized. Although causality cannot be determined, this case highlights the potential role of a plant-based diet in helping to reverse heart failure with reduced ejection fraction. This article will review how a minimally processed whole food plant-based dietary pattern and similar dietary patterns, such as the Dietary Approach to Stop Hypertension diet, may contribute to the reversal of left ventricular dysfunction.

AB - A 54-year-old female with grade 3 obesity body mass index (BMI 45.2 kg/m2) and type II diabetes (hemoglobin A1c 8.1%) presented to her primary care physician in May 2017 with a chief complaint of left lower extremity edema. Work-up revealed heart failure with depressed left ventricular systolic function. Upon diagnosis, she substantially altered her lifestyle, changing her diet from a “healthy western” one to a whole food plant-based one. Guideline directed medical therapy for heart failure was also utilized. Over five and a half months, she lost 22.7 kg and reversed her diabetes without the use of diabetes medications. Her left ventricular systolic function normalized. Although causality cannot be determined, this case highlights the potential role of a plant-based diet in helping to reverse heart failure with reduced ejection fraction. This article will review how a minimally processed whole food plant-based dietary pattern and similar dietary patterns, such as the Dietary Approach to Stop Hypertension diet, may contribute to the reversal of left ventricular dysfunction.

KW - Diet

KW - Heart failure

KW - Hypertension

KW - Plant-based

KW - Vegetarian

UR - http://www.scopus.com/inward/record.url?scp=85067899036&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85067899036&partnerID=8YFLogxK

U2 - 10.3389/fnut.2019.00082

DO - 10.3389/fnut.2019.00082

M3 - Article

AN - SCOPUS:85067899036

VL - 6

JO - Frontiers in Nutrition

JF - Frontiers in Nutrition

SN - 2296-861X

M1 - 82

ER -