Stephen J. Schueler, M.D.

Cardiomyopathy Ischemic Diet

Dietary guidelines for those with ischemic cardiomyopathy include:

  • Limit your intake of fat to 25% of your total calories.
  • Consume only unsaturated fats that are low in cholesterol.
  • 20% to 25% of your total calories should be in the form of monounsaturated fats, such as olive oil, canola oil and peanut oil.
  • Consume less than 3,000 mg of salt per day. Consume less than 2,000 mg of salt per day if you have high blood pressure, kidney disease, liver disease or congestive heart failure.
  • Consume less than 200 milligrams of cholesterol a day.
  • Avoid fad diets.
  • Eat plenty of fresh fruit and vegetables.
  • Talk to your doctor about B vitamin supplements.
  • Consume more fiber. Sources include:
    • Fruits
    • Vegetables
    • Bran
    • Barley
    • Oats
    • Legumes
    • Whole grains
    • Brown rice
  • Avoid red meat.

Dietary guidelines for those with heart failure due to ischemic cardiomyopathy include:
  • Control dietary salt: Lower dietary sodium by following a special diet that is low in salt. All heart failure patients should limit salt intake to 1,000-1,500 mg of sodium per day. Foods that are high in salt should be avoided.
    • Do not use table salt; consider a salt substitute with your doctor's consent. Season foods with dried herbs, garlic, onion, or lemons.
  • Fluid restriction: Ask your doctor what degree you need to restrict fluid consumption. Ask your doctor how many 8 ounce cups (240 ml) of water you allowed to drink per day.
    • Remember 2 cups (1 pint or about 500 ml) of retained fluid will equal one pound (2.2 kg) of fluid weight gain.
  • Heart healthy diet: Follow a proper heart diet, which is low in saturated fats and cholesterol. Most people with heart failure taking a diuretic medication need to eat potassium rich foods.
    • Potassium rich foods include bananas, apricots, raisins, oranges, grapefruit, and peas.
  • Magnesium: Eat foods rich in magnesium. Heart failure drugs can deplete the body's stores of magnesium. This has been correlated with more severe symptoms and a higher death rate.
    • Foods high in magnesium include wheat germ, soybeans, oatmeal, nuts, seeds, low-fat diary items, and seafood.

Continue to Cardiomyopathy Ischemic Self Monitoring

Last Updated: Oct 21, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Cardiomyopathy Ischemic References
  1. Morrison DA. What is the evidence for percutaneous coronary intervention or coronary artery bypass graft in ischemic cardiomyopathy? Am Heart Hosp J. 2005 Summer;3(3):175-81. [16106138]
  2. Moustakidis P, Cupps BP, Pomerantz BJ, Scheri RP, Maniar HS, Kates AM, Gropler RJ, Pasque MK, Sundt TM. Noninvasive, quantitative assessment of left ventricular function in ischemic cardiomyopathy. J Surg Res. 2004 Feb;116(2):187-96. [15013355]
  3. O'Connor CM, Velazquez EJ, Gardner LH, Smith PK, Newman MF, Landolfo KP, Lee KL, Califf RM, Jones RH. Comparison of coronary artery bypass grafting versus medical therapy on long-term outcome in patients with ischemic cardiomyopathy (a 25-year experience from the Duke Cardiovascular Disease Databank). Am J Cardiol. 2002 Jul 15;90(2):101-7. [12106836]
  4. Yao SS, Qureshi E, Nichols K, Diamond GA, Depuey EG, Rozanski A. Prospective validation of a quantitative method for differentiating ischemic versus nonischemic cardiomyopathy by technetium-99m sestamibi myocardial perfusion single-photon emission computed tomography. Clin Cardiol. 2004 Nov;27(11):615-20. [15562931]
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