Dietary changes for people with congestive heart failure 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 are 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, such as 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.
A generally healthy diet for people with
heart disease should include:
- Control calories:
- Eat just enough calories to achieve and maintain a healthy weight.

- Eat quality fats:
- Use virgin olive oil and other unsaturated, low-cholesterol fats.
- Eat the right amount of fats, carbohydrates and protein:
- Limit your fat intake to 20 or 30 percent, but don't substitute simple carbohydrates for fat.
- Less than 7% of the day's total calories from saturated fat.
- Up to 10% of the day's total calories from polyunsaturated fat.
- Up to 20% of the day's total calories from monounsaturated fat
- Avoid fad diets:
- Eat a well-rounded diet instead.
- Eat small, frequent meals.
- Avoid large and heavy meals.
- Limit cholesterol in diet:
- To less than 200 milligrams a day.
- Limit iron intake:
- Eat enough dietary fiber:
- Eat plenty of fresh fruit and vegetables
- Eat more soy
- Reduce salt in your diet
- Optimal: no more than 1,500 milligrams per day.
- Check with your doctor about supplementing your diet with B vitamins: