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Hypertensive Heart Failure Diet
- 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.
Additional dietary guidelines for those who have hypertensive cardiomyopathy include:
- Control calories:
- 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:
- Whole grains are best.
- Eat plenty of fresh fruit and vegetables
- Reduce salt in your diet
- Optimal: no more than 2 grams per day.
- Check with your doctor about supplementing your diet with B vitamins:
Continue to Hypertensive Heart Failure Self Monitoring
PubMed Hypertensive Heart Failure References
- Slama M, Susic D, Varagic J, Frohlich ED. Diastolic dysfunction in hypertension. Curr Opin Cardiol. 2002 Jul;17(4):368-73. 
- Yamasaki N, Kitaoka H, Matsumura Y, Furuno T, Nishinaga M, Doi Y. Heart failure in the elderly. Intern Med. 2003 May;42(5):383-8.