Is the KETO DIET SAFE for AFib Patients??? – Doctor AFib

Is the KETO DIET SAFE for AFib Patients??? – Doctor AFib

July 25, 2019 0 By William Morgan


– Thank you for visiting this
video segment for Dr. AFib. I’m Dr. Morales, and in today’s
video segment we’re going to be talking about the Keto diet, and how anybody with atrial fibrillation, what you should be aware
about with the keto diet. The keto diet is an extremely popular and controversial diet right now, and it was actually one of the top Google search terms of
2018, so there are many, many people interested in the keto diet. I’ve had several patients of mine ask me about the keto diet and whether they think it’s safe for them or good for them to use for their
atrial fibrillation. Now, I’ve talked about, in the past, that weight loss can be very effective for improving symptoms
of atrial fibrillation. There have been several
studies in the past that have talked about 10% weight loss of a patient’s initial body weight can result in over 40% improvement in a person’s A-fib symptoms. But what about what diet, you know? People want to know what
diet is good for them and whether the keto diet specifically is an okay diet to use. So for those of you who are not aware, what is the keto diet, what does it do? So the keto diet is a very
popular diet right now. And what’s it a very, very low carb diet. It’s such a low carb diet that it induces what’s called a state of ketosis. That means that it induces your body to use an alternative fuel
source other than sugar, which are ketones and
breaking down fat molecules. It’s a very rapid weight loss. It’s been very popular, and
you’ve probably seen celebrities and other people online
who have used the keto diet and have pretty rapidly lost weight. It seems to be pretty effective
as a weight loss regimen. But is it safe, medically speaking, for people who have heart conditions, or specifically, atrial fibrillation? There are unfortunately some case reports out there that have
demonstrated that the ketosis, the state of the diet
where you have more ketones in your blood, can actually
trigger episodes or lead to more episodes of atrial fibrillation. It’s just a very few small case reports. There’s not a whole lot
of literature out there. However, it does make
a little bit of sense that the keto diet could in
essence affect or contribute to getting more episodes
of atrial fibrillation. And how can it possibly do that? Well, the whole state of ketosis or having ketones in your body
does actually affect your pH, sort of that acid base
balance that we have in our blood and our
body, and there’s a lot of literature out there, a lot
of website articles out there about acidic keto diet
and alkaline keto diet. These are all things related to the pH inside of a person’s body,
and affecting your pH in your body can certainly have an effect on triggering episodes
of atrial fibrillation. The heart is very sensitive
to changes in the pH. It can lead to short
circuits and extra beats, which can end up triggering
episodes of atrial fibrillation. In addition, the state of ketosis can also affect your
electrolyte imbalances. Many of you are aware about potassium and magnesium deficiencies,
which can also contribute to episodes of atrial fibrillation. So it does, in a sense, make sense that doing the keto diet can affect, or can potentially trigger
episodes of atrial fibrillation. It makes sense medically. And so that’s sort of the main reason why I do not typically recommend my patients to have the keto diet. I’ve just seen a couple of case reports that show that it may not be beneficial for patients who have atrial fibrillation. Now, the literature, the
websites, the literature looks that it’s very good
as a weight loss strategy, but however, for patients
with atrial fibrillation it may not be the right strategy. It may be a good short term
plan for some patients, but as a long term
strategy for weight loss and weight management, it
may not be the right strategy for patients with atrial fibrillation. When it comes to atrial fibrillation as well as patients with heart disease, for many years now there’s
been a lot of good data and articles supporting the
use of the Mediterranean diet for atrial fibrillation as well as for patients with heart disease as more of a safer alternative, which I’ll discuss more
in a later video segment. But at this point I want
to discuss specifically the ketone diet and why I do
not typically recommend it to my patients with atrial fibrillation. But always discuss diet plans with your doctor for further information. Thank you for visiting this
video segment for Dr. AFib. I’ll see you next time.