What Not to Eat When You Have AFib
Deli Turkey
One serving of slices could have more than 1,000 milligrams of sodium. That's about half of what's OK for an entire day. Eating too much salt raises your blood pressure, and high blood pressure can raise your chance of AFib. It may also make symptoms harder to manage, so your odds of having a stroke go up. Other super-salty foods include pizza, canned soups, breads, and rolls. Check food labels to find lower-sodium options.
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Instant Oatmeal
A popular fruit-flavored brand has about 11 grams of sugar in one packet -- almost 3 teaspoons of added sugar. While most adults have about 22 teaspoons every day, women should get no more than 6 a day, and men no more than 9. All that extra sugar can lead to obesity and high blood pressure, which can set off bouts of AFib. More surprising sugar sources: pasta sauce, granola bars, and ketchup.
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Aged Cheese
Think cheddar, parmesan, and gorgonzola -- strong cheeses that have tyramine, an amino acid that helps raise blood pressure. Some scientists think eating foods with it may bring on symptoms for some people with heart disease. Tyramine is also in pepperoni and salami, sauerkraut and kimchee, and soybeans and snow peas.
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Coffee
The science on caffeine as a trigger for AFib is somewhat mixed. Older research suggests a link, newer studies don't. But either way, you should go easy on your coffee. Too much caffeine could raise your blood pressure and heart rate, which might set off episodes of AFib. Stick to no more than two or three cups a day. Or switch to decaf. Or do both.
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Leafy Greens
Taking a blood thinner can help stop clots, which lead to a stroke, from forming. But warfarin (Coumadin, Jantoven) may not work as well when you eat foods high in vitamin K like lettuce, spinach, and kale. No need to keep these healthy veggies off your table, though. The trick is to eat the same amount of them every day. Then your doctor can adjust the dose of your medicine so it can still do its job.
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Grapefruit
If you take medicine to control your heart rhythm, you may want to skip this citrus fruit. Grapefruits and grapefruit juice have chemicals that can change the way you digest amiodarone (Cordarone, Pacerone) and dofetilide (Tikosyn). That makes side effects from these drugs more likely. Talk to your doctor about whether grapefruit is OK for you.
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Wine
A glass with dinner is probably fine. Moderate amounts of alcohol -- that's one drink a day for women, one to two drinks a day for men -- may even be good for your heart. But indulging in more may raise your chances of getting AFib. Binge drinking -- having four drinks within 2 hours for women, five drinks for men -- bumps your odds even higher.
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Red Meat
The saturated fats in beef, lamb, and pork are the kind that raise bad cholesterol in your blood. High levels of LDL cholesterol can lead to heart disease and AFib and raise your odds of a stroke. Put lean cuts of beef, such as round or sirloin, and pork tenderloin or loin chops on the menu instead. For burgers and meatloaf, choose at least 90% lean ground beef, or replace half the meat with beans for a twist that trims fat.
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Butter
Dairy products made from whole or 2% milk, cream, and cheese are also sources of saturated fat. Your body already makes all the "bad" cholesterol it needs, and eating foods with saturated fat causes it to make even more. The better-for-your-heart choice: skim milk and low-fat or fat-free dairy products. Use heart-healthy oils like olive and canola for cooking.
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Fried Foods
Doughnuts, potato chips, and french fries may have what some doctors call the worst type of fat you can eat: trans fat. Unlike other fats, these are a double-whammy. They raise bad cholesterol and lower good cholesterol. Baked goods, including cookies, cakes, and muffins, may also have them. Watch out for "partially hydrogenated oil" in the ingredients.
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Energy Drinks
Many brands add other ingredients to a super-sized shot of caffeine to give you a boost. That combo may be worse for your heart than caffeine alone. In one small study, energy drinks caused more changes to the heart's rhythm than other drinks with just as much caffeine. Another study linked energy drinks to bouts of AFib. Check with your doctor before downing these pick-me-ups.
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Sea Salt
Sure, the crystals are bigger than regular salt, and the flavor a little stronger. But sea salt still has about the same amount of sodium as table salt, contrary to what many people think. One teaspoon of either has about 2,300 milligrams of sodium -- the recommended limit per day. To help shake your salt habit, try different spices and herbs to season your food, such as ginger on chicken or paprika in soups.
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White Rice
These little grains have been stripped of the nutrients and fiber your heart needs to stay healthy. Fiber can help improve cholesterol levels. It may also lower your risk of heart disease, obesity, and type 2 diabetes -- conditions that are linked to AFib. Opt for whole-grain brown or wild rice. Whole grains are more filling and may help lower your chance of stroke.
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Frozen Slushie
The same icy drink that cools you off on a hot, steamy day may also set off an episode of AFib. Though research is still in its early stages, one recently published study suggests there may be a link between slurping a cold beverage, brain freeze, and an irregular heartbeat. If you notice a flutter after eating or drinking something cold, talk to your doctor.
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Too Much of Anything
Overeating even healthy foods can pack on the pounds. You have a higher chance of getting AFib when you're overweight. It also makes your AFib more likely to come back after certain treatments, like ablation. If you're obese (your BMI is 30 or more), aim to lose at least 10% of your body weight. Start with portion control: Split an entree with a friend when you're eating out, or pack up half your meal to go before you even take a bite.
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Sources Medically Reviewed on 7/31/2017 Reviewed by James Beckerman, MD, FACC on July 31, 2017
IMAGES PROVIDED BY:
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SOURCES:
BreakUpWithSalt: "Sodium and Your Health," "A Closer Look at the Salty Six," "Sea Salt vs. Table Salt."
American Heart Association: "Shaking the Salt Habit to Lower High Blood Pressure," "Who is at Risk for Atrial Fibrillation (AF or AFib)?" "Added Sugars Add to Your Risk of Dying from Heart Disease," "Prevention Strategies for Atrial Fibrillation (AFib or AF)," "Alcohol and Heart Health," "Saturated Fat," "Cooking to Lower Cholesterol," "Making the Healthy Cut: Fish, Poultry and Lean Meats," "The Skinny on Fats," "Trans Fat," "Whole Grains, Refined Grains, and Dietary Fiber."
AFib Matters: "Living With Atrial Fibrillation."
Harvard T.H. Chan School of Public Health: "Added Sugar in Diet."
eatright.org: "Looking to Reduce Your Family's Intake of Added Sugars? Here's How."
USDA National Nutrient Database: "Basic Report: 08225, Cereals, QUAKER, Instant Oatmeal, fruit and cream variety, dry."
British Heart Journal: "Atrial fibrillation precipitated by tyramine containing foods."
Mayo Clinic: "I just started taking an MAOI for depression. Do I really need to follow a low-tyramine diet?" "Atrial fibrillation: Treatment," "Drugs and Supplements: Amiodarone (Oral Route): Precautions," "Trans fat is double trouble for your heart health," "Atrial fibrillation: Treatment."
MyAFibExperience.org: "Do I need to avoid certain foods for my AFib?" "Anti-coagulation and Healthy Nutrition."
American Journal of Clinical Nutrition: "Caffeine consumption and incident atrial fibrillation in women."
Circulation: "Antiarrhythmic Drug Therapy for Atrial Fibrillation."
Journal of the American College of Cardiology: "Alcohol Consumption and Risk of Atrial Fibrillation: How Much Is Too Much?"
CardioSmart: "Atrial Fibrillation."
Journal of the American Heart Association: "Randomized Controlled Trial of High‐Volume Energy Drink Versus Caffeine Consumption on ECG and Hemodynamic Parameters."
Journal of Cardiovascular Medicine: "Energy drink overconsumption can trigger atrial fibrillation."
Center for Science in the Public Interest: "Caffeine Chart."
American Journal of Case Reports: "Paroxysmal Atrial Fibrillation and Brain Freeze: A Case of Recurrent Co-Incident Precipitation From a Frozen Beverage."
CDC: "How to Avoid Portion Size Pitfalls to Help Manage Your Weight."
Reviewed by James Beckerman, MD, FACC on July 31, 2017
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THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.
