Role of Dietary Nutrition, Vitamins, Nutrients, and Supplements in Cardiovascular Health

Multi‐disciplinary collaborative consensus guidance statement on the assessment and treatment of cardiovascular complications in patients with post‐acute sequelae of SARS‐CoV‐2 infection (PASC)

“…A review of over‐the‐counter (OTC) medications/herbs/supplements/vitamins is recommended to determine if they may be affecting symptoms. Of note, OTC nonsteroidal anti‐inflammatory medications can cause salt and water retention worsening pedal edema and heart failure, alpha agonist cough/cold decongestant medications can cause tachycardia, antihistamines can cause QT prolongation and promote arrhythmias, and fish oil supplements can cause arrhythmias 38,39 …”

“…Of note, OTC nonsteroidal antiinflammatory medications can cause salt and water retention worsening pedal edema and heart failure, alpha agonist cough/cold decongestant medications can cause tachycardia, antihistamines can cause QT prolongation and promote arrhythmias, and fish oil supplements can cause arrhythmias. 38,39 A review of cardiovascular disease risk factors is recommended, including hypertension, dyslipidemia, dietary habits, obesity, diabetes, metabolic syndrome, tobacco use, activity and exercise level, coronary artery disease and related syndromes (e.g., angina, MI, stent, coronary artery bypass graft surgery, etc. ); structural heart disease (e.g., cardiac valve disease, cardiomyopathy etc.…”