Top 5 Nutritional Supplements for a Healthy Heart
Dr. Sheldon Bjorgaard, ND
The Importance of a Healthy Heart
It is estimated that in Canada 1 in 12 adults live with a diagnosed heart disease. It is the 2nd leading cause of death for Canadians. Cardiovascular disease (or heart disease) is a broad term that can be used to indicate many conditions such as atherosclerosis (hardening of the arteries), an irregular heartbeat, cardiomyopathy (abnormal heart muscle function), and heart failure (weakening of the heart muscle). There are many naturopathic treatment options available that both decrease the risk of developing a heart condition and also improve heart function in existing disease.
5 Top Evidence-Based Supplements for Healthy Heart
Though supplementation can be very effective in the treatment and prevention of cardiovascular disease, it does not replace healthy dietary and lifestyle habits, which are known to decrease the risk of developing cardiovascular disease and improving long term outcomes for those with pre-existing cardiovascular disease.
[Disclaimer: Some supplements can interact with cardiovascular medications, check with a licensed health care provider prior to starting any new supplement regimen.]
CoQ10
Coenzyme Q10 (CoQ10) is an antioxidant molecule that helps our mitochondrial cells function more efficiently. Mitochondria are energy producing parts of cells found throughout the body, however this is important as mitochondrial cells are found in very high concentrations in heart muscle. Research evidence supports the use of CoQ10 for various heart conditions including Heart Failure, in which the heart muscle function is compromised. Other studies have found that supplementing with CoQ10 reduces the oxidation that can lead to clogged arteries, which are common in heart disease.
Magnesium
Magnesium is a mineral with many beneficial functions in the body. It acts in hundreds of biochemical reactions and helps maintain normal nerve and muscle function. Magnesium is an essential mineral that has been found to be low in typical western diets, meaning that many people are not consuming the recommended daily dose of magnesium. With respect to cardiovascular health, studies have shown that people with higher magnesium levels in their blood had a lower risk of having a significant cardiovascular event in the future.
L-Carnitine
L-Carnitine (or Acetyl-L-Carnitine) is a natural compound derived from amino acids. It is found most abundantly in red meat, specifically lamb. Biochemically, carnitine is involved in mitochondrial energy production (remember that heart muscle has a high concentration of mitochondria). Carnitine helps transport fatty acids from the blood stream to inside cells so that it can be used for energy production. A 2013 study showed L-Carnitine supplementation to be effective in the secondary prevention of Cardiovascular disease, meaning that it helped prevent chest pain and a second heart attack in those who already had one, and thus were at an increased risk.
D-Ribose
D-Ribose is a sugar like molecule that is involved directly with the production of adenosine triphosphate ATP – the major cellular energy source in the body. ATP is necessary for the contraction of muscle tissue, both skeletal muscle and cardiac muscle. Preliminary studies have shown promising results in the use of d-ribose for patients with cardiovascular disease in improving their ability to exercise after having a heart attack. Furthermore, and keeping in line with the cardiovascular studies, d-ribose may be more effective than traditional sugars at replenishing ATP after bouts of intense exercise.
Omega-3 Fatty Acids (Fish Oil)
Omega-3 Fatty Acids, also known as fish oil, are essential fatty acids used by the body in a number of differing functions including cellular signaling and inflammation modulating. The American Heart Association advocates for the use of fish oil supplements for certain populations who have existing cardiovascular disease or who have had a heart attack in the past, though other populations may also benefit from the use of fish oil.
If you are interested in starting nutritional supplementation for your heart health, please consult with a Naturopathic doctor who can help ensure safety and maximize efficacy by providing information about correct dosing and quality of nutritional supplements.
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References:
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1992 Aug 29. Effects of ribose on exercise-induced ischaemia in stable coronary artery disease. Pliml W, von Arnim T, Stäblein A, Hofmann H, Zimmer HG, Erdmann E
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L-Carnitine in the Secondary Prevention of Cardiovascular Disease: Systematic Review and Meta-analysis. James J. DiNicolantonio, PharmD Carl J. Lavie, MD, Hassan Fares, MD, Arthur R. Menezes, MD, James H. O’Keefe, MD
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Am J Clin Nutr.2013 Jul. Circulating and dietary magnesium and risk of cardiovascular disease: a systematic review and meta-analysis of prospective studies. Del Gobbo LC, Imamura F, Wu JH, de Oliveira Otto MC, Chiuve SE, Mozaffarian D.
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Database of Abstracts of Reviews of Effects (DARE): Effect of coenzyme Q10 supplementation on heart failure: a meta-analysisAD Fotino, AM Thompson-Paul, and LA Bazzano.Review published: 2013.
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Am J Clin Nutr. 2013 Feb. Effect of coenzyme Q10 supplementation on heart failure: a meta-analysis. A Domnica Fotino, Angela M Thompson-Paul, and Lydia A Bazzano
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2017: Omega-3 Polyunsaturated Fatty Acid (Fish Oil) Supplementation and the Prevention of Clinical Cardiovascular Disease A Science Advisory From the American Heart Association.