I promised I wouldn’t be preachy about heart disease awareness, so take this post for what it is — a cautionary tale. I have been on a very strict diet since October as I try to ensure my heart has the best chance it can to remodel itself following the damage of my heart attack. As you can probably guess, I’m seriously watching my cholesterol and fat intake. You may also know that there is a pretty clear link between salt (sodium) and heart disease, but I bet you didn’t know how clear.
Excess sodium can increase blood pressure which increases the risk of both heart disease and stroke. My cardiologist and the American Heart Association recommend heart patients limit daily sodium intake to less than 1,500 mg per day. One teaspoon of salt equals 2,300 milligrams of sodium. One Original Rubios fish taco has 450 mg of salt. A Big Mac has 1,040 mg of salt. A six-inch Subway Spicy Italian sandwich has 1,520. Get the idea?
Yesterday I made what I thought was a pretty healthy decision at lunch. I had mahi mahi tacos with nothing on them from my company cafeteria. A few hours later I went to cardiac rehab and my resting heart rate was elevated — with medications these days it’s usually around 60 bpm and it was close to 80. What caused the jump? The friggin tortillas! Two small flour tortillas together probably had about 700 mg of sodium and there was probably some seasoning on the fish I wasn’t aware of. I’ve been doing a really great job of sticking to around 1,000 mg per day so my lunch was way out of line — and it instantly affected my heart. That salt is some scary shit.
Ironically, yesterday was also the day that the CDC came out with a new report that most Americans were getting far too much salt in their diets. You can read the article online, but here’s a fact:
Americans eat on average about 3,300 mg of sodium a day. The U.S. Dietary Guidelines recommend limiting sodium to less than 2,300 mg a day, and about 6 out of 10 adults should further limit sodium to 1,500 mg a day.
I can tell you from experience that limiting salt is a pain in the ass. Eating out is nearly impossible and so many food items you bring home from the grocery store are also overloaded with it (ever looked at the nutritional values on a typical “healthy” frozen lunch?) This has become the hardest part of my post heart attack lifestyle. Salad bars are even dangerous. Leslie has done an amazing job of cooking for me and is even baking sodium-free bread from scratch. It’s still tough to stay on target.
It’s not that I miss the salt or the taste…it’s just so hard to find true low-sodium foods.