03: Heart-healthy nutrition

The Mediterranean diet for AFib emphasizes vegetables, fruits, whole grains, legumes, nuts, olive oil, and fatty fish, while limiting alcohol, caffeine, salt, and large meals, helping reduce inflammation, support heart health, and may lower AFib episodes.

The Mediterranean Diet for AFib 

Why it works: 

  • Reduces inflammation 
  • Lowers blood pressure 
  • Supports heart health 
  • May reduce AFib episodes 

What to Eat Daily 

Plenty of: 

  • Vegetables (5+ servings) 
  • Fruits (2-3 servings) 
  • Whole grains (brown rice, quinoa, oats) 
  • Legumes (beans, lentils) 
  • Nuts and seeds (small handful) 
  • Olive oil (primary fat) 
  • Fatty fish (salmon, sardines) 2-3x/week 

Moderate amounts: 

  • Poultry 
  • Eggs 
  • Low-fat dairy 

Rarely: 

  • Red meat 
  • Processed foods 
  • Sweets 

Foods That Trigger AFib 

Limit or avoid: 

Alcohol: Single biggest trigger 

  • Even moderate drinking increases episodes 
  • "Holiday heart syndrome" - AFib after drinking 
  • Best: Eliminate completely 
  • Maximum: 1 drink occasionally (ask your doctor) 

Caffeine: Individual response varies 

  • Some people tolerate coffee fine 
  • Others have episodes with any caffeine 
  • Test: Avoid 2 weeks, then reintroduce and monitor 
  • Maximum: 1-2 cups if tolerated 

High sodium: Raises blood pressure, worsens AFib 

  • Limit to <2,000mg daily 
  • Read labels - hidden in processed foods 
  • Don't add salt at table 

Large meals: Can trigger episodes 

  • Eat smaller, more frequent meals 
  • Don't go to bed on full stomach 

Hydration Matters 

  • Drink 6-8 glasses water daily 
  • Dehydration can trigger AFib 
  • Avoid excessive fluids (worsens heart failure if present) 

Supplements to Discuss 

May help (ask doctor first): 

  • Magnesium (if deficient) 
  • Omega-3 fish oil 
  • CoQ10 (especially if on statins) 

Avoid: 

  • Excessive calcium 
  • Ephedra or stimulants 
  • Weight loss supplements 

Sample Day 

Breakfast: Oatmeal with berries and walnuts 
Lunch: Large salad with grilled chicken, olive oil dressing 
Snack: Apple with almond butter 
Dinner: Baked salmon, roasted vegetables, quinoa 
Dessert (optional): Small piece dark chocolate