In a Healthy Heart Diet, Beware of Hidden Salt

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In a Healthy Heart Diet, Beware of Hidden Salt

Hidden salt is a huge problem in processed foods. 

For decades I’ve been making spaghetti sauce for family and friends. It's a mainstay in my healthy heart diet. As I prepare the sauce over the course of a day, I repeatedly taste it to make sure that I get it just right.

Years ago, I noticed that the day after the meal I had gained a few pounds—and I was unusually thirsty as well. I was perplexed until I investigated and learned that the canned tomatoes, pastes, and purees I was using were high in sodium.

Here I was, a cardiologist as well as a holistic health practitioner, and I hadn’t made the connection. Excess salt contributes to water retention, and that was my problem. Of course, too much salt also makes it difficult to control high blood pressure and contributes toward a myriad of other heart risk factors.

I quickly changed my ways and my spaghetti sauce recipe (see below). I started avoiding foods high in salt, which meant reading labels on foods in the grocery store. (This one act alone is an excellent way to naturally maintain healthy blood pressure levels.)  


How Much Salt Should You Get in Your Healthy Heart Diet?

I recommend limiting your salt intake to about 2.8 grams a day for healthy individuals. But what most people don't realize is that most of your salt intake doesn't come from the salt shaker. Instead, the majority of that excess salt is hidden in processed foods, such as canned spaghetti sauces, soups, and dill pickles.


Get more of Dr. Sinatra's advice on Healthy Blood Pressure

I’ll never forget a patient of mine who had chronic hypertension and ate his fill of canned ham (packed with salt) on Easter Sunday. The next day he was in the emergency room with a hypertensive crisis and acute heart failure. His heart just couldn’t handle the large amount of salt he had consumed.

His was an extraordinary situation, but it underscores the need to be careful with salt intake. So let his story, and mine, be lessons for you as well to look out for hidden salt in your healthy heart diet. Plus, here's my revamped recipe for low sodium tomato sauce.


Easy Italian Style Tomato Sauce

    2 Tbsp. organic extra virgin olive oil
    3 garlic cloves, finely chopped
    2 medium onions, diced
    2 lbs. fresh plum or cherry tomatoes (preferably organic)
    2 Tbsp. red or white wine
    1 Tbsp. chopped basil
    1 tsp. fresh oregano leaves, crushed
    Celtic sea salt and freshly ground pepper to taste
Pour the olive oil into a pan and sauté garlic and onions for 30 to 60 seconds. Chop tomatoes into small cubes. Add the tomatoes and wine and cook for 3 to 4 minutes. Add the basil, oregano, Celtic sea salt, and pepper. The sauce will keep for up to one week, tightly covered, in the refrigerator. (Makes 6 servings.)


Now it's your turn: How do you avoid salt in your healthy heart diet?


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DISCLAIMER: The content of is offered on an informational basis only, and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified health provider before making any adjustment to a medication or treatment you are currently using, and/or starting any new medication or treatment. All recommendations are "generally informational" and not specifically applicable to any individual's medical problems, concerns and/or needs.

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