What is the relationship between eggs and Coronary Artery Disease (CAD)?

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Last updated: March 31, 2025View editorial policy

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From the Guidelines

Eggs can be consumed in moderation by individuals with coronary artery disease (CAD), with a recommended limit of up to one egg per day or three servings of two eggs per week. This recommendation is based on the findings of a 2022 study published in Cardiovascular Research, which reported no significant association between moderate egg consumption and fatal or non-fatal CHD 1. However, it's essential to consider the individual's overall dietary pattern, as a western dietary pattern rich in saturated fats may amplify the plasma cholesterol response to a cholesterol-rich diet.

Key considerations for CAD patients include:

  • Limiting egg consumption to the recommended amount to minimize the risk of increasing plasma cholesterol levels
  • Emphasizing a heart-healthy diet that includes fruits, vegetables, whole grains, lean proteins, and healthy fats like olive oil and avocados
  • Using egg whites as an alternative to whole eggs to reduce cholesterol intake
  • Adhering to prescribed medications, such as statins, aspirin, beta-blockers, and ACE inhibitors, to manage CAD and prevent further cardiac events
  • Engaging in regular exercise, stress management, and avoiding tobacco to reduce the risk of cardiac events.

It's crucial to note that individuals with hyperlipidaemia or diabetes may require more caution and should consult with their healthcare provider to determine the best approach for their specific condition 1.

From the Research

Relationship Between Eggs and CAD

  • There is no direct evidence in the provided studies that discusses the relationship between eggs and coronary artery disease (CAD) [ 2, 3, 4, 5, 6 ].
  • However, it is known that dietary cholesterol, which is found in eggs, may have an impact on the risk of CHD [ 2 ].
  • The current evidence on the association between dietary cholesterol and the risk of CHD is not clearly understood [ 2 ].

Risk Factors for CAD

  • Several risk factors for CAD have been identified, including diabetes mellitus, hypertension, smoking, hyperlipidemia, obesity, homocystinuria, and psychosocial stress [ 4 ].
  • Lifestyle interventions, such as systematic nurse-led individual lifestyle counseling sessions, have been shown to reduce cardiovascular risk in patients with CAD [ 5 ].

Dietary Factors and CAD

  • A diet high in saturated fatty acids (SFA) is suspected to contribute to atherosclerotic cardiovascular disease (ASCVD) risk [ 6 ].
  • Replacing SFA with unsaturated fatty acids, particularly polyunsaturated fatty acids, may reduce ASCVD risk [ 6 ].

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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