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Prevention
- Heart Disease
The best weapon
against heart disease is knowledge,
and that's why we emphasize prevention and early detection of heart
disease. Our cardiac rehabilitation program provides realistic
plans for exercise and lifestyle changes, with home exercise programs
available to help patients maintain their exercise and dietary programs.
Quality of life scores for MGHS patients three months post-heart
attack exceed the national norm.
Some ways you could prevent a heart attack
Maintain
your ideal weight.
Obesity
is an independent risk factor for heart disease. This means that
it can lead to cardiovascular problems in the absence of any other
risk factors. Individuals with central or abdominal obesity, or
those with frequent weight shifts are at increased risk.
Evaluate
your family history. Heart
attacks, hypertension, arteriosclerosis, diabetes, and strokes have
a strong correlation with family members. If your family has a history
of cardiovascular disease, you should begin a critical preventive
program. If either of your parents suffered a heart attack before
the age of 50, you are at especially high risk.
Stop
smoking and avoid passive smoke. The
risk of coronary artery disease as well as arteriosclerosis and
stroke is significantly increased with smoking. Furthermore, a smoker
who has a heart attack is two to four times more likely to die from
it than a non-smoker.
Diagnose
hypertension and treat it appropriately. Sixty
million Americans have hypertension, and many of them are untreated.
Your risk of heart attack increases as your blood pressure rises.
With blood pressure above 130/85, your risk increases dramatically.
Evaluate
your personality and consider a stress reduction program. People
who frequently display aggressive and hostile behavior, who anger
easily and have a low tolerance for frustration have an increased
incidence of heart attacks.
Start
a daily exercise program. If
some type of structured program is not possible, increase your daily
activities. Thirty minutes of daily exercise is excellent, even
if performed in ten minute intervals. Brisk walking has been shown
to be an excellent way to exercise. Exercise is one of the few ways
to increase HDL or "good" cholesterol. Increasing your level of
fitness decreases your risk for heart attack.
Obtain
a diabetic evaluation from your physician. One
out of every three elderly Americans has adult onset diabetes. People
with a family history of diabetes and/or excessive weight are especially
at risk for diabetes. Heart disease is five times more prevalent
in diabetics.
Choose
a diet with no more than 20% to 30% of calories coming from fats.
Saturated fats
should be avoided. Protein intake should be moderate. Carbohydrates
should be the complex type, recommended on an individualized basis.
Avoid simple sugars as well as excessive starch, since these can
increase insulin blood levels and make you crave additional sugars
and starches. A diet high in fish is excellent for reducing the
risk of heart attack.
Know
your total cholesterol, HDL, LDL, and triglyceride levels.
The desirable
levels are: for total cholesterol, less than 200 milligrams per
deciliter; for HDL, more than 35 mg/dl; for LDL, less than 130 mg/dl;
for triglycerides: less than 130 mg/dl. The ratio of total cholesterol
to HDL is thought to be a better predictor of heart disease than
either total cholesterol or HDL alone. To find your ratio, divide
your total cholesterol by your HDL. The desirable ratio is less
than 3.5. The National Cholesterol Education Program promotes the
so called "two for one" rule: a 10% reduction in total cholesterol
reduces the risk of heart attack 20%.
Start
supplementation with antioxidant vitamins - C, E, and beta-carotene.
These are important
in preventing heart attacks and atherosclerosis. Vitamin and mineral
recommendations should be made on an individualized basis. Nutritional
management can be geared for specific problems, such as hypertension,
elevated cholesterol, arrhythmia, diabetes, and other cardiovascular
problems.
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