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Heart Disease

WOMEN TAKE HEART!!! 
Heart disease is the #1 killer of men AND WOMEN! More women die form heart disease than all cancers combined.  It claims the lives of nearly one-half million women in the United States every year, which is more than the next seven leading causes of death, including cancer.

Several factors may be considered when predicting the chance of having a heart attack within the next 10 years.  Some risk factors we can control, others we simply cannot.  Sex, age, race, family history and menopause status are beyond our control.  Smoking exercise, obesity, uncontrolled hypertension (high blood pressure), diabetes or cholesterol, and excess stress are variables we can influence.

How do I lower my risk of heart disease?

Lifestyle changes clearly reduce your risk of developing heart disease.  Even though a heart-healthy lifestyle does not guarantee prevention of heart disease, it will benefit your health in other important ways, improving your emotional and physical well being.

Quit Smoking- Smoking increases the risk of heart disease twice that of nonsmokers.  It is also the most preventable risk factor.  If you smoke, quit.

 Reduce cholesterol levels- As the total amount of cholesterol goes up so does the risk of heart disease, the lower the better.  Ideally one should strive for a total cholesterol level below 200, an HDL (“good” cholesterol) level over 45 and LDL (“bad” cholesterol) level less than 100.  Much of the “good” HDL cholesterol is genetically determined.  Exercise can raise the HDL; smoking lowers it.  Diet and exercise can lower the “bad” LDL cholesterol.  By paying close attention to what you eat you can reduce the development of blocked arteries that cause heart disease or arteriosclerosis.  A diet low in cholesterol, saturated fat (less than 7% of daily amount), low in trans-fat (partially hydrogenated fats such as margarine or shortening); and high if fiber, whole grains and legumes (such as beans and peas), fruits, vegetables and fish cam reduce your risk of heart disease.

Exercise for a healthy heart- Routine exercise, particularly aerobic exercise, for 20-30 minutes three to five times per week can reduce rate of death and heart disease.  Even leisure-time activities such as gardening or walking can reduce your risk of heart disease. Strive for an ideal weight. 

Obesity
is defined as a Body Mass Index (BMI), a measure of weight for height stated in numbers, greater than 30.  Excess weight puts additional strain on your heart.  It also impacts other risk factors, diabetes and such.  Proper diet and exercise promote weight loss and reduce your risk of heart disease.  

Control Blood Pressure-
Hypertension, high blood pressure, is a common cardiac risk factor.  Hypertension is defined as systolic pressure (the upper number) greater than 140 and diastolic pressure (the lower number) greater than 90, i.e. 140/90.  A normal blood pressure is less than 120/80.  Blood pressure between 120/80 and 13+9/89 is considered to be prehypertension, likely to develop into hypertension without lifestyle changes.  Weight loss, exercise, low salt diet and decreased alcohol consumption, if at all, can lower blood pressure.  When all else fails, medication can be most effective and extremely well tolerated.  

Control Diabetes-
Uncontrolled diabetes can cause heart damage; leading to heart attack, stroke and premature death.

C
ontrol Stress- Stress is a normal part of modern life.  However poorly controlled stress an anger clearly increase the risk of heart attack and stroke.  Relaxation techniques and improved coping skills can decrease your risk.

The first step to reducing risk is to know that you are at risk.  Therapeutic lifestyle changes can have longstanding impact and benefits.  Consult your personal physician for an individualized risk factor assessment and formulate a strategy for prevention.

Southwest Internal Medicine Specialists      Ph: 407.345.0005      Fax: 407.352.8585
5979 Vineland Rd. Suite 310     Orlando, FL 32819


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M.J. Galceran, M.D. |  Aparna Hernandez, M.D. |  Sarah Army, MPA, PA-C |  Rebekah James, MHS, PA-C