Preventing Heart Disease Cardiovascular disease is the leading Mediterranean diet has been proven to cause of death of men and women in decrease BP by 5-7 mm HG. If lifestyle the United States. The most common changes are not sufficient to maintain a presentation of cardiovascular diseases normal blood pressure, you may need are heart attacks (myocardial infarction, medication to further decrease your risk. MI) and strokes (cerebrovascular Patricia Guerrero, MD, FACC Member of the Heart Rhythm Society Florida Heart Group, PA 1613 North Mills Ave. Orlando, FL 32803 e) Diabetes Mellitus: The marker accidents, CVA). of this disease is elevated blood sugar Cardiovascular disease can be (glucose) levels. This disease alone prevented, in great part, by modifying increases the risk of myocardial your risk factors. infarction, strokes and peripheral 407-894-4474 The risk factors include vascular disease ten times the normal #1 Non- Modifiable Risk Factors population. See your doctor on a regular such as age and a family history of basis for screening and therapy. define your target healthy weight. premature atherosclerotic vascular b) Sedentarianism: Aerobic exercise disease (MI or CVA under age 65 years) f) Hyperlipidemia: This term encompasses elevated LDL (bad) decreases the risk of cardiovascular cholesterol; elevated triglycerides and; will focus in this issue on the modifiable disease. The more active you become, low HDL levels (good cholesterol). risk factors. Changes in lifestyle and the less the risk. The goal is to perform Elevated LDL and triglycerides levels appropriate medical therapy can moderate aerobic exercise at least 5 days are often the effect of poor diet, lack dramatically reduce the long-term risks of the week for 30 minute intervals in of exercise and excessive portion of heart attacks and strokes. Recent data each occasion. The weekly goal is 200 sizes. Adopting a heart healthy diet also indicates that a healthy lifestyle will minutes or greater. Exercise need not be rich in fruits, vegetable, whole grains also decrease your risk of certain cancers formal or structured. Find an activity, or and fish; and regular exercise may and chronic illnesses such as diabetes multiple aerobic activities, that you enjoy improve abnormal levels and decrease and hypertension. In this occasion, we and do them frequently. your risks. When this is insufficient, #2 Modifiable Risk Factors. We c) Nicotine use: Cease smoking. certain medications have been proven There are no known beneficial effects of to decrease the risk of cardiovascular index is 18.5-24. Body mass index of nicotine. Consult your physician if you events. Consult your physician, for 25-30 defines “overweight”. A body mass need assistance in quitting. recommendations. will discuss: a) Obesity: A normal body mass index of greater than 30 defines obesity d) Systemic Hypertension (elevated In summary, be aware and pro- in the average population. Maintaining blood pressure): Monitor your BP at rest at active in regards to your health. a normal weight will not only decrease regular intervals. Seek medical attention Restoring your heart or brain to normal your risk of heart attacks and strokes, if you note persistent blood pressure may not be possible after a heart attack but will also decrease the risk or need readings above 130/85. The treatment of or stroke. The best treatment is to avoid for medications in entities such as hypertension includes weight loss, daily these diseases by prevention with a hypertension, diabetes mellitus and aerobic exercise and dietary changes. healthy lifestyle and careful attention to hyperlipidemia. Determine your BMI and The DASH diet which is based on the proper therapy of existing illnesses. www.fhg.org A Medical News Special Advertising Section Medical News MAY 2008 • 19
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