Heart Disease Prevention is Key | Risk Factors

tell me about prevention you said prevention is the key what do you mean by that so cardiovascular disease or heart disease is a very complex disease process there's just not one thing or one condition that causes heart disease so we there are multiple risk factors for heart disease and we like to identify those risk factors and modify those risk factors so that we can prevent the development of heart disease so what are some of the risk factors that people have and you said so we can modify it how do you break down risk factors right so I like to talk about the risk factors you can control those modifiable risk factors versus the ones that you cannot control so the risk factors that you can control so knowing your numbers we always talk about knowing your numbers so high blood pressure high cholesterol diabetes your body mass index whether or not you smoke those are really the five big ones that you can focus on that you can control that you can modify have you but better lead to a heart attack and how can you prevent it what are the important parts of controlling blood pressure so blood pressure is a very complex problem and when the systemic blood pressure is high for long periods of time the heart has to pump against that blood pressure and the heart can remodel it can can remodel itself too to control that blood pressure and sometimes that remodeling process can change the arteries and lead to lock information cholesterol what does it do well cholesterol you have cholesterol that you eat and cholesterol that your liver manages and for the most part that cholesterol leads to the actual blockage or plaque formation inside of the arteries so we can control your cholesterol by cholesterol you control control up by eating heart healthy foods foods low in animal saturated fats unfortunately you can only manage that about ten percent through diet alone and a lot of people need medication the statin classes of medications to lower their cholesterol blood pressure and we've got my cholesterol or some of the other diabetes patients at risk for diabetes meaning that they do not metabolize sugars or glucose appropriately and they may be a type 1 diabetic maybe they're born with diabetes or maybe they're a type 2 diabetic and they develop it as an adult so knowing your risk for diabetes knowing your sugar is very important I had somebody tell me once that diabetes is a wake up call you've got type 2 diabetes you really need to get to work on that part so that you'll stay healthy and won't have heart disease right a lot of us cardiologists still think that diabetes is a heart disease equivalent meaning that if you have diabetes your risk of having a heart attack is almost the same as someone that's already been diagnosed with heart disease diabetes leads to so many health problems including heart disease kidney problems strokes peripheral arterial disease so it's a very important diagnosis to be aware of smoking smoking there's not smoking is bad for so many reasons but the tobacco is very irritating to the lining of blood vessels and can contribute to plaque it to to blockage or plaque formation and can irritate any blockage that you have and cause a heart attack to happen so any tobacco or nicotine containing product is very damaging to your arteries how do you tell people to stop smoking I tell people they have to make it up in their mind that they're going to be committed to quitting smoking they have to commit and want to quit smoking for really to happen so it's very much a mental decision the people that I've seen the most effective in stopping smoking is saying okay I'm quitting you know but it's a very addictive thing it's very very difficult on somebody so we as physicians have to keep on people to that sedentary lifestyle what does that mean inactivity not getting regular aerobic exercise so most Americans are sedentary meaning that they don't meet the goals that the American Heart Association's a that the American Heart Association sets for exercise which 150 minutes a week of moderate-intensity exercise so 30 minutes five days a week of of walking or 75 minutes a week of intense exercise like running but most Americans do not meet those guidelines for epic activity and exercise has many health benefits it lowers blood pressure naturally it can help lower cholesterol it can lower your blood sugar levels in addition it condition it conditions your heart so that maybe it tolerates you know heart attacks better or heart disease better and can even prevent it so so 150 minutes that's like 30 minutes five days a week what do you think about some of the technology the Fitbit watches are the watches that help encourage people to be active every day I think it's it's good to know how many steps you're taking and to know that you have been active throughout the day but really from a cardiovascular perspective we want you to get dedicated aerobic activity so 30 minutes a day of sustained aerobic activity keeping your heart rate at an elevated level level for 30 minutes a day is actually what's more beneficial so you have to walk fast or you have to walk walk what would some you know some attention don't engage and stop as look at the flowers right right but any type of activity is better than no activity exactly what are some of the activities that the cardiologist likes we like aerobic activity so walking jogging anything that will get your heart rate up to condition your heart what about bicycle riding cycling is very good and it's actually very easy on your joints so cycling is very good I know there's a guy Kenneth Cooper was first one used the word aerobics and he could tell what somebody's conditioning was going to be until one person stumped him that was a person that he didn't recognize was riding his bicycle – working back he was physically fit as anybody that was in there so exercise is very important get off the couch get your tennis shoes get with it make it sustained activity that's very important very important facet

1 Comment

  1. Amazing show please keep interviewing cardiologists and internists and please I would love it if you do a video talking about the gastric-cardia syndrome

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