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Heart disease risk & prevention
 

What is coronary risk?

 

Coronary risk is the likelihood that an individual will contract a heart-related condition over a given period of time. There are many genetic and environmental risk factors that may contribute to heart disease. Genetic risk factors include those which people are born with, such as age, gender, family history of heart disease and ethnic background (to some extent). Environmental risk factors are those to which people are exposed in the course of everyday life, including smoking or exposure to second-hand smoke, dietary habits, fitness and stress.

The Framingham Heart Disease Epidemiology Study was the first intensive study of heart disease and its risks and consequences. It is this study that has helped researchers and medical professionals focus on specific and practical measures to help people prevent or control heart-related problems. In fact, while many Americans may not be familiar with this study, it has greatly influenced the way we think about things like fat in our diet and the importance of daily exercise.

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What factors increase heart disease risk?
 
Genetic risk factors develop because of things that we are born with or, due to natural occurrences, that are out of our control. They include Gender. Statistically, men have a greater chance of developing heart disease at a younger age. According to the American Heart Association, men have a 1 in 3 chance of getting heart disease by age 60. There are some heart-related conditions, however, for which women are at a high risk, such as
post-menopausal osteoporsis.
 
Advanced age. The risk of heart disease increases dramatically for both men and women as the age rises. In addition, some conditions that naturally progress, such as atherosclerosis, tend to affect older adults more often than younger people.
 
Ethnicity. Statistically, non-White ethnic populations have a higher risk of many chronic diseases, including heart disease. However, the Centers for Disease Control (CDC) and other experts note that this may be due in a large part to environmental risk factors and the prevalence of controllable health risk behaviors (such as tobacco smoking) among ethnic populations.
 
A family history of heart disease or congenital heart disease.
Environmental risk factors are typically controllable and often reflect personal health behaviors that can be modified in order to prevent, control and possibly reverse certain types of heart disease.
These include:
  • Smoking. Tobacco smoking and passive smoking (exposure to second-hand smoke) contribute to as many as 20 percent of heart-related deaths in the U.S., according to the American Heart Association.
    > Control it! Ask your physician about programs and/or products that may help you to quit smoking.

  • Lack of exercise. A sedentary lifestyle can lead to a host of health problems, including high cholesterol and high blood pressure.
    > Control it! Start a light fitness program that includes ample walking and speak with your physician about developing an exercise regimen that is right for you.

  • Obesity. Being 20 percent over your ideal weight puts much stress on the heart and greatly increases coronary risk. A poor diet may also raise cholesterol levels.
    > Control it! Follow a low-fat, heart-healthy diet like the Food Guide Pyramid or one recommended by your doctor.

  • Uncontrolled diabetes and/or high blood pressure. People with diabetes are prone to heart-related conditions such as coronary artery disease, peripheral arterial disease and cardiomyopathy. These conditions can increase the risk of heart attack or stroke. People with high blood pressure (higher than 140/90) have a similarly increased risk of heart disease and coronary events.
    > Control it! Regular visits to your physician will ensure that these conditions are diagnosed and managed appropriately. In addition, home diagnostic equipment is commercially available to help you monitor these conditions on a regular basis.

  • Stressful situations. Stress can be physical or emotional reaction to a change in the environment. Chronic, or long-term, stress can lead to a host of medical problems including an increased risk for heart attack or stroke.
    > Control it! Training in relaxation, meditation or breathing exercises can be of great value. Counseling and professional support may also allow you to constructively address changes in your life and introduce you to other helpful stress management practices.

Prevention strategies can mean the difference between good health and a bad heart.