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- $Unique_ID{BRK01993}
- $Pretitle{}
- $Title{Preventing Another Heart Attack}
- $Subject{prevent Preventing prevention Heart Attack attacks advise advice fat
- fats fatty diet diets exercise exercises medicine medicines medications
- medications risk risks danger dangers hazards factor factors Male males man
- men history disease diseases illness illnesses cigarette cigarettes smoke
- smoking hypertension cholesterol triglyceride level levels diabetes stroke
- obese obesity overweight artery arteries blood vessel vessels oxygen muscle
- muscles cell cells pressure deposit deposits plaque plaques HDL high-density
- lipoprotein low-density lipoproteins LDL calorie calories consume consuming
- weight cardiac reserve reserves rehabilitate rehabilitation program programs }
- $Volume{}
- $Log{
- Anatomy of Blood Pressure*0009501.scf
- Atherosclerosis of Arteries*0009301.scf
- Causative Factors of Hypertension*0009601.scf
- Complications of Atherosclerosis*0009401.scf
- Exercise has Overall Benefits*0003209.scf
- Exercise Improves Circulation*0003207.scf
- Exercise Increases Metabolism*0003205.scf
- Exercise Lowers Triglycerides and Raises HDL*0003203.scf
- Exercise Stengthens the Heart*0003202.scf
- HDL Transports Cholesterol Back to the Liver*0002702.scf
- How Cholesterol Levels Affect the Arteries*0002701.scf
- Risk Factors of Atherosclerosis*0009302.scf}
-
- Copyright (c) 1993 Tribune Media Services, Inc.
-
-
- Preventing Another Heart Attack
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-
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-
- QUESTION: I have recovered quite well from my first heart attack, and am now
- putting my life back in order. It is not an experience I would care to
- repeat. I guess I am willing to do most anything, but all I am getting from
- my doctor is advice to change my ways, cut the fats from my diet and start
- walking (an exercise program, that is). That's all? Surely there are more
- powerful medications available? I hope you will provide me with answers I
- can't get from my own doctor, for which I thank you.
-
- ------------------------------------------------------------------------------
-
- ANSWERS: I have seen many patients facing the situation you now face. Many
- of them exhibit the same disbelief that you express, and look for a magic
- bullet to eradicate all the chances of another heart attack. There are more
- than 1 million such attacks each year and about 500,000 individuals survive
- their attacks for at least 1 month, a time sufficient to begin to put together
- a plan to prevent a recurrence. If you take a close look at the risk factors
- involved, you will be better able to evaluate the importance of your own
- doctor's recommendations. They are: Male sex, a family history of premature
- heart disease (before 55 years of age) in a parent or a sibling, cigarette
- smoking, hypertension, high cholesterol and triglyceride levels, diabetes,
- history of a stroke, and severe obesity (more than 30 percent overweight).
- Now it is clear you can't do anything about your sex, your age, or any
- past history, so we will concentrate on changing those elements in your life
- that are subject to change. So smoking is the first thing that must go. The
- action of smoke on the arteries is to constrict them, reducing the blood flow
- through the vessels and decreasing the amount of vital oxygen flow to the
- muscles cells of your heart. High blood pressure places a strain on the
- heart, as it must pump blood at higher than normal pressures, so it is next in
- line for remedial action. In many cases, hypertension results from fatty
- deposits that line the inner surface of the arteries that nourish the heart,
- and that in turn results from elevated levels of cholesterol and
- triglycerides. Cutting back on fats in your diet, when done long enough and
- well enough, will not only reduce the blood levels of these fatty substances,
- but can also lead to diminishing the size of those deposits on the inside of
- your arteries (plaques). You can also change the composition and
- relationships of these fatty substances, increasing your good cholesterol
- (HDL) and lowering the bad ones (LDL), by the starting a simple exercise
- program, a walking program for example. Add the exercise to the diet, burning
- more calories and consuming less, and you are on the way to lowering your
- weight, taking care of yet another risk factor.
- In fact exercise can increase your tolerance to activity in general,
- provide for increased flexibility, and make daily living just that much more
- fun. And exercise also has been found to lower blood pressure, increase blood
- flow to the muscles that form your heart, increase cardiac reserves, and
- improve your mood and attitudes. Many hospitals offer cardiac rehabilitation
- programs, where all these activities are supervised and tailored to meet your
- specific needs.
- I am sorry there is no easy, speedy way to grant you your wish. If I
- could produce such results, I am sure the world would beat a path to my door.
- Yet these simple measures can help you prevent another frightening attack.
- And you did say you would be willing to do most anything, didn't you?
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-