Coronary
Heart Disease
Clinical studies,
laboratory investigations and a number of surveys show certain personal
characteristics and life-styles pointing to increased danger of heart attack
(coronary heart disease). These danger signs are called "risk factors".
The well established risk factors are high blood pressure, high blood cholesterol,
cigarette smoking and diabetes mellitus. Other factors that may increase
or affect the risk for heart attack are obesity, a sedentary life-style,
an aggressive response to stress, and certain drugs.
In the past
two decades, millions of Americans have learned about these risk factors
and have tried to modify them favorable by seeking medical attention and
by changing life-style. Many adults have stopped smoking. The
medical control of high blood pressure has greatly improved.
The average cholesterol level of the population has decreased continually
over the last two decades, probably due to changes in dietary habits and
increased exercise.
This attempt
to modify risk factors almost certainly has contributed to the declining
death rate from heart disease in the United States. During the 1960's,
U.S. death rates from heart disease were still rising, but today the incidence
from diseases of the cardiovascular system (including coronary heart disease)
has fallen dramatically.
Overall, heart-related
problems have declined about 25 percent in the last decade.
Some of this
decrease undoubtedly is due to better medical care of heart attack victims,
but it is likely that a sizable percentage is related to modification of
risk factors.
The entire
population has become more aware of the seriousness of heart disease and
coronary heart problems. CPR training is offered in schools, places
of business, and church and community functions, and everyone seems to
recognize that prevention of coronary heart disease is a partnership between
the public and
the medical
community.
These are a
number of factors implicated in coronary heart disease. Some of these
may raise coronary risk by accentuating the major risk factors already
discussed. Others may act in ways not understood. Still others
may be linked mistakenly to coronary risk.
Obesity predisposes
individuals to coronary heart disease. Some of the reasons for this
are known, but others are not. The major causes of obesity in Americans
are excessive intake of calories and inadequate exercise. When caloric
intake is excessive, some of the excess frequently is saturated fat, which
further raises
the blood
cholesterol. Thus, obesity contributes to higher coronary risk in
a variety of ways.
Most of the
major risk factors are silent. They must be sought actively, and
much of the responsibility for their detection lies with each of us as
individuals. Regular checkups are particularly necessary if there
is a family history of heart disease, high blood pressure, high cholesterol
levels or diabetes.
Oxidation, which to your body is
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These "free-radicals" break down
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Growing old is not something to be
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Health
for Every Body
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