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Important points regarding heart disease are:

– Recognize risk factors for heart disease
1. Family history
2. Elevated Cholesterol
3. High blood pressure
4. Inactivity
5. Smoking
6. Male sex
7. Diabetes
8. Stress
9. Excess alcohol use
10. Poor diet
11. High LDL
12. Low HDL
13. High triglycerides
14. Elevated high sensitivity CRP

– Take following preventive measures:
1. Eat plenty of fresh fruits
2. Avoid high cholesterol and high saturated fat foods
3. Stop smoking
4. Control high blood pressure keeping systolic less than 120
5. Tight control of blood sugar if diabetic with HgbA1C less than 6-6.5
6. Aggressive work-up and treatment if have multiple risk factors and strong family history with heart disease in first degree relative at an early age.
7. Take your medications
8. Keep your appointment with your doctor
9. Exercise
10. Avoid excess alcohol intake
11. Reduce Stress
12. Make sure you do not have Metabolic Syndrome which is combination of:
– Triglyceride > 150,
– HDL 0f less than 40 in men and less than 50 in women
– Fasting sugar of greater than 100
– Abdominal obesity
– Systolic blood pressure of greater than 135
– Diastolic blood pressure of less than 85
13. Treat with medication to reduce cholesterol if indicated
14. Prevention of heart disease can only be achieved with modification of above risk factors.