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How can I reduce my risk of developing heart disease and having a heart attack?


The most common disease of the heart is called coronary artery disease. This disease is also known as atherosclerosis or hardening of the arteries. Coronary arteries provide oxygen and nutrient-rich blood to the heart to keep it pumping strongly. Over time, fatty deposits called plaque can build up inside the coronary arteries. When the build-up of plaque narrows the arteries so much that only a small amount of blood can flow through to the heart, chest pain (also known as angina) can occur. Sometimes, a blood clot will completely block the blood flow to a coronary artery causing a heart attack – a true medical emergency.

You can reduce your risk of developing heart disease by understanding the risk factors that can cause it and by making the necessary changes. At least 80% of Canadians have at least one risk factor. The more risk factors you have, the greater your risk of developing heart disease or having a heart attack.

Risk factors you can't change:

There are some risk factors you can't change. However, you should know about them and how they might affect your health.

  • Family history – Your risk is higher if any of your immediate family members (mother, father, sibling child) have had a heart attack (especially before the age of 65 in women and 55 in men) or if they have high cholesterol or high blood pressure.
  • Age – As you grow older, your chances of developing heart disease increases. Men over 45 years and women over 55 years or who have finished menopause are at an increased risk for heart disease.

  • Gender – Men have a higher risk than women. Unfortunately, the benefit of being female is lost after menopause, when the risk becomes the same as for men.

Risk factors you can change:

Your heart health depends a lot on the lifestyle you choose. If you're aware of the risk factors you can change, you can make changes that will help reduce your risk of developing heart disease.

The risks

The changes

Smoking

Stop smoking.

High-fat diet

Limit your fat intake.

Abnormal blood cholesterol levels

Keep your levels within acceptable limits.

Inactive lifestyle

Try moderate exercise 30-60 minutes per day.

Unhealthy weight

Aim for a BMI of 18.5-24.9.

Excess fat around the stomach

Aim for a waist measurement that is less than 35 inches for women and 40 inches for men.

High stress levels

Take time to relax every day.

High blood pressure

Have your blood pressure monitored regularly and take medication as prescribed.

Diabetes

Keep your blood sugar levels under control.

Additional resources

Healthy Heart Kit: helping your patients reduce the riskPublic Health Agency of Canada

Heart and Stroke Foundation of Canada


Last Updated: 2007-02-01
Created for the Canadian Health Network by Capital Health (Edmonton).

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