Coronary Artery Disease Risk Assessment
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Your results
The more risk factors you have, the greater your
chance for developing Coronary Artery Disease (CAD). Some risk factors you cannot control. These
are your age, gender, and a family history of heart disease. Other risk factors
you can change. These include smoking, diabetes, being overweight or obese, high
blood pressure, high cholesterol, and physical inactivity. The information you
gave us indicates that you have the following risk factors.
Age
As you get older, your risk for CAD increases. In men, risk
increases after age 45. In women, risk increases after age 55.
The information you gave us means that you
currently do not have any significant risk factors for coronary artery
disease. However, men do have a slightly higher risk of heart attack
than women. The following information may help you avoid coronary artery disease
in the future.
The information you gave us means that you
currently do not have any significant risk factors for coronary artery
disease. The following information may help you avoid coronary artery
disease in the future.
Family history of heart disease
According to the American Heart Association, if one or both
of your parents have heart disease, you are more likely to develop it yourself.
In addition to your family history, your ethnicity can also mean you have
inherited an increased risk. For example, African Americans have more severe
high blood pressure than Caucasians and a higher risk for heart disease. Heart
disease risk is also higher among Mexican Americans, American Indians, native
Hawaiians and some Asian Americans. This is partly because these groups are more
likely to have obesity and type 2 diabetes.
High total blood cholesterol
Your high cholesterol makes it more likely that you will
develop CAD. The higher your cholesterol level, the greater your risk for CAD.
People who have total cholesterol levels greater than 200 mg/dL have an
increased risk factor for CAD. Talk to your health care provider about how to
lower your cholesterol level. Sometimes you can lower your cholesterol just by
changing your lifestyle. Sometimes you may also need to take
medication.
High blood pressure
It's important to control your high blood pressure. High
blood pressure is dangerous because it makes the heart work too hard, the
National Heart, Lung, and Blood Institute says. This extra work can cause
hardening of the arteries. A blood pressure level of 140/90 mmHg or higher is
considered high. If your blood pressure is between 120/80 mmHg and 139/89 mmHg,
you have prehypertension. This means that you don't have high blood pressure now
but are likely to develop it later. Both numbers in a blood pressure test are
important, but for people who are 50 or older, the first number (systolic
pressure) gives the most accurate diagnosis of high blood pressure. Talk to your
health care provider about how to lower your blood pressure. Sometimes you can
lower your blood pressure simply by changing your lifestyle.
Diabetes
Your diabetes makes it much more likely that you will
develop CAD. Even people who carefully control their blood sugar are at greater
risk. The risk is even greater for people who don't control their blood sugar.
About 68 percent of people with diabetes die of some form of heart disease or
stroke. If you have diabetes, work with your health care provider to keep it
under control. Try to control any other risk factors you have.
Smoking
Because you smoke, your risk for developing CAD is two to
three times greater than for a person who doesn't smoke. Smoking and exposure to
secondhand smoke cause CAD because the toxins in cigarette smoke lead to
hardening of the arteries. Talk with your health care provider about how to quit
smoking.
Overweight
Your body mass index (BMI) is . Your BMI gives you an estimate
of your body fat. A BMI of 25 to 29.9 puts you in the overweight category; a BMI
of 30 or higher puts you in the obese category. Your extra pounds -- especially
if most of them are around your waist -- make it more likely that you will
develop CAD. Excess weight makes your heart work harder and raises your blood
pressure. It also raises your total cholesterol and triglyceride levels, and
lowers your HDL ("good") cholesterol levels. Extra weight can make diabetes more
likely to develop. Many obese and overweight people may have difficulty losing
weight. But by losing even as few as 10 pounds, you can lower your heart disease
risk. Talk to your health care provider about how to lose weight.
Physical inactivity
Your lack of regular exercise puts you at risk for
developing CAD. Regular, moderate exercise helps control cholesterol levels and
blood pressure. It also helps prevent type 2 diabetes and obesity. The more
vigorous your exercise, the greater the benefits, according to the American
Heart Association. Be sure to check with your health care provider before
starting an exercise program. Your provider can also help you decide which
exercise is best for you.
Preventing CAD
These are steps you can take to cut your risk for CAD:
- Don't smoke. If you do smoke, quit. Talk to your health care provider if
you need help in quitting.
- Avoid exposure to secondhand smoke.
- Limit how much alcohol you drink. If you are a man, limit your alcohol to
no more than two drinks a day. If you are a woman, limit your alcohol to no
more than one drink a day.
- Exercise five days a week. Aim for at least 30 minutes of
moderate-intensity exercise each day. Be sure to check with your health care
provider before starting an exercise program.
- Eat a healthy diet. This means limiting the amount of saturated fat and
cholesterol you eat.
- Control your blood pressure. If you have high blood pressure, follow your
health care provider's advice on how to lower it.
- Control your cholesterol levels. If you have high cholesterol levels,
follow your health care provider's advice on how to lower it.
- Manage your weight. Lose weight if you need to.
This information is not intended as a substitute for
professional health care. Always consult with a health care provider for advice
concerning your health. Only your health care provider can determine if you have
coronary artery disease.