‘high blood pressure’

Coronary Heart Disease is the Leading Cause of Death for Men & Women in the United States.

Friday, January 29th, 2010

Many things increase your risk of heart disease:

  • Men in their 40s have a higher risk of CHD than women, but as women get older (especially if it comes to menopause), the risk increases almost to equal that of men. (See: Heart disease and women)
  • Bad genes (heredity) can increase the risk. In fact, one is more likely to develop the condition if someone in your family has suffered, especially if it was before 50 years, and the risk increases as you get older.
  • Diabetes is a potent risk factor for heart disease.
  • High blood pressure increases the risk of coronary artery disease and heart failure.
  • Abnormal levels of cholesterol: LDL ( “bad”) should be as low as possible and HDL ( “good”) should be as high as possible.
  • The metabolic syndrome refers to high triglyceride levels, hypertension, excess body fat around the waist and increased insulin levels. People with this group of problems are more likely to develop heart disease.
  • Smokers have a much higher risk of heart disease than nonsmokers.
  • Chronic kidney disease may increase the risk.
  • The fact already have atherosclerosis or atherosclerosis elsewhere in the body (examples are stroke and abdominal aortic aneurysm) increases the risk of CHD.
  • Other risk factors include excessive alcohol consumption, not enough exercise and excessive amounts of stress.

Levels above normal inflammation-related substances such as C-reactive protein and fibrinogen, are being studied as possible indicators of increased risk of heart disease. Elevated levels of a chemical called homocysteine, an amino acid, are also associated with an increased risk of heart attack.

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What is the Cause of Atherosclerosis?

Sunday, January 24th, 2010

Scientists believe the disease occurs when the layer is damaged lining the inside of the artery (the Endothelium). It is believed that high blood pressure, elevated cholesterol and triglycerides, and smoking are the factors that contribute to plaque formation.

What are the symptoms?

A person can suffer from atherosclerosis for many years without symptoms. This slow process of the disease may begin in childhood. In some people the disease can cause symptoms between 30 and 40 years of age, while others have no symptoms until after 50 or 60 years. But with increasing the degree of obstruction, reduced blood flow to the heart can start to cause what is called angina pectoris, a term that comes from Latin and means “strangling in the chest.” Patients with angina often report feeling a choking sensation, or burning feeling in the chest. The pain usually occurs when the heart needs more blood supply, such as during exercise or times of emotional stress.

Angina usually begins in the center of the chest but may extend to the arm, neck or jaw. Some people say they feel a numbness or loss of sensation in the arms, shoulders or wrists. An episode usually lasts only a few minutes and goes away with rest. Some patients with CAD may not suffer from angina. Sometimes the poor oxygen supply to the heart (called ischemia) does not cause any pain. This is called silent ischemia.

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