View
0
Download
0
Category
Preview:
Citation preview
A Long Healthy Life!
Allan Pickens, M.D.Emory University
Centers for Disease Control and Prevention
What is coronary heart disease?Synonymous with coronary artery diseaseCoronaries are vessels that carry blood to the heartFatty plaque builds up in arteries and prevents blood and oxygen from getting to the heart
AnginaPain or pressure in the chest
Heart Attack
Heart Disease
CHD in African Americans (AA)
4 out of 10 AA adults have cardiovascular disease #1 killer of AA (36% annual; 1.5x whites)According to American Heart Association, AA are more likely to be hypertensive, inactive and obese; ALL risk factors for CHD
How can we lower the risk of CHD?
Life Style Changes
Diet ModificationEat a healthy low-fat and low-salt diet
More vegetables Less meat
FatEating some fat is necessary. It is an important source of essential fatty acids (linolenic and lionoleic acids) and concentrated energy — it has more than twice as many calories per ounce as sugar, starch or protein.Fats help carry fat-soluble vitamins A, D, E and K. Fats can also make food taste better, aid in cooking, and help keep the hunger pains away.
FatSaturated Fat
Usually solid at room temperature Fat that consists of triglycerides containing only saturated fatty acids (no double bond carbon)Animal fat (cheese, butter, lard, fatty meat)Some vegetable products (coconut, palm seed, cashews, chocolate)
Unsaturated FatUsually liquid at room temperature Fat composed of fatty acids with at least 1 double bond between carbonsMonounsaturated and polyunsaturatedOlive oil, almonds, peanuts, avacados, salmon
Why is eating fat bad for the heart?
Scientific evidence indicates that the amount and type of dietary fat can affect blood cholesterol. Eating less fat, especially saturated fats, has been found to lower blood cholesterol levels. Replacing some saturated fats with polyunsaturated and monounsaturated fats can help lower blood cholesterol. Dietary cholesterol can raise blood cholesterol but generally is not as important as saturated fat and total fat in the diet
CholesterolWhat is cholesterol?Cholesterol is a waxy, fat-like substance found in all animals including people. It is an essential part of cells in the body and is used to make certain hormones and it helps digest fats. There are two different types of cholesterol: Blood (serum) cholesterol circulates in the blood and dietary cholesterol comes from the food we eat.
Cholesterol clogs vessels!
Cholesterol
Total cholesterol (mg/dL)
LDL cholesterol (mg/dL)
HDL cholesterol (mg/dL)
Ideal: Less than 200 Borderline high risk: 200-239High risk: 240 and over
Ideal: less than 130 Borderline high risk: 130-159High risk: 160 or higher
Ideal: 60 or higherHigh risk: lower than
High total cholesterol levels and high LDL cholesterol levels increase risk of heart disease while lower levels reduce risk.
Higher levels of HDL cholesterol help lower the risk for heart disease.
Blood Pressure
(mm Hg) Ideal Normal High Normal
Hypertension
Systolic (top number)
Less than 120 Less than 130
130-139 140 or higher
Diastolic(bottom number)
Less than 80 Less than 85
85-89 90 or higher
High pressure strains the heart!
Blood pressure elevator!
The body uses sodium to control blood pressure and blood volume. Sodium is also needed for your muscles and nerves to work properly.Sodium occurs naturally in most foods. The most common form of sodium is sodium chloride (table salt) Milk, beets, and celery also naturally contain sodium Drinking water has salt (amount varies depending on the source)
Exercise Regularly!
No Smoking!
MedicineTake as directed
Get checked!
Heart Evaluation
EKG Chemical Stress Test
Exercise Stress Test Catheterization
Heart Interventions
Angioplasty / Stent Coronary Bypass
Cancer Mortality
American Lung Association
Preventative Medicine
Screening for common cancers has improved tremendouslyEarly detection increases chances for cureMost screening is covered by insurance
Lung Cancer
CT Scan for Lung Cancer
Lung Cancer Treatment
Thoracotomy VATS Chemotherapy
Robotics Radiation
Breast Cancer
Mamogram for Breast Cancer
Breast Cancer Treatment
Colon Cancer
Colon Cancer
Colon Cancer Treatment
Prostate Cancer
DRE or PSA for Prostate Cancer
Prostate Cancer Treatment
Live Healthy! Live Long!
Questions
Recommended