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• Non Modifiable
• Age 45/55
• Gender
• Family History (genetics)
• Race
• Modifiable
• High Cholesterol
• High Blood Pressure
• Cigarette smoking **single most important preventive factor
• Diabetes
• Obesity
• Lack of physical activity
• Mental stress/depression https://www.heart.org/gglRisk/main_en_US.html
• Belly Size
• Increased waist circumference • 35” females
• 40” males
• Earlobe Crease
• Cold extremities (hands, feet and nose)
• Erectile dysfunction
• Hair loss on lower legs
• Shortness of breath with mild exertion
• Brain fog/Mental confusion
• Chest “Discomfort”
• Pressure
• Tightness
• Pain
• Shoulder/Neck/Jaw
• “discomfort”
• Shortness of Breath
• Sudden profound weakness
• Dizziness/Lightheadedness
• Nausea/Gastric Discomfort
• Sweating
• Loss of conscious
• Call for Help (2911 or Emergency channel)
• Get an AED – Use if person loses consciousness
• Have person chew 2 aspirin
• Begin Chest Compressions if no signs of life (breathing, moving, groaning, etc..)
• Smoking Cessation
• Physical Activity (discuss with doctor)
• Moderate activity - 30 min 5x week
• Understand Rate of Perceived Exertion (RPE)
• Improve Diet
• A healthy diet of lean protein, red and green vegetables, fruit, nuts, olive oil
• Avoid sugar, refined wheat/flour products, animal fat
• Decrease stress (relaxation techniques, quality sleep)
• Consider aspirin regimen (discuss with doctor)
• Consider supplementation (discuss with doctor)
• Multi Vitamins
• Omega 3 Fatty Acids
• CoQ Enzyme
• Niacin
• Vitamin D