Risk Factors of Heart Disease

By: Gigi Sorenson R.N., M.S.
Director, CardioPulmonary Services, FMC

The American Heart Association defines risk factors as inherited traits or daily habits, which may lead to the development of coronary artery disease. Research has shown that certain factors and lifestyles are associated with an increased risk of heart disease. Some of these factors are things we can change in our lives; others are out of our control.

Age is a risk factor out of our control. In general, your risk of heart disease increases as you grow older. Family history plays a role in your chances of developing heart disease. If you have a close relative with a history of heart disease at an early age, you carry a similar risk. Another risk factor out of your control is gender. Women in general have a lower risk of developing heart disease than men, until after menopause. After that, the hormone changes brought on by menopause open the door to the development of heart disease for women.

Risk factors we can control are called, modifiable. Smoking is a very important modifiable risk factor in heart disease. People who smoke run twice the risk of developing heart disease than non-smokers. Smoking damages the lining of blood vessel walls, narrows the vessels, and reduces the amount of oxygen available to the body. Quitting smoking is very important. Many over the counter and prescription medicines are now available to help people quit smoking.

High blood pressure, or hypertension, another risk factor, usually shows no specific warning signs or symptoms. Uncontrolled high blood pressure adds to the work of the heart, leading to a weak heart, a high risk for stroke and heart attack, and a high risk for kidney disease. Having your blood pressure checked regularly, exercise, a healthy diet, and medication can reduce these risks.

High cholesterol levels have been shown to speed the development of heart disease. Cholesterol is a soft, fatty substance produced by the liver and found in many foods we eat everyday. When the levels of LDL, or bad cholesterol, are over the normal level, risk of heart disease goes up. Eating a well balanced diet of grains, fruits, and vegetables is key to controlling cholesterol. Current guidelines suggest that fat make up no more than 30 percent of your diet. Get your blood levels drawn and discuss them with your physician.

Lack of exercise is a major risk factor for heart disease, high blood pressure, and high cholesterol. Remember that the heart is a muscle, and like all other muscles if you exercise it regularly it stays strong. The American Heart Association suggests exercising moderately for 30 minutes 3-4 days per week. Walking is a great way to exercise.

Diabetes mellitus is a disease of having high levels of glucose (sugar) in the blood. The body cannot respond to or make the right amounts of insulin needed by the body. Heart disease is a common and serious side effect of diabetes. Proper diet, medication, exercise, and monitoring are necessary to control diabetes.

Too much stress can be a risk factor for heart disease when combined with other factors. Stress from job, school, personal issues, the holidays, cause hormones to be released into your body that put extra work on your heart. There are many ways to reduce stress, including taking a walk.

Obesity causes the heart to work harder to pump blood through the body. This makes it a risk factor for heart disease. It raises blood pressure, raises cholesterol, and may lead to diabetes. Developing a healthy lifestyle, not crash dieting, will lower your risk of heart disease.

Too much alcohol has been shown to have bad effects on the body, including the heart. It has been shown to increase the risk of developing heart disease, and increasing the risk of stroke. It is also a leading cause of liver disease. There are studies that show 1-2 drinks per day of alcohol may be acceptable. Discuss with your physician if any alcohol is safe for you.

To reduce your chance of heart disease, educate yourself and your family. Talk with your doctor. Being informed will make you healthier and give you power over heart disease.

If you have additional questions, please contact your local healthcare provider.

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