[Karl Loren Note: This Institute, the National Heart, Lund, and Blood Institute, was one of the leading master planners that falsified research findings so that the drug companies could have a multi-billion dollar market in cholesterol-lowering drugs. This is one of the most evil agencies in government!]
Some 7 million Americans suffer from coronary heart disease (CHD), the most common form of heart disease. This type of heart disease is caused by a narrowing of the coronary arteries that feed the heart.
CHD is the number one killer of both men and women in the U.S. Each year, more than 500,000 Americans die of heart attacks caused by CHD.
Many of these deaths could be prevented because CHD is related to certain aspects of lifestyle. Risk factors for CHD include high blood pressure, high blood cholesterol, smoking, obesity, and physical inactivity--all of which can be controlled. Although medical treatments for heart disease have come a long way, controlling risk factors remains the key to preventing illness and death from CHD.
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Other Cardiovascular Information for the General Public
Controllable
High blood pressure
High blood cholesterol
Smoking
Obesity
Physical inactivity
Diabetes
Stress*
Uncontrollable
Gender
Heredity (family history of CHD)
Age
* Although stress may be a risk factor for CHD, scientists still do not know exactly how stress might be involved in heart disease.
When the blood supply is cut off completely, the result is a heart attack. The part of the heart that does not receive oxygen begins to die, and some of the heart muscle may be permanently damaged.
Atherosclerosis usually occurs when a person has high levels of cholesterol, a fat-like substance, in the blood. Cholesterol and fat, circulating in the blood, build up on the walls of the arteries. The buildup narrows the arteries and can slow or block the flow of blood. When the level of cholesterol in the blood is high, there is a greater chance that it will be deposited onto the artery walls. This process begins in most people during childhood and the teenage years, and worsens as they get older.
In addition to high blood cholesterol, high blood pressure and smoking also contribute to CHD. On the average, each of these doubles your chance of developing heart disease. Therefore, a person who has all three risk factors is eight times more likely to develop heart disease than someone who has none. Obesity and physical inactivity are other factors that can lead to CHD. Overweight increases the likelihood of developing high blood cholesterol and high blood pressure, and physical inactivity increases the risk of heart attack. Regular exercise, good nutrition, and smoking cessation are key to controlling the risk factors for CHD.
It is important to know that there is a wide range of severity for CHD. Some people have no symptoms at all, some have mild intermittent chest pain, and some have more pronounced and steady pain. Still others have CHD that is severe enough to make normal everyday activities difficult.
Because CHD varies so much from one person to another, the way a doctor diagnoses and treats CHD will also vary a lot. The following descriptions are general guidelines to some tests and treatments that may or may not be used, depending on the individual case.
After taking a careful medical history and doing a physical examination, the doctor may use some tests to see how advanced the CHD is. The only certain way to diagnose and assess the extent of CHD is coronary angiography (see below); other tests can indicate a problem but do not show exactly where it is.
An examination for CHD may include the following tests:
If you know that you have CHD, changing your diet to one low in fat, especially saturated fat, and cholesterol will help reduce high blood cholesterol, a primary cause of atherosclerosis. In fact, it is even more important to keep your cholesterol low after a heart attack to help lower your risk of having another one. Eating less fat should also help you lose weight. If you are overweight, losing weight can help lower blood cholesterol and is the most effective lifestyle way to reduce high blood pressure, another risk factor for atherosclerosis and heart disease.
People with CHD can also benefit from exercise. Recent research has shown that even moderate amounts of physical activity are associated with lower death rates from CHD. However, people with severe CHD may have to restrict their exercise somewhat. If you have CHD, check with your doctor to find out what kinds of exercise are best for you.
Smoking is one of the three major risk factors for CHD. Quitting smoking dramatically lowers the risk of a heart attack and also reduces the risk of a second heart attack in people who have already had one.
Ask your doctor which medication you are taking, what it does, and whether there are any side effects. Knowing more about this will help you stick to the schedule that has been prescribed for you.
Coronary angioplasty or balloon angioplasty begins with a procedure similar to that described under angiography. However, the catheter positioned in the narrowed coronary artery has a tiny balloon at its tip. The balloon is inflated and deflated to stretch or break open the narrowing and improve the passage for blood flow. The balloon-tipped catheter is then removed.
Strictly speaking, angioplasty is not surgery. It is done while the patient is awake and may last 1 to 2 hours. If angioplasty does not widen the artery or if complications occur, bypass surgery may be needed.
In a coronary artery bypass operation, a blood vessel, usually taken from the leg or chest, is grafted onto the blocked artery, bypassing the blocked area. If more than one artery is blocked, a bypass can be done on each. The blood can then go around the obstruction to supply the heart with enough blood to relieve chest pain.
Bypass surgery relieves symptoms of heart disease but does not cure it. Usually you will need to make a number of changes in your lifestyle after the operation. If your normal lifestyle includes smoking, a high-fat diet, or no exercise, changes are advised.
Several experimental catheter-surgical procedures for unblocking coronary arteries are under study; their safety and effectiveness have not yet been established. They include:
Check Your Healthy Heart I.Q. (revised 1992),
NIH Publication No. 92-2724
Check Your Smoking I.Q.: An Important Quiz for Older Smokers,
NIH Publication No. 91-3031
Check Your Weight and Heart Disease I.Q.,
NIH Publication No. 93-3034
Eat Right to Lower Your High Blood Cholesterol
(reprinted 1992), NIH Publication No. 92-2972
Eat Right to Lower Your High Blood Pressure
NIH Publication No. 92-3289
Facts About Angina (reprinted 1995),
NIH Publication No. 95-2890
Facts About Arrhythmias/Rhythm Disorders
(reprinted 1995), NIH Publication No.95-2264
Facts About Coronary Artery Bypass Surgery
(revised 1992), NIH Publication No. 92-2891
U.S. Department of Health and Human Services
Public Health Service
National Institutes of Health
National Heart, Lung, and Blood Institute
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