SlideShare a Scribd company logo

How To Prevent Heart Disease & Stroke

•
•
Richard Saint Cyr MD
Richard Saint Cyr MD

Practical information from a family doctor on what you can do -- without medicines -- to prevent the most common killers in the world, heart attacks and strokes.

Health & Medicine
1 of 68
How To Prevent Heart Disease & Stroke Richard Saint Cyr, MD DABFP
What Is #1 Cause Of Death in China? ,[object Object],[object Object],[object Object],[object Object],[object Object]
What Is #1 Cause Of Death in China? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Deaths in China Since 1982 A: Urban B: Rural
Heart Disease ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cholesterol Plaque = Heart Attack & Stroke
You Can Control Your Risk! ,[object Object]
How Can You Prevent It? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How Good Is Prevention? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Lifestyle Factors & Survival Data from Paffenberger, RS Jr, Hyde, RT, Wing, AL, et al, N Engl J Med 1993; 328:538
Our Patient: John Doe
Joe’s Stats ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
First, Let’s Assess Joe’s Cardiovascular Risk ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sample Report
Closer Look: Graph
Closer Look: The Report
Joe’s Report ,[object Object],[object Object],[object Object]
Joe’s Heart Is Too Old ,[object Object],[object Object]
Yikes! 怎么办？ ,[object Object],[object Object],[object Object],[object Object],[object Object]
Prevention Tip #1: Control High Blood Pressure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What Is Blood Pressure?   © 1996 Wellsource, Inc.
High Blood Pressure Can…
How Effective Is Control of Blood Pressure? ,[object Object],[object Object],[object Object]
Get Checked! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How To Prevent Hypertension ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Joe Needs To Lose Weight ,[object Object],[object Object]
Weight Gain = Disease… PS. “Cholelithiasis” = gallstones Source: uptodate.com 
Weight Loss = Lower Blood Pressure Source: uptodate.com 
Do You Know Your BMI? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Are You an Apple or Pear? “ Apples” are at higher risk for heart attack, stroke, diabetes, high blood pressure
“ Apple” Fat Is Worst Risk ,[object Object],[object Object],[object Object],[object Object]
Risk Factor Chart *     Disease risk for type 2 diabetes, hypertension, and CVD. +     Increased waist circumference can also be a marker for increased risk even in persons of normal weight. Extremely High Extremely High III 40.0 + Extreme Obesity Very High Very High II 35.0 – 39.9 Very High High I 30.0 – 34.9 Obesity High Increased 25.0 – 29.9 Overweight - - 18.5 – 24.9 Normal - - < 18.5 Underweight Men > 102 cm (40 in) Women > 88 cm (35 in) Men 102 cm (40 in) or less Women 88 cm (35 in) or less Obesity Class BMI (kg/m 2 ) Disease Risk* Relative to Normal Weight and Waist Circumference
Joe’s BMI Category? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Joe Needs To Lose 23kg ,[object Object],[object Object],[object Object]
How To Prevent Hypertension: Step 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Exercise: How Much Is Enough? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How Does It Help Your Heart? ,[object Object],[object Object],[object Object],[object Object]
Any Exercise Helps Your Heart Coronary events are less frequent among those who exercise. In a study of 5159 men, aged 40 to 49 years, followed for an average of almost 19 years, the age-adjusted coronary heart disease event rate per 1000 person-years is lower in those who perform any physical activity compared to inactive subjects.  Data from Wannamethee, SG, Shaper, AG, Alberti, KG, Arch Intern Med 2000; 160:2108.
How To Prevent Hypertension: Step 3 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Low Salt = Low Blood Pressure ,[object Object],[object Object],[object Object],[object Object],[object Object],Image: mayoclinic.com
Read The Labels! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Change Diet = Avoid Pills Data from Stamler, R, Stamler, J, Grimm, R, et al, JAMA 1987; 257:1484. Intervention: weight loss, salt restriction, and avoidance of excess alcohol (squares)
The Ideal Diet: Each Day… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
One Serving = Source: http://www.wellcome.com.hk/en/kids_corner.html
Fruits & Vegetables ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fiber is Important ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fats: Bad vs Good ,[object Object],[object Object],[object Object],[object Object],[object Object]
Fish is Good! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How To Prevent Hypertension: Step 4 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How much is “moderate?” ,[object Object],[object Object],[object Object]
How Much Is “One Drink”? ,[object Object],[object Object],[object Object],[object Object]
“ Moderate” Is Important! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Asses Your Risks vs. Benefits ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Joe’s Other Lifestyle Choices: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cholesterol = Atherosclerosis
Prevention Tip: Lower cholesterol ,[object Object],[object Object],[object Object],[object Object],[object Object]
How To Lower Your Cholesterol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Joe’s #3 Prevention Step: Stop Smoking ,[object Object],[object Object],[object Object],[object Object],[object Object]
How To Stop Smoking ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
It’s Never Too Late To Quit ,[object Object],[object Object],[object Object],[object Object]
Joe’s Action Plan ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Back To Joe, 6 Months Later ,[object Object],[object Object],[object Object],[object Object],[object Object]
His New Profile: Much Better ,[object Object],[object Object],[object Object],[object Object]
Still A Bit To Go…
His Next 6 Month Plan? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Always Remember… ,[object Object]
Thank You! More Information at MyHealth Beijing .com

Recommended

Primary prevention stroke
Primary prevention strokePrimary prevention stroke
Primary prevention strokeNeurologyKota
 
Acc 2018 guidelines on lipids
Acc 2018 guidelines on lipidsAcc 2018 guidelines on lipids
Acc 2018 guidelines on lipidsDr Anu Grover
 
2019 ACC/AHA Primary Prevention Guidelines
2019 ACC/AHA Primary Prevention Guidelines2019 ACC/AHA Primary Prevention Guidelines
2019 ACC/AHA Primary Prevention GuidelinesSociedad Española de Cardiología
 
The Hypertension Guidelines JNC 8
The Hypertension Guidelines JNC 8 The Hypertension Guidelines JNC 8
The Hypertension Guidelines JNC 8 Utai Sukviwatsirikul
 
Hypertension 2018 Guidelines - prof. Tarek Medhat
Hypertension 2018 Guidelines - prof. Tarek Medhat Hypertension 2018 Guidelines - prof. Tarek Medhat
Hypertension 2018 Guidelines - prof. Tarek Medhat MNDU net
 
Hypertension Management - ESC/ESH 2018 guidelines
Hypertension Management - ESC/ESH 2018 guidelinesHypertension Management - ESC/ESH 2018 guidelines
Hypertension Management - ESC/ESH 2018 guidelinesPardhuBharath1
 
Htn update
Htn updateHtn update
Htn updatemagdy elmasry
 
Jnc 8
Jnc 8Jnc 8
Jnc 8Dr. Arun Kochar
 

Recommended

Primary prevention stroke
Primary prevention strokePrimary prevention stroke
Primary prevention strokeNeurologyKota
 
Acc 2018 guidelines on lipids
Acc 2018 guidelines on lipidsAcc 2018 guidelines on lipids
Acc 2018 guidelines on lipidsDr Anu Grover
 
2019 ACC/AHA Primary Prevention Guidelines
2019 ACC/AHA Primary Prevention Guidelines2019 ACC/AHA Primary Prevention Guidelines
2019 ACC/AHA Primary Prevention GuidelinesSociedad Española de Cardiología
 
The Hypertension Guidelines JNC 8
The Hypertension Guidelines JNC 8 The Hypertension Guidelines JNC 8
The Hypertension Guidelines JNC 8 Utai Sukviwatsirikul
 
Hypertension 2018 Guidelines - prof. Tarek Medhat
Hypertension 2018 Guidelines - prof. Tarek Medhat Hypertension 2018 Guidelines - prof. Tarek Medhat
Hypertension 2018 Guidelines - prof. Tarek Medhat MNDU net
 
Hypertension Management - ESC/ESH 2018 guidelines
Hypertension Management - ESC/ESH 2018 guidelinesHypertension Management - ESC/ESH 2018 guidelines
Hypertension Management - ESC/ESH 2018 guidelinesPardhuBharath1
 
Htn update
Htn updateHtn update
Htn updatemagdy elmasry
 
Jnc 8
Jnc 8Jnc 8
Jnc 8Dr. Arun Kochar
 
Hypertension- Update on current guideline 02.18.16
Hypertension- Update on current guideline 02.18.16Hypertension- Update on current guideline 02.18.16
Hypertension- Update on current guideline 02.18.16Thu Nguyen
 
JNC 8 guideline to Management of Hypertension
JNC 8 guideline to Management of HypertensionJNC 8 guideline to Management of Hypertension
JNC 8 guideline to Management of HypertensionPranav Sopory
 
JNC 8 _Dr. Mansij Biswas
JNC 8 _Dr. Mansij BiswasJNC 8 _Dr. Mansij Biswas
JNC 8 _Dr. Mansij BiswasMansij Biswas
 
JNC VIII GUIDELINES FOR MANAGEMENT OF BLOOD PRESSURE 2013
JNC VIII GUIDELINES FOR MANAGEMENT OF BLOOD PRESSURE 2013JNC VIII GUIDELINES FOR MANAGEMENT OF BLOOD PRESSURE 2013
JNC VIII GUIDELINES FOR MANAGEMENT OF BLOOD PRESSURE 2013Praveen Nagula
 
2013 ACC/AHA LIPID GUIDELINES
2013 ACC/AHA LIPID GUIDELINES2013 ACC/AHA LIPID GUIDELINES
2013 ACC/AHA LIPID GUIDELINESSubhasish Deb
 
Hypertension jnc 8 guideline(1)
Hypertension jnc 8 guideline(1)Hypertension jnc 8 guideline(1)
Hypertension jnc 8 guideline(1)Dr.Chandan Kumar
 
2017 ACC Hypertension Guidelines
2017 ACC Hypertension Guidelines2017 ACC Hypertension Guidelines
2017 ACC Hypertension GuidelinesHuriah Putra
 
Htn 2017 jama
Htn 2017 jamaHtn 2017 jama
Htn 2017 jamaProf. Ahmed Mohamed Badheeb
 
JNC8 Guidelines for Management of Hypertension
JNC8 Guidelines for Management of HypertensionJNC8 Guidelines for Management of Hypertension
JNC8 Guidelines for Management of HypertensionAhmed Mahdy
 
Review of the New ACC/AHA Cholesterol Guidelines
Review of the New ACC/AHA Cholesterol GuidelinesReview of the New ACC/AHA Cholesterol Guidelines
Review of the New ACC/AHA Cholesterol GuidelinesTerry Shaneyfelt
 
Blood Pressure Targets  2017.Still Struggling for the Right Answer
Blood Pressure Targets  2017.Still Struggling for the Right AnswerBlood Pressure Targets  2017.Still Struggling for the Right Answer
Blood Pressure Targets  2017.Still Struggling for the Right Answermagdy elmasry
 
2013 ACC/AHA guidelines for blood cholesterol management
2013 ACC/AHA guidelines for blood cholesterol management2013 ACC/AHA guidelines for blood cholesterol management
2013 ACC/AHA guidelines for blood cholesterol managementPraveen Nagula
 
Hypertension
HypertensionHypertension
HypertensionPHAM HUU THAI
 
Overview of Guidelines in the Management of Hypertension
Overview of Guidelines in the Management of HypertensionOverview of Guidelines in the Management of Hypertension
Overview of Guidelines in the Management of HypertensionJayaprakash Appajigol
 
Hypertension 2014
Hypertension 2014Hypertension 2014
Hypertension 2014Kyaw Win
 
Hypertension+current
Hypertension+currentHypertension+current
Hypertension+currentdhavalshah4424
 
SPRINT BP Journal club
SPRINT BP Journal clubSPRINT BP Journal club
SPRINT BP Journal clubMichael Nguyen
 
2013 prevention guidelines cholesterol slide set 4
2013 prevention guidelines cholesterol slide set 42013 prevention guidelines cholesterol slide set 4
2013 prevention guidelines cholesterol slide set 4Sara Sirna
 
Sprint trial
Sprint trialSprint trial
Sprint trialIqbal Dar
 
Hypertension management 2017
Hypertension management 2017Hypertension management 2017
Hypertension management 2017Monkez M Yousif
 
Heart Disease and Stroke Prevention: Nutritional Needs and the ABCS Approach
Heart Disease and Stroke Prevention: Nutritional Needs and the ABCS ApproachHeart Disease and Stroke Prevention: Nutritional Needs and the ABCS Approach
Heart Disease and Stroke Prevention: Nutritional Needs and the ABCS Approachwef
 
Charts for sexual harassment
Charts for sexual harassmentCharts for sexual harassment
Charts for sexual harassmentLuis A. Luyo
 

More Related Content

What's hot

Hypertension- Update on current guideline 02.18.16
Hypertension- Update on current guideline 02.18.16Hypertension- Update on current guideline 02.18.16
Hypertension- Update on current guideline 02.18.16Thu Nguyen
 
JNC 8 guideline to Management of Hypertension
JNC 8 guideline to Management of HypertensionJNC 8 guideline to Management of Hypertension
JNC 8 guideline to Management of HypertensionPranav Sopory
 
JNC 8 _Dr. Mansij Biswas
JNC 8 _Dr. Mansij BiswasJNC 8 _Dr. Mansij Biswas
JNC 8 _Dr. Mansij BiswasMansij Biswas
 
JNC VIII GUIDELINES FOR MANAGEMENT OF BLOOD PRESSURE 2013
JNC VIII GUIDELINES FOR MANAGEMENT OF BLOOD PRESSURE 2013JNC VIII GUIDELINES FOR MANAGEMENT OF BLOOD PRESSURE 2013
JNC VIII GUIDELINES FOR MANAGEMENT OF BLOOD PRESSURE 2013Praveen Nagula
 
2013 ACC/AHA LIPID GUIDELINES
2013 ACC/AHA LIPID GUIDELINES2013 ACC/AHA LIPID GUIDELINES
2013 ACC/AHA LIPID GUIDELINESSubhasish Deb
 
Hypertension jnc 8 guideline(1)
Hypertension jnc 8 guideline(1)Hypertension jnc 8 guideline(1)
Hypertension jnc 8 guideline(1)Dr.Chandan Kumar
 
2017 ACC Hypertension Guidelines
2017 ACC Hypertension Guidelines2017 ACC Hypertension Guidelines
2017 ACC Hypertension GuidelinesHuriah Putra
 
JNC8 Guidelines for Management of Hypertension
JNC8 Guidelines for Management of HypertensionJNC8 Guidelines for Management of Hypertension
JNC8 Guidelines for Management of HypertensionAhmed Mahdy
 
Review of the New ACC/AHA Cholesterol Guidelines
Review of the New ACC/AHA Cholesterol GuidelinesReview of the New ACC/AHA Cholesterol Guidelines
Review of the New ACC/AHA Cholesterol GuidelinesTerry Shaneyfelt
 
Blood Pressure Targets  2017.Still Struggling for the Right Answer
Blood Pressure Targets  2017.Still Struggling for the Right AnswerBlood Pressure Targets  2017.Still Struggling for the Right Answer
Blood Pressure Targets  2017.Still Struggling for the Right Answermagdy elmasry
 
2013 ACC/AHA guidelines for blood cholesterol management
2013 ACC/AHA guidelines for blood cholesterol management2013 ACC/AHA guidelines for blood cholesterol management
2013 ACC/AHA guidelines for blood cholesterol managementPraveen Nagula
 
Overview of Guidelines in the Management of Hypertension
Overview of Guidelines in the Management of HypertensionOverview of Guidelines in the Management of Hypertension
Overview of Guidelines in the Management of HypertensionJayaprakash Appajigol
 
Hypertension 2014
Hypertension 2014Hypertension 2014
Hypertension 2014Kyaw Win
 
SPRINT BP Journal club
SPRINT BP Journal clubSPRINT BP Journal club
SPRINT BP Journal clubMichael Nguyen
 
2013 prevention guidelines cholesterol slide set 4
2013 prevention guidelines cholesterol slide set 42013 prevention guidelines cholesterol slide set 4
2013 prevention guidelines cholesterol slide set 4Sara Sirna
 
Sprint trial
Sprint trialSprint trial
Sprint trialIqbal Dar
 
Hypertension management 2017
Hypertension management 2017Hypertension management 2017
Hypertension management 2017Monkez M Yousif
 

What's hot (20)

Hypertension- Update on current guideline 02.18.16
Hypertension- Update on current guideline 02.18.16Hypertension- Update on current guideline 02.18.16
Hypertension- Update on current guideline 02.18.16
 
JNC 8 guideline to Management of Hypertension
JNC 8 guideline to Management of HypertensionJNC 8 guideline to Management of Hypertension
JNC 8 guideline to Management of Hypertension
 
JNC 8 _Dr. Mansij Biswas
JNC 8 _Dr. Mansij BiswasJNC 8 _Dr. Mansij Biswas
JNC 8 _Dr. Mansij Biswas
 
JNC VIII GUIDELINES FOR MANAGEMENT OF BLOOD PRESSURE 2013
JNC VIII GUIDELINES FOR MANAGEMENT OF BLOOD PRESSURE 2013JNC VIII GUIDELINES FOR MANAGEMENT OF BLOOD PRESSURE 2013
JNC VIII GUIDELINES FOR MANAGEMENT OF BLOOD PRESSURE 2013
 
2013 ACC/AHA LIPID GUIDELINES
2013 ACC/AHA LIPID GUIDELINES2013 ACC/AHA LIPID GUIDELINES
2013 ACC/AHA LIPID GUIDELINES
 
Hypertension jnc 8 guideline(1)
Hypertension jnc 8 guideline(1)Hypertension jnc 8 guideline(1)
Hypertension jnc 8 guideline(1)
 
2017 ACC Hypertension Guidelines
2017 ACC Hypertension Guidelines2017 ACC Hypertension Guidelines
2017 ACC Hypertension Guidelines
 
Htn 2017 jama
Htn 2017 jamaHtn 2017 jama
Htn 2017 jama
 
JNC8 Guidelines for Management of Hypertension
JNC8 Guidelines for Management of HypertensionJNC8 Guidelines for Management of Hypertension
JNC8 Guidelines for Management of Hypertension
 
Review of the New ACC/AHA Cholesterol Guidelines
Review of the New ACC/AHA Cholesterol GuidelinesReview of the New ACC/AHA Cholesterol Guidelines
Review of the New ACC/AHA Cholesterol Guidelines
 
Blood Pressure Targets  2017.Still Struggling for the Right Answer
Blood Pressure Targets  2017.Still Struggling for the Right AnswerBlood Pressure Targets  2017.Still Struggling for the Right Answer
Blood Pressure Targets  2017.Still Struggling for the Right Answer
 
2013 ACC/AHA guidelines for blood cholesterol management
2013 ACC/AHA guidelines for blood cholesterol management2013 ACC/AHA guidelines for blood cholesterol management
2013 ACC/AHA guidelines for blood cholesterol management
 
Hypertension
HypertensionHypertension
Hypertension
 
Overview of Guidelines in the Management of Hypertension
Overview of Guidelines in the Management of HypertensionOverview of Guidelines in the Management of Hypertension
Overview of Guidelines in the Management of Hypertension
 
Hypertension 2014
Hypertension 2014Hypertension 2014
Hypertension 2014
 
Hypertension+current
Hypertension+currentHypertension+current
Hypertension+current
 
SPRINT BP Journal club
SPRINT BP Journal clubSPRINT BP Journal club
SPRINT BP Journal club
 
2013 prevention guidelines cholesterol slide set 4
2013 prevention guidelines cholesterol slide set 42013 prevention guidelines cholesterol slide set 4
2013 prevention guidelines cholesterol slide set 4
 
Sprint trial
Sprint trialSprint trial
Sprint trial
 
Hypertension management 2017
Hypertension management 2017Hypertension management 2017
Hypertension management 2017
 

Viewers also liked

Heart Disease and Stroke Prevention: Nutritional Needs and the ABCS Approach
Heart Disease and Stroke Prevention: Nutritional Needs and the ABCS ApproachHeart Disease and Stroke Prevention: Nutritional Needs and the ABCS Approach
Heart Disease and Stroke Prevention: Nutritional Needs and the ABCS Approachwef
 
Charts for sexual harassment
Charts for sexual harassmentCharts for sexual harassment
Charts for sexual harassmentLuis A. Luyo
 
Prevention of stroke - Dự phòng đột quỵ não
Prevention of stroke - Dự phòng đột quỵ nãoPrevention of stroke - Dự phòng đột quỵ não
Prevention of stroke - Dự phòng đột quỵ nãodangphucduc
 
Guidelines for prevention of stroke Guidelines for prevention of stroke
Guidelines for prevention of stroke Guidelines for prevention of strokeGuidelines for prevention of stroke Guidelines for prevention of stroke
Guidelines for prevention of stroke Guidelines for prevention of strokeMedicineAndHealthNeurolog
 
Primary prevention of stroke
Primary prevention of strokePrimary prevention of stroke
Primary prevention of strokeUsama Ragab
 
Peran nutrisi dan aktifitas fisik pada hipertensi
Peran nutrisi dan aktifitas fisik pada hipertensiPeran nutrisi dan aktifitas fisik pada hipertensi
Peran nutrisi dan aktifitas fisik pada hipertensiRulli Rosandi
 
The dash diet plan
The dash diet planThe dash diet plan
The dash diet planhelix1661
 
Nutrisi pada pasien hipertensi
Nutrisi pada pasien hipertensiNutrisi pada pasien hipertensi
Nutrisi pada pasien hipertensiRizky maulana
 
Preventing Heart Disease - Statistics, Risk Factors and Prevention Guidelines
Preventing Heart Disease - Statistics, Risk Factors and Prevention GuidelinesPreventing Heart Disease - Statistics, Risk Factors and Prevention Guidelines
Preventing Heart Disease - Statistics, Risk Factors and Prevention GuidelinesMaps of World
 
Awet muda dengan pola hidup sehat
Awet muda dengan pola hidup sehatAwet muda dengan pola hidup sehat
Awet muda dengan pola hidup sehatRegina Rosalina
 

Viewers also liked (20)

Heart Disease and Stroke Prevention: Nutritional Needs and the ABCS Approach
Heart Disease and Stroke Prevention: Nutritional Needs and the ABCS ApproachHeart Disease and Stroke Prevention: Nutritional Needs and the ABCS Approach
Heart Disease and Stroke Prevention: Nutritional Needs and the ABCS Approach
 
Charts for sexual harassment
Charts for sexual harassmentCharts for sexual harassment
Charts for sexual harassment
 
Prevention of stroke - Dự phòng đột quỵ não
Prevention of stroke - Dự phòng đột quỵ nãoPrevention of stroke - Dự phòng đột quỵ não
Prevention of stroke - Dự phòng đột quỵ não
 
Guidelines for prevention of stroke Guidelines for prevention of stroke
Guidelines for prevention of stroke Guidelines for prevention of strokeGuidelines for prevention of stroke Guidelines for prevention of stroke
Guidelines for prevention of stroke Guidelines for prevention of stroke
 
Primary prevention of stroke
Primary prevention of strokePrimary prevention of stroke
Primary prevention of stroke
 
Penyakit aorta awam
Penyakit aorta awamPenyakit aorta awam
Penyakit aorta awam
 
Penyakit vascular
Penyakit vascularPenyakit vascular
Penyakit vascular
 
Asupan gizi untuk pasien hipertensi
Asupan gizi untuk pasien hipertensiAsupan gizi untuk pasien hipertensi
Asupan gizi untuk pasien hipertensi
 
DASH Diet
DASH DietDASH Diet
DASH Diet
 
Powerpoint dmdf
Powerpoint dmdfPowerpoint dmdf
Powerpoint dmdf
 
Dietary management for hypertension
Dietary management for hypertensionDietary management for hypertension
Dietary management for hypertension
 
Peran nutrisi dan aktifitas fisik pada hipertensi
Peran nutrisi dan aktifitas fisik pada hipertensiPeran nutrisi dan aktifitas fisik pada hipertensi
Peran nutrisi dan aktifitas fisik pada hipertensi
 
Penjagaan kaki
Penjagaan kakiPenjagaan kaki
Penjagaan kaki
 
Pp perawatan luka
Pp perawatan lukaPp perawatan luka
Pp perawatan luka
 
The dash diet plan
The dash diet planThe dash diet plan
The dash diet plan
 
Nutrisi pada pasien hipertensi
Nutrisi pada pasien hipertensiNutrisi pada pasien hipertensi
Nutrisi pada pasien hipertensi
 
Preventing Heart Disease - Statistics, Risk Factors and Prevention Guidelines
Preventing Heart Disease - Statistics, Risk Factors and Prevention GuidelinesPreventing Heart Disease - Statistics, Risk Factors and Prevention Guidelines
Preventing Heart Disease - Statistics, Risk Factors and Prevention Guidelines
 
Awet muda dengan pola hidup sehat
Awet muda dengan pola hidup sehatAwet muda dengan pola hidup sehat
Awet muda dengan pola hidup sehat
 
Diet hipertensi
Diet hipertensiDiet hipertensi
Diet hipertensi
 
Penyakit Strok
Penyakit StrokPenyakit Strok
Penyakit Strok
 

Similar to How To Prevent Heart Disease & Stroke

Heart Disease (Applied Anatomy)
Heart Disease (Applied Anatomy)Heart Disease (Applied Anatomy)
Heart Disease (Applied Anatomy)Mr. Motuk
 
Heart Disease
Heart DiseaseHeart Disease
Heart DiseaseR Shaikh
 
Heart Disease, Prevention of Heart Disease
Heart Disease, Prevention of Heart DiseaseHeart Disease, Prevention of Heart Disease
Heart Disease, Prevention of Heart DiseaseJack Frost
 
Heart Diseases
Heart DiseasesHeart Diseases
Heart DiseasesCaptain YR
 
Heart diseases
Heart diseasesHeart diseases
Heart diseasesHeena Modi
 
Prevention Of Heart Diseases
Prevention Of Heart DiseasesPrevention Of Heart Diseases
Prevention Of Heart DiseasesLeo Hock
 
Heart Diseases
Heart DiseasesHeart Diseases
Heart DiseasesDaran Daya
 
Heart Diseases
Heart DiseasesHeart Diseases
Heart DiseasesNancy Poh
 
Heart Management
Heart ManagementHeart Management
Heart Managementnavtejpvs
 

Similar to How To Prevent Heart Disease & Stroke (20)

Heart Disease (Applied Anatomy)
Heart Disease (Applied Anatomy)Heart Disease (Applied Anatomy)
Heart Disease (Applied Anatomy)
 
Heart Disease
Heart DiseaseHeart Disease
Heart Disease
 
Heart Disease
Heart DiseaseHeart Disease
Heart Disease
 
Heart Disease, Prevention of Heart Disease
Heart Disease, Prevention of Heart DiseaseHeart Disease, Prevention of Heart Disease
Heart Disease, Prevention of Heart Disease
 
Heart Disease
Heart DiseaseHeart Disease
Heart Disease
 
Heart disease
Heart diseaseHeart disease
Heart disease
 
Heartdiseases
HeartdiseasesHeartdiseases
Heartdiseases
 
Heart Diseases
Heart DiseasesHeart Diseases
Heart Diseases
 
Heart Diease
Heart DieaseHeart Diease
Heart Diease
 
Heart diseases
Heart diseasesHeart diseases
Heart diseases
 
Heart
HeartHeart
Heart
 
Prevention Of Heart Diseases
Prevention Of Heart DiseasesPrevention Of Heart Diseases
Prevention Of Heart Diseases
 
Heartdiseases1
Heartdiseases1Heartdiseases1
Heartdiseases1
 
Heart Diseases
Heart DiseasesHeart Diseases
Heart Diseases
 
Heart Diseases
Heart DiseasesHeart Diseases
Heart Diseases
 
Heart Deseases
Heart DeseasesHeart Deseases
Heart Deseases
 
Heart Diseases
Heart DiseasesHeart Diseases
Heart Diseases
 
Heart Diseases
Heart DiseasesHeart Diseases
Heart Diseases
 
Heart Management
Heart ManagementHeart Management
Heart Management
 
cardiac awareness.pptx
cardiac awareness.pptxcardiac awareness.pptx
cardiac awareness.pptx
 

More from Richard Saint Cyr MD

More from Richard Saint Cyr MD (10)

Food Safety in China
Food Safety in ChinaFood Safety in China
Food Safety in China
 
World rabies day inn 2011 9-26
World rabies day inn 2011 9-26World rabies day inn 2011 9-26
World rabies day inn 2011 9-26
 
Diabetes: How Can We Prevent It?
Diabetes: How Can We Prevent It?Diabetes: How Can We Prevent It?
Diabetes: How Can We Prevent It?
 
AirPollutionChinaKids
AirPollutionChinaKidsAirPollutionChinaKids
AirPollutionChinaKids
 
UNStd
UNStdUNStd
UNStd
 
Food Poisoning
Food PoisoningFood Poisoning
Food Poisoning
 
H1N1 Basics
H1N1 BasicsH1N1 Basics
H1N1 Basics
 
Sexually Transmitted Diseases
Sexually Transmitted DiseasesSexually Transmitted Diseases
Sexually Transmitted Diseases
 
Hayfever
HayfeverHayfever
Hayfever
 
Gastroenteritis
GastroenteritisGastroenteritis
Gastroenteritis
 

Recently uploaded

Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformKweku Zurek
 
97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAAjennyeacort
 
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Statistical modeling in pharmaceutical research and development.
Statistical modeling in pharmaceutical research and development.Statistical modeling in pharmaceutical research and development.
Statistical modeling in pharmaceutical research and development.ANJALI
 
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...narwatsonia7
 
Glomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptxGlomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptxDr.Nusrat Tariq
 
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...narwatsonia7
 
Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...
Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...
Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...Nehru place Escorts
 
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...saminamagar
 
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Modelssonalikaur4
 
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaCall Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaPooja Gupta
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersnarwatsonia7
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...narwatsonia7
 
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowKolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowNehru place Escorts
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbaisonalikaur4
 

Recently uploaded (20)

Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy Platform
 
97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA
 
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
 
Statistical modeling in pharmaceutical research and development.
Statistical modeling in pharmaceutical research and development.Statistical modeling in pharmaceutical research and development.
Statistical modeling in pharmaceutical research and development.
 
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
 
Glomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptxGlomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptx
 
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
 
Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...
Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...
Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...
 
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
 
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
 
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
 
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
 
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaCall Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
 
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
 
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowKolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
 

How To Prevent Heart Disease & Stroke

  • 1. How To Prevent Heart Disease & Stroke Richard Saint Cyr, MD DABFP
  • 2.
  • 3.
  • 4. Deaths in China Since 1982 A: Urban B: Rural
  • 5.
  • 6. Cholesterol Plaque = Heart Attack & Stroke
  • 7.
  • 8.
  • 9.
  • 10. Lifestyle Factors & Survival Data from Paffenberger, RS Jr, Hyde, RT, Wing, AL, et al, N Engl J Med 1993; 328:538
  • 12.
  • 13.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21. What Is Blood Pressure?   © 1996 Wellsource, Inc.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27. Weight Gain = Disease… PS. “Cholelithiasis” = gallstones Source: uptodate.com 
  • 28. Weight Loss = Lower Blood Pressure Source: uptodate.com 
  • 29.
  • 30. Are You an Apple or Pear? “ Apples” are at higher risk for heart attack, stroke, diabetes, high blood pressure
  • 31.
  • 32. Risk Factor Chart *     Disease risk for type 2 diabetes, hypertension, and CVD. +     Increased waist circumference can also be a marker for increased risk even in persons of normal weight. Extremely High Extremely High III 40.0 + Extreme Obesity Very High Very High II 35.0 – 39.9 Very High High I 30.0 – 34.9 Obesity High Increased 25.0 – 29.9 Overweight - - 18.5 – 24.9 Normal - - < 18.5 Underweight Men > 102 cm (40 in) Women > 88 cm (35 in) Men 102 cm (40 in) or less Women 88 cm (35 in) or less Obesity Class BMI (kg/m 2 ) Disease Risk* Relative to Normal Weight and Waist Circumference
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38. Any Exercise Helps Your Heart Coronary events are less frequent among those who exercise. In a study of 5159 men, aged 40 to 49 years, followed for an average of almost 19 years, the age-adjusted coronary heart disease event rate per 1000 person-years is lower in those who perform any physical activity compared to inactive subjects.  Data from Wannamethee, SG, Shaper, AG, Alberti, KG, Arch Intern Med 2000; 160:2108.
  • 39.
  • 40.
  • 41.
  • 42. Change Diet = Avoid Pills Data from Stamler, R, Stamler, J, Grimm, R, et al, JAMA 1987; 257:1484. Intervention: weight loss, salt restriction, and avoidance of excess alcohol (squares)
  • 43.
  • 44. One Serving = Source: http://www.wellcome.com.hk/en/kids_corner.html
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 56.
  • 57.
  • 58.
  • 59.
  • 60.
  • 61.
  • 62.
  • 63.
  • 64. Still A Bit To Go…
  • 65.
  • 66.
  • 67.
  • 68. Thank You! More Information at MyHealth Beijing .com