The document discusses cardiovascular disease (CVD) and prevention efforts. It begins with a promise to live more healthily and help others do the same. It then discusses the World Heart Federation, which founded World Heart Day to raise awareness of heart disease and stroke as leading causes of death. The document outlines risk factors for CVD like smoking, diabetes, and obesity. It emphasizes the importance of eating a healthy diet, exercising regularly, avoiding tobacco, and maintaining a healthy weight to prevent heart disease.

4. A Promise…
• A promise as an individual to cook and eat more healthily.
• To do more exercise and encourage your children to be more
active.
• To say no to smoking and help your loved ones to stop.
• A promise as a healthcare professional to save more lives.
• A promise as a politician to implement an NCD action plan
A simple promise… for MY HEART, for YOUR HEART, for ALL
OUR HEART

5. World Heart Federation
• The World Heart Federation (WHF) is a
nongovernmental organization based
in Geneva, Switzerland.
• In 1978 the International Society of Cardiology merged
with the International Cardiology Federation (which
had been founded in 1970) to form the International
Society and Federation of Cardiology. This body
changed its name in 1998 to the World Heart
Federation.[1]
• "World Heart Day" was founded in 2000 to inform
people around the globe that heart disease and stroke
are the world’s leading causes of death

6. World Heart Federation(cont…)
• World Heart Day is a global campaign during
which individuals, families, communities and
governments around the world participate in
activities to take charge of their heart health
and that of others. Through this campaign, the
World Heart Federation unites people from all
countries and backgrounds in the fight against
the CVD burden, and inspires and drives
international action to encourage heart-
healthy living across the world.

7. 25by25 goal
• In 2012, the World Heart Federation launched
our 25by25 goal
• The ’25 by 25′ campaign is in line with existing
World Health Organization (WHO)
commitments to reduce overall mortality from
the four major non-communicable diseases
(NCDs) – cardiovascular disease (CVD),
including heart disease and stroke), diabetes,
cancers and lung diseases – by 25% by 2025.

8. What is Heart Disease?
• Cardiovascular disease, or CVD, is a very serious health condition
that keeps the heart or blood vessels from working properly.
• When our heart and blood vessels are working at their best, blood
flows easily and is circulated around the body freely.
• If there is a clog in our blood vessels or if our heart is not pumping
blood properly, this prevents blood from being delivered to many
important parts of our body. Not having blood constantly delivered
throughout our body can cause serious illness or even death.
• Although some people are born with certain types of CVD, most
people develop CVD as a result of poor lifestyle habits, such as
eating unhealthy foods, not getting enough exercise or using
tobacco.

9. Cardiovascular Disease
• World`s number one killer
• 17.6 million death per year
• 82% occur in developing World
• By, 2030 an expected rise above 23 million
• Two third due to Coronary Artery Disease and
one third due to Stroke.

10. Risk factors
Non-modifiable
• Heredity:- if parents /
First degree relatives
have heart disease or
sudden cardiac death in
early age.
• Gender & Age:- Men > 45
years
Women > 55years
• After menopause
incidence of CAD is
equal.
• Modifiable
 Smoking
 Hypertension
 Dyslipidemia
 Diabetes & Pre diabetes
 Over weight and obesity
 Physical inactivity
 Stress and Behavior
 Unhealthy diet
 Alcohol

14. Diabetes & pre
diabetes
Goal: Fasting glucose <110 mg/dl
HbA1c <7%
* Patient with DM have high risk for
coronary
artery disease.
* ATP III has designated DM as CHD risk
equivalent
* More over, many patients, with DM
type-2
present with silent MI, silent ischemia
and
sudden cardiac death.
* So DM should be properly controlled.

16. Unhealthy Diet
* An unhealthy diet can raise your risk of
CHD
* Foods that are high in saturated and
trans
fat, and cholesterol raise LDL
* Saturated fats are found in some meats,
dairy products, chocolate, egg yolk, full
cream milk, coconut oil, deep fried and
processed foods

18. Obesity & Heart Disease
Obesity is a common problem. Obesity and overweight
are linked to several factors that increase ones risk for
cardiovascular disease (coronary artery disease and
stroke):
High blood lipids, especially high triglycerides, LDL
cholesterol, and total cholesterol and low HDL
cholesterol
High blood pressure
Impaired glucose tolerance or type-2 (also called adult
onset) diabetes
Metabolic syndrome
Obesity and overweight are also linked to hypertension
and an enlarged left ventricle (left ventricular
hypertrophy), increasing risk for heart failure.

20. Dyslipidemia
Improve cholesterol level, one healthy adult should
be:-
Goal:-
Total cholesterol <200 mg/dl
LDL <130 mg/dl
HDL above 40 mg/dl (men)
HDL above 50 mg/dl (women)

22. Lack of physical Activity
*Inactive people are nearly twice as likely
to develop CHD as those who are active.
*A lack of physical activity can worsen
other CHD risk factors. e.g. Increased
cholesterol, TG, BP, DM, Pre diabetes,
overweight & obesity.
* It is important for children and adult to
make physical activity part of their daily
routines.

23. Lack of physical Activity
(Cont…)
Many people are not active enough is
because of hours spent in front of TV, and
computers doing work, schoolwork and leisure
activities.
*Some Experts advise that children and teens
should reduce screen time they recommended
that children age 2 and older should spend no
more than 2 hours a day watching TV or using
computer (except school work)
*Being physically active is one of the most
important way to keep your heart healthy
(Source:- 2008 physical activity guideline for
Americans)

25. Smoke or Use Smokeless Tobacco
• Smoking traditional cigarettes, electronic cigarettes
(e-cigarettes or vapes), or using smokeless tobacco
(also called dip, snuff or chew) are some of the worst
things you can do to your body.
• Tobacco contains an addictive chemical called
“nicotine” that gives smokers a pleasant feeling.
Electronic cigarettes and “vapes” also deliver
nicotine. Just because these products are high-tech
doesn’t mean they’re safe.
• Using ANY tobacco product damages nearly EVERY
organ in your body and can cause heart disease and
cancer.
• Using smokeless tobacco is NOT a safe alternative to
smoking!

26. Harmful Chemicals that can be found in
Smoke or Smokeless Tobacco
Acetone — nail polish remover
Hydrogen cyanide — insecticide
Methanol — antifreeze
Cadmium — batteries
Hydrazine — rocket fuel
Toluene — paint thinner
Polonium 210 — toxic radioactive chemical
Formaldehyde — embalming fluid
Lead — once used in paint
Nitrosamines — cancer-causing substances
Arsenic— once used in rat poison
Propylene glycol – automobile anti-freeze

27. Secondhand Smoke is Dangerous Too!
• It is important to also avoid
smokers, too!
• Breathing in smoke from
someone else who is smoking is
called secondhand smoking, and
it is also hazardous for your heart
and lungs too.
• REMEMBER: If you can smell the
smoke, then the chemicals are
getting into your body!

28. Prevention Of Heart Disease
A Few Simple Checks
 Check Your Blood Pressure.
 Check Your Blood Glucose levels.
 Check Your Cholesterol Levels.
 Check Your BMI.
 Understand the Signs and Symptoms of a heart
attack.

30. Eat Heart Healthy
1. Eat plenty of fruits and vegetables. Try to eat a
variety of fruits and vegetables each day.
2. Choose whole-grain foods (like whole wheat
bread, oatmeal, brown rice). These foods can be a
good source of dietary fiber.
3. Eat fish, especially oily fish (like salmon, trout,
herring), at least twice a week.
4. Limit your intake of saturated and trans fats.
5. Limit the amount of red meat you eat and choose
lean meats and skinless poultry.

31. Eat Heart Healthy(cont…)
6. Choose low-fat dairy products, such as skim milk or low-
fat yogurt.
7. Limit your intake of beverages and foods with added
sugars.
8. Learn about sodium and the common foods that have too
much of it. Compare food labels and choose the foods
with the least amount of sodium.
9. If you want to snack, go nuts! A serving size is a small
handful or 1.5 ounces of whole nuts or 2 tablespoons of
nut butter.
10. Drink water instead of sugary drinks. Try adding slices of
fruit to beverages instead of sweetening with sugar.

32. Get more active
• Aim for at least 30 minutes of moderate-
intensity physical activity 5 times a week
• Or at least 75 minutes spread throughout the week
of vigorous-intensity activity
• Be more active every day – take the stairs, walk or
cycle instead of driving
• Exercise with friends and family – you’ll be more
motivated and it’s more fun!

33. Moderate exercise-Vigorous exercise
• Your breathing quickens,
but you're not out of
breath.
• You develop a light sweat
after about 10 minutes of
activity.
• You can carry on a
conversation, but you
can't sing.
• Your breathing is deep
and rapid.
• You develop a sweat after
only a few minutes of
activity.
• You can't say more than a
few words without
pausing for breath.
Ref-www.myoclinic.org

34. Physical Activities
 Indoor exercise:
 Playing single tennis
 Stair climbing
 Stationary bicycle
 Tread mill
 Out door exercise :
 Brisk walking
 Swimming 20 minute
 Football
 Cycling
 Jumping rope for 15 minute

35. Say no to smoking
• It’s the single best thing you do to improve your heart
health
• Within 2 years of quitting, the risk of coronary heart
disease is substantially reduced
• Within 15 years the risk of CVD returns to that of a non-
smoker
• Exposure to secondhand smoke is also a cause of heart
disease in non-smokers
• So by quitting (or not starting in the first place) you’ll not
only improve your health but that of those around you
• If you’re having trouble stopping, ask for professional
advice and ask your employer if they provide smoking-
cessation services

36. Keep A Healthy Weight
• As your body grows and changes through tween and
teen years, gaining some weight is part of developing
into a healthy young adult.
• Gaining too much weight at any point in your life can
be dangerous to your health. A person is considered
overweight or obese when they have more body fat
than is considered healthy.
• Being overweight or obese can be dangerous for your
health and it can increase your risk of serious health
problems like diabetes, heart disease, high blood
pressure, asthma or other breathing problems and
even some types of cancer.

38. Summary
Remember, you can stop heart
disease before it starts. Start small
and keep it simple. Make one
change today and then you’re ready
to make another!
Life’s Simple 7
1. Avoid smoking and using tobacco
products
2. Be physically active every day
3. Eat a heart-healthy diet
4. Keep a healthy weight
5. Keep your blood pressure
healthy
6. Keep your total cholesterol
healthy
7. Keep your blood sugar healthy

39. A simple promise
 For MY HEART
 FOR YOUR HEART
 For ALL OUR HEART

40. World Heart Day
It is a national
&
International awareness day

41. THANK YOU