6. What are the symptoms of
Coronary artery disease?
O No symptoms for long period
0 Chest pain for short period on exertion also known as Angina or
minor heart attack
0 Myocardial Infarction or major heart attack-Severe chest pain,
death of heart muscle, heart failure, irregular heart beats
0 Sudden Death
7. How Big is the Problem ?
O No. 1 killer disease worldwide
O 12 Million deaths annually
0 During last 30 years large declines in developed countries -rising
health awareness and government programmes
O Alarming increase in developing countries especially India
9. What Increases Risk?
You can't help it !
0 Age:
Men 2. 45;
Women 2. 55
O Sex
0 Race
0 Family History
You can!!
0 High Cholesterol
O Smoking
O High Blood Pressure
O Diabetes
O Obesity
Alcohol
0
0 Phy?ical Inactivity
12. Good vs. BAD Cholesterol
0 is known as bad cholesterol. It has a
tendency to increase risk of heart disease
O LDL cholesterol is a maJor component of the plaque that
clogs arteries
O is known as the good cholesterol. Higher
in women, increases with exercise
0 HDL cholesterol helps carry some of the bad cholesterol
out of arteries.
13.
14. Pears and Apples
I Apple;s
h
a
o
e
dareatahigherrtsk I
Pear-shaped paunch store fat on the
hips and thighs, just below the surface of
the skin.
Apple-shaped paunch store body fat
around the abdomen and chest,
surrounding internal organs
15. Every morning my brain
tells m e to exercise...
..... a n d mybody
laughs at the idea
19. Diabetes
OAt any given cholesterol level, diabetic
persons have a 2 or 3 x higher risk of
heart attack or stroke
OA diabetic is more likely to die of a heart
attack than a non-diabetic
O~80% Diabetics die from heart disease
0 Risk of sudden death from a heart attack
for a diabetic is the same as that of
someone who has already had a heart
·attack.
, , . r - • • « - . . , • · •
20. Interactions of' Risk Factors
Risk operates across a continuum - no clear-cut line
(Blood Pressure; Cholesterol; overweight; Smoking}
The risk is multiplicative when many risk factors co
exist; risk factors often cluster together
Majority of events arise in individuals with modest
elevations of many risk factors than from marked
elevation of a single risk factor
23. For my car, I want the best
mechanic.
But for my own body, I follow hearsay and advice
f r o m friends, kitty party, local quacks....
Just anyone
And decide for the worst
27. Limit / Avoid
O Foods rich in Cholesterol and Saturated fats
0 Egg Yolk
0 Fatty meat & organ meat( Liver)
O Butter chicken / Batter fried fish !
O Milk fat - Desi Ghee, Butter, Cheese, Malai, Rabri, Khurchan, Doda, Ice
Cream, full cream milk,
O Hidden Fat like Bakery biscuits, Patties (I), Cakes, Pastries,
28.
29. Preventing Heart Disease
Rule #2 Exercise
O Maintain a level of physical activity that keeps you fit and matches the
calories you eat
0 Serves several functions in preventing and treating those at high risk
0 Reduces incidence of obesity
O Increases HDL
O Lowers LDL and total cholesterol
0 Helps control diabetes and hypertension
30. · it )f rtPci ectftfF fed menwho walk
more than two miles every day
ORegular exercise can halve the risk of heart
disease, particularly in men who walk briskly
OSomeone who is inactive has as great a risk
of having heart disease as someone who
smokes, has high blood pressure or has high
cholesterol
OExercise significantly reduces the chances
of diabetes and stroke
. -dJ
iii ; i l-ir[iFT
c
f
ni·9rri·§Jf 1r '
mucf.i as 20r.nrns l.ig
31. "What fits your busy schedule better, exercising
one hou.r a day or being dead 24 hours a day?"
35. Benefits beyond Heart Disease
Tobacco
Diet
Physical Activity
Cardiovascular
Alcohol
ancers
D i a b e t e s
Chronic Respiratory Diseases
........... ..,..Osteoporosis
..............Oral Health
Mental Health
36.
37. Benefits ot reducing cholesterol
10% reduction of blood
cholesterol produces 20-30%
decline in CHD deaths
All Adults >20 yrs must get tested- if normal test again
after 5 years, if elevated, work towards normalizing the
levels with lifestyle modification and drugs as needed
38. 8ontrolling Blood Pressure
Adults sliould have their blood
pressure checked at least once every
two years, as there are no
symptoms to tell if you have high
blood pressure
OQptimal levels : 120 /80 mm Hg
O!f high
OModify your lifestyle - Diet, Weight,
Exercise, Salt restriction
OAdhere to the prescribed medication
without fail, to decrease chances of
getting heart disease - Do not stop your
medicines without consulting your
doctor, e en if t
v he blood pressure
becomes,:normal · ·· ···. ····· ··
39. Controlling Blood Sugar
OAII adults should have their blood sugar
checked regularly, as there are no early
symptoms of diabetes
ONormal blood sugar:
Ofasting < 100; post meals <140
OIf high
OModify your lifestyle - Diet, Weight, Exercise
OAdhere to the prescribed medication without
fail, to decrease chances of getting heart
disease - Do not stop your medicines.
without consulting Y, ur docto,(,:flY h.U(tlJ ,
b/ood'sugar.becomesinorma/!
41. Don't wait fo" a
action !
heart attack to take an
Don't wait for a second life we
are not cats!
42. t
mean you needto live a lifeof self-deprivation. Instead, find
ways toincorporate heart-healthy habits into your lifestyle
- and you may well enjoy a healthier life for years to
come.
--·--
