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Coronary Artery Disease (CAD) – Heart Disease – Assessing Your Risk

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Take a moment to consider your lifestyle, family history and general health. With this information, you and your healthcare provider can assess your risk and make a plan to tackle potential problems.

Age

Men older than 45 years of age and women older than 55 years of age (or who have gone through menopause) are at greater risk for heart disease. Also, the rates of heart attack over the last 20 years have been increasing for women 35 to 54 years of age. Although you can’t do much about your age, you can affect many of the other risk factors listed below.

Family history

You can’t change your family history. But it is important for you to know what “runs in the family” and to tell your healthcare provider. Talk to your parents, grandparents, siblings, aunts and uncles about who in your family has had a heart attack, stroke or other serious health problem. With this information, your healthcare provider can recommend the best kinds of screening tests and preventive treatments.

Cholesterol

If you don’t know your cholesterol level, ask your healthcare provider if it should be checked. There are good (HDL cholesterol) and bad (LDL cholesterol) types. To reduce and prevent high (bad) cholesterol, eat a healthy diet and exercise regularly.  Some people who have high cholesterol levels may also need to take medicine to keep their levels under control.

Blood pressure

If your blood pressure is high, losing weight, exercising, not smoking and, in some cases, cutting down on sodium (salt) and alcohol will help. Many people may also need to take medicine to control their blood pressure.

Smoking

Quitting is the single best change you can make for your health. Contact your family healthcare provider about how to quit and stay tobacco-free. If you live with a smoker, breathing his or her smoke can also affect your health. Encourage the smoker to quit.

Diet

A healthy diet includes vegetables, fruits, meats, fish, beans, whole grains, and healthy fats. Limit the amount of processed foods (such as hot dogs), white flour (such as crackers and white bread) and sweet or sugary foods (such as soda and dessert foods) you eat. You may also need to avoid foods that are high in sodium, which can increase blood pressure. Sodium is found in table salt and many prepared foods, especially canned foods.

Although some research suggests alcohol can help protect against heart disease, moderation is the key. Limit how much alcohol you drink. This means limit yourself to no more than 2 drinks a day, to a weekly maximum of 10 for women and 3 drinks a day to a weekly maximum of 15 for men.

The Mediterranean Diet is one good example of a heart-healthy diet that follows these guidelines. If you have questions about making changes to your diet, contact your healthcare provider. They can help you make better choices, or can refer you to a dietitian.

Weight

Being overweight puts extra strain on your heart and blood vessels. A healthy diet with portion control, wise food choices, and regular exercise can help you lose weight gradually and safely, and keep it off. Contact your healthcare provider about the best ways for you to lose weight.

Exercise

Exercise can help prevent heart disease and many other health problems. You’ll also feel better and help keep your weight under control if you exercise regularly. If you haven’t exercised for a while or have health problems, contact your healthcare provider before you start an exercise program. To achieve health benefits, adults aged 18-64 should accumulate at least 150 minutes of physical activity per week, in bouts of 10 minutes or more, but any amount is better than none.

Other health problems

Health problems such as diabetes can contribute to heart disease. Contact your family healthcare provider for individual advice.

For More Information

Heart and Stroke Foundation of Canada
Nova Scotia Toll free 1-800-423-4432
Prince Edward Island: (902) 892-7441

Canadian Heart and Stroke Foundation Website at:
http://www.heartandstroke.ca/

Public Health Services of Canada Website
https://www.canada.ca/en/public-health/services/diseases/heart-health/heart-diseases-conditions.html

Written by familydoctor.org editorial staff.

Revised/Updated: 05-01-2014

Created: 09-01-2000

This handout provides a general overview on this topic and may not apply to everyone. To find out if this handout applies to you and to get more information on this subject, contact your family healthcare provider.

Copyright (c) by the American Academy of Family Physicians

Permission is granted to print and photocopy this material for non-profit educational uses.

Written permission is required for all other uses, including electronic uses.

Nova Scotia Telecare, Reviewed by Clinical Services Working Group, January 2019

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