Coronary Prevention
Is defined as modifying risk factors to reduce the chance of a first of subsequent cardiac event.
A cardiac event may be defined as any need for a cardiologist's intervention- e.g. new onset angina, unstoppable angina,
heart attack, coronary bypass, coronary angioplasty/stent. The underlying mechanism of these is unstable, degenerating
cholesterol plaque in the coronary artery attracting clot that narrow or closes the vessel channel.
Cardiovascular Risk Factors
- Tobacco
- Diabetes
- Family History of premature disease
- Hypertension
- Hypercholesterolemia
- Low HDL
- Male Gender
- Obesity
- Sedentary
- Stress
Modifiable Risk Factors
Hypertension
Dyslipidemia
Diabetes
Cigarette Smoking
Obesity
Physical Inactivity
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Nonmodifiable Risk Factors
Family History
Age
Gender
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Lipid Goals
- HDL > (greater than) 45
- LDL < (less than) 100
Primary Prevention
An abecedarian approach*
- Alcohol
- Blood Pressure
- Cholesterol
- Diabetes / Diet
- Exercise
- Fumes (i.e. tobacco use)
Secondary Prevention
An abecedarian approach*
- Aspirin
- ACE Inhibitor
- Beta Blocker
- Cholesterol Drug
- Diet
- Exercise
- Fumes (i.e. tobacco use)
* We use these alphabetical checklists to teach patients how to reduce risk of first or subsequent coronary event.
The Paleolithic Prescription - Nutrition
Ingest the Five F's
- Fish
- Fowl
- Filet/Top Sirloin
- Fruit and vegetables
- Fiber (flourless breads)
Avoid / Minimize
- Sugar
- Flour
- Fat
- Oil
- Alcohol
- Rice
- Potatoes
The Paleolithic Prescription - Exercise
"He or she who is fit, SWEATS"
- Stretch
- Warm up
- Exercise
- Aerobically
- Taper down
- Strength training