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Prevention of Heart Disease
What is Heart Disease?  ,[object Object],[object Object],[object Object]
What is Atherosclerosis what is coronary artery disease?  ,[object Object],[object Object]
Myth : fat deposits at old age!  It starts from 2 years of age Foam Cells  Fatty Streak  Intermediate Lesion  Atheroma Fibrous Plaque Complicated Lesion/ Rupture Adapted from Pepine CJ.  Am J Cardiol.  1998;82(suppl 104). From First Decade From Third Decade From Fourth Decade
Are Other organs Affected? Ischemic Stroke Peripheral Vascular Disease ,[object Object],[object Object],[object Object],[object Object]
What are the symptoms of Coronary artery disease? ,[object Object],[object Object],[object Object],[object Object]
How Big is the Problem ? ,[object Object],[object Object],[object Object],[object Object]
Why Should I (Indian) be Worried ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Why Me ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What Increases Risk? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cholesterol ( A type of fat) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Where does it come from ? ,[object Object],[object Object],65% 35%
Good vs. BAD Cholesterol ,[object Object],[object Object],[object Object],[object Object]
Obesity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pears and Apples Apple-shaped paunch  store body fat around the abdomen and chest, surrounding internal organs Pear-shaped paunch  store fat on the hips and thighs, just below the surface of the skin. Apple- shaped are at a higher risk                               
Physical Inactivity Every morning my brain tells me to exercise… … .. and my body laughs at the idea
Cigarette Smoking ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cigarette Smoking If you think YOU are smoking the cigarette, you are mistaken…  It’s the other way round !
Alcohol Consumption ,[object Object],[object Object],[object Object],[object Object]
Diabetes ,[object Object],[object Object],[object Object],[object Object]
Interactions of Risk Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Misfortunes always come in by a door that has been left open for them. Czechoslovakian proverb
[object Object],[object Object]
For my car, I want the best mechanic. But for my own body, I follow hearsay and advice from friends, kitty party, local quacks….  Just anyone  And decide for the worst
Creative strategies do not work ! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Preventing Heart Disease   Rule #1  Look before your eat ,[object Object],[object Object],[object Object],[object Object],[object Object]
Dietary Guidelines ,[object Object],[object Object],[object Object],[object Object]
Limit / Avoid ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cooking Oils: The mystery of PUFA / MUFA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Preventing Heart Disease   Rule #2  Exercise ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Exercise, Exercise, Exercise ,[object Object],[object Object],[object Object],[object Object],[object Object]
Exercise and Heart Disease Moderate to intense physical activity for 30-45 minutes on most days of the week is recommended
Walking for a healthy heart ,[object Object],JUST WALK!
Rule # 3 Stop Smoking NOW! ,[object Object],[object Object],[object Object]
Rule # 3 Stop Smoking NOW!
Benefits much beyond Heart Disease  Tobacco Diet Physical Activity Alcohol Cardiovascular Cancers Diabetes Chronic Respiratory Diseases Osteoporosis Oral Health Mental Health
Rule # 4 Know your Number! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],And that’s not your Mobile Number!
Benefits of 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
Controlling Blood Pressure ,[object Object],[object Object],[object Object],[object Object],[object Object]
Controlling Blood Sugar ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
If you or someone in your family already diagnosed with heart disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Don’t wait for a heart attack to take an action ! Don’t wait for a second life we are not cats!
Heart disease is often avoidable. Following a heart-healthy lifestyle doesn't have to be complicated, and it doesn't mean you need to live a life of self-deprivation. Instead, find ways to incorporate heart-healthy habits into your lifestyle — and you may well enjoy a healthier life for years to come.

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Heartdiseases

  • 2.
  • 3.
  • 4. Myth : fat deposits at old age! It starts from 2 years of age Foam Cells Fatty Streak Intermediate Lesion Atheroma Fibrous Plaque Complicated Lesion/ Rupture Adapted from Pepine CJ. Am J Cardiol. 1998;82(suppl 104). From First Decade From Third Decade From Fourth Decade
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15. Pears and Apples Apple-shaped paunch store body fat around the abdomen and chest, surrounding internal organs Pear-shaped paunch store fat on the hips and thighs, just below the surface of the skin. Apple- shaped are at a higher risk                               
  • 16. Physical Inactivity Every morning my brain tells me to exercise… … .. and my body laughs at the idea
  • 17.
  • 18. Cigarette Smoking If you think YOU are smoking the cigarette, you are mistaken… It’s the other way round !
  • 19.
  • 20.
  • 21.
  • 22. Misfortunes always come in by a door that has been left open for them. Czechoslovakian proverb
  • 23.
  • 24. For my car, I want the best mechanic. But for my own body, I follow hearsay and advice from friends, kitty party, local quacks…. Just anyone And decide for the worst
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32. Exercise and Heart Disease Moderate to intense physical activity for 30-45 minutes on most days of the week is recommended
  • 33.
  • 34.
  • 35. Rule # 3 Stop Smoking NOW!
  • 36. Benefits much beyond Heart Disease Tobacco Diet Physical Activity Alcohol Cardiovascular Cancers Diabetes Chronic Respiratory Diseases Osteoporosis Oral Health Mental Health
  • 37.
  • 38. Benefits of 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
  • 39.
  • 40.
  • 41.
  • 42. Don’t wait for a heart attack to take an action ! Don’t wait for a second life we are not cats!
  • 43. Heart disease is often avoidable. Following a heart-healthy lifestyle doesn't have to be complicated, and it doesn't mean you need to live a life of self-deprivation. Instead, find ways to incorporate heart-healthy habits into your lifestyle — and you may well enjoy a healthier life for years to come.