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									                                                                                                                                                                                           A healthy lifestyle will improve your heart's condition.
Stop Smoking:                                                  Eat Healthy Foods:                                           Stay Active:                                                   But you may need medication too, especially if you have
Smoking by women in this country causes almost as              Among the lifestyle steps that control high blood            Various studies show that physical inactivity is a risk        chest pain, or if you have high blood pressure or high
many deaths from heart disease as from lung cancer. If         pressure are: losing excess weight, choosing foods low in    factor for heart disease. Heart disease is almost twice as     blood cholesterol that was not lowered enough with
you smoke, you are two to six times more likely to             salt and sodium, monitoring cholesterol, and limiting        likely to develop in inactive people as in those more          lifestyle changes.
suffer a heart attack than a nonsmoking woman, and the         alcohol intake.                                              active.
risk increases with the number of cigarettes you smoke                                                                                                                                     Drugs can have side effects, so follow the dose
each day. Smoking also boosts the risk of stroke.              Excess body weight in women is linked with coronary          Even low- to moderate-intensity activity can help lower        instructions carefully and report any troublesome side
                                                               heart disease, stroke, congestive heart failure, and death   the risk of heart disease. Examples of such activity are       effects to your doctor. Often a change in dose or type of
There is simply no safe way to smoke. Although low-tar         from heart-related causes. The more overweight you are,      pleasure walking, stair climbing, gardening, yardwork,         drug can stop the side effect. Your doctor may even
and low-nicotine cigarettes may reduce the lung cancer         the higher your risk for heart disease.                      moderate-to-heavy housework, dancing, and home                 prescribe a combination of drugs to treat your coronary
risk somewhat, they do not lessen the risks of heart                                                                        exercise. To get heart benefits from these activities, do      heart disease.
diseases or other smoking related diseases. The only           Salt and sodium both affect blood pressure, and must be      one or more of them every day.
safe and healthful course is not to smoke at all. There is     watched. You should consume no more than 6 grams                                                                            Aspirin--helps prevent heart attacks when taken regularly
nothing easy about giving up cigarettes.                       (about 1 teaspoon) of salt a day. This includes ALL salt-    More vigorous exercise improves the fitness of the heart,      in a low dose on your doctor's orders.
                                                               -that in processed foods or added in cooking or at the       which can lower heart disease risk still more. This kind       Digitalis--makes the heart contract harder and prescribed
But as hard as quitting may be, the results are well           table                                                        of activity is called "aerobic" and includes jogging,          when the hearts pumping function has been weakened; it
worth it. In the first year after stopping smoking, the risk                                                                swimming, and jumping rope. Walking, bicycling, and            also slows some fast heart rhythms.
of coronary heart disease drops sharply. It then               If you drink alcohol, you should have no more than one       dancing can also strengthen your heart, if you do them         ACE inhibitor--stops production of a chemical that
gradually returns to "normal"--that is, the same risk as       drink a day                                                  briskly for at least 30 minutes, three or four times a week.    makes blood vessels narrow and is used for high blood
someone who never smoked. So no matter what your                                                                                                                                           pressure and heart muscle that has been damaged.
age, quitting will lessen your chances of developing           Extra cholesterol and fat in the diet cause buildup inside   Start slow, and look for opportunities to become more          Beta-blocker--reduces how hard the heart must work and
heart disease.                                                 blood vessels. So, a high blood cholesterol leads to         physically active throughout your day:                         is used for high blood pressure, chest pain, and to prevent
                                                               coronary heart disease.                                       Use the stairs--up and down--instead of the elevator.        a repeat heart attack.
                                                                                                                                 Start with one flight of stairs and gradually build up    Nitrate (including nitroglycerine)--relaxes blood vessels
                                                               And, once you have coronary heart disease, an elevated            to more.                                                  and alleviates chest pain.
                                                               blood cholesterol increases your risk of a future heart       Park a few blocks from the office or store and walk          Calcium-channel blocker--relaxes blood vessels; used for
                                                               attack.                                                           the rest of the way. Or if you ride on public             high blood pressure and chest pain.
                                                                                                                                 transportation, get off a stop or two early and walk a    Diuretic--decreases fluid in the body.
                                                                                                                                 few blocks.                                               Blood cholesterol-lowering agents--HMG CoA reductase
                                                                                                                             Instead of eating that extra snack, take a brisk stroll      inhibitors (or "statins"), nicotinic acid, bile acid
                                                                                                                                  around the neighborhood.                                 sequestrants, fibric acid derivatives, and probucol.
                                                                                                                             Mow your own lawn.
                                                                                                                            Take Your Medications:
                                                             the walls of the arteries. The buildup narrows the arteries    Dr. Marcus Welby received his medical
What is Coronary Heart Disease?                              and can slow or block the flow of blood. When the level
The heart is your body’s hardest-working muscle,                                                                            training at the University of California, Los
                                                             of cholesterol in the blood is high, there is a greater
pumping blood throughout your body, day after day.           chance that it will be deposited onto the artery walls. This
                                                                                                                            Angeles School of Medicine. He completed
Like any muscle, the heart needs a constant supply of        process begins in most people during childhood and the         his residency training at Johns Hopkins, has
oxygen and nutrients. These reach the heart muscle via       teenage years, and worsens as they get older.                  been Board Certified in Cardiology since 1982,
the coronary arteries. When the coronary arteries
become narrowed or clogged and cannot supply enough                                                                         and is a fellow of the American Academy of           Living with
                                                             In addition to high blood cholesterol, high blood pressure     Cardiovascular Surgery. He is on the hospital
blood to the heart, the result is Coronary Heart Disease
(CHD). If not enough oxygen-carrying blood reaches
                                                             and smoking also contribute to CHD. On the average,
                                                             each of these doubles your chance of developing heart          staffs at County General and St. Mary’s, and is     Heart Disease
the heart, the heart may respond with pain called angina.    disease. Therefore, a person who has all three risk factors    a member in good standing of the Illinois
When the blood supply is cut off completely, the result      is eight times more likely to develop heart disease than       Medical Association. He has been a faculty          A Woman’s Guide to
is a heart attack. The part of the heart that does not       someone who has none. Being overweight and physically          member at Rush Memorial and the University           a Healthy Lifestyle
                                                             inactive are other factors that can lead to CHD.               of Pennsylvania.
                                                             Overweight increases the likelihood of developing high
                                                             blood cholesterol and high blood pressure, and physical
                                                             inactivity increases the risk of heart attack. Regular         Dr. Welby specializes in the treatment of tation
                                                             exercise, good nutrition, and smoking cessation are key        ullamcorper. Recognized as a pioneer in
                                                             to controlling the risk factors for CHD.                       ewlfln, Dr. Welby has performed nearly 2,000
                                                                                                                            tation ullams in the metro area since 1988.
                                                             Who Gets Heart Disease?
                                                             Heart disease is often thought of as a man’s disease, but      Lorem ipsum dolor sit amet, consectetuer
                                                             that is a mistake. One in ten American women 45 to 64
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                                                             years of age has some form of heart disease, and this
                                                             increases to one in five women over 65. Heart disease is       euismod tincidunt ut laoreet dolore magna
                                                             the number one killer of American women. The good              aliquam erat volutpat. Ut wisi enim ad minim
                                                             news is that many of the risk factors for coronary heart       veniam, quis nostrud exerci tation ullamcorper
                                                             disease are controllable. This brochure tells you what         suscipit lobortis nisl ut aliquip ex ea commodo
                                                             kinds of habits and health conditions increase the chances
                                                             of developing heart disease --and how you can help
receive oxygen begins to die, and some of the heart          protect your heart.
muscle may be permanently damaged.                                                                                          Duis autem vel eum iriure dolor in hendrerit in
                                                                                                                            vulputate velit esse molestie consequat, vel
What causes Heart Disease?                                                                                                  illum dolore eu feugiat nulla facilisis at vero
CHD is caused by a thickening of the inside walls of the                                                                    eros et accumsan.
coronary arteries. This thickening, called atherosclerosis
(ath a row skle row sis), narrows the space through
which blood can flow, decreasing and sometimes                                                                                                                                     Marcus L. Welby, M.D.
completely cutting off the supply of oxygen and
                                                                                                                                                                               35 Warren Drive, Suite 1/28/11
nutrients to the heart.
                                                             Marcus L. Welby, M.D.                                                                                                San Francisco, CA 94131
Atherosclerosis usually occurs when a person has high                                                                                                                                 (800) 427-6248
levels of cholesterol, a fat-like substance, in the blood.
Cholesterol and fat, circulating in the blood, build up on

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