Coronary heart illness is the main reason for dying in the USA and accounts for 1 in 4 deaths, based on information from the Facilities for Illness Management and Prevention. Happily, heart problems is preventable most often. With some life-style modifications, coronary heart well being could also be reversed to a level.

In recognition of American Coronary heart Month in February, Francisco Fuentes, MD, heart specialist at UT Physicians, shares his “prescription” for a coronary heart wholesome life-style.

See a doctor to get your numbers

“To maintain your coronary heart sturdy, it’s essential to know three numbers: your blood strain, blood ldl cholesterol, and blood sugar. These numbers will decide your total threat and let you know if it’s good to make some modifications to decrease it,” mentioned Fuentes, professor of cardiovascular drugs and the Theodore R. and Maureen O’Driscoll Levy Endowed Professor in Cardiology Analysis at McGovern Medical Faculty at UTHealth Houston.

In accordance with Fuentes, the necessary numbers for coronary heart well being are: below 130/80 for blood strain, under 190 for blood ldl cholesterol, and fewer than 126 for blood sugar.

Blood strain ought to be below 130/80

Francisco Fuentes, MD

If the highest quantity is above 130 and the underside quantity is above 80, this means hypertension or hypertension. Hypertension can injury the arteries and make them much less elastic; this decreases blood stream to the center.

Whole ldl cholesterol ought to be under 190

There may be good and unhealthy ldl cholesterol. Whole ldl cholesterol ought to be under 190, and unhealthy ldl cholesterol, or low-density lipoprotein (LDL), ought to be under 100. Something larger than 190 for complete ldl cholesterol or 100 for unhealthy ldl cholesterol signifies an elevated stage. Unhealthy ldl cholesterol builds plaque contained in the arteries, and an excessive amount of of it may clog the blood stream to the center.

Blood sugar ought to be below 126

For blood sugar, or blood glucose, the quantity earlier than the primary meal of the day ought to be lower than 126. Something larger than 126 in fasting mode (earlier than breakfast) suggests a possible downside. Amongst different well being issues, akin to diabetes, an excessive amount of sugar within the blood can harden the arteries and scale back blood stream to the center.

Schedule a wellness examination with a household or inner drugs physician to get these numbers.

Train a ½ hour, 5x per week

“Like all muscle, the extra you employ it, the stronger it will get. The much less you employ it, the weaker it will get. Common train will get your coronary heart price up, so your coronary heart muscle turns into extra highly effective and works extra effectively,” Fuentes mentioned. “Bodily exercise is the most effective drugs to your coronary heart — and your entire physique. And it’s free.”

To maintain a match coronary heart and forestall coronary heart illness, youngsters ought to train no less than one hour a day and adults ought to train no less than half-hour a day, 5 days per week.

Train doesn’t require gear, the physician reminds. Pushups, situps, leaping jacks, and different gymnasium class workouts nonetheless work. Play can also be a type of train. Sports activities, dance, martial arts, and different bodily actions an individual enjoys will take the “work” out of a exercise.

It’s best to talk with a health care provider earlier than beginning an intense train program.

Eat a Mediterranean food plan

“Within the Eighties, I wrote a analysis paper on the advantages of a palatable Mediterranean food plan on the center. My paper was not that common. As we speak, U.S. Information & World Report ranks it as the most effective food plan,” Fuentes mentioned.

Key parts of the Mediterranean food plan embody:

  • three servings of greens and fruits a day
  • three servings of legumes (beans, lentils, and so on.) a day
  • one teaspoon of additional virgin olive oil a day
  • three servings of nuts per week
  • three servings of fish per week
  • one serving or much less of pink meat per week
  • chicken poultry
  • fat-free or low-fat dairy merchandise

As a result of the food plan is plant-based relatively than meat-based, it helps decrease levels of cholesterol within the blood. Plus, most of the staples, akin to olive oil, legumes, nuts, and fish, include monounsaturated and polyunsaturated fat. These wholesome fat struggle unhealthy ldl cholesterol as properly, Fuentes added. The DASH and Flexitarian diets are different diets to contemplate for a coronary heart wholesome life-style.

Seek the advice of with a health care provider or registered dietitian earlier than beginning a brand new food plan.

No smoking

“People who smoke are 2 to 4 occasions extra more likely to get coronary heart illness as a result of smoking causes a lot completely different injury. The nicotine will increase blood strain and damages the cells within the arteries, and the carbon monoxide takes oxygen from the blood — and that’s simply the beginning,” Fuentes mentioned.

Fuentes doesn’t suggest digital cigarettes, or vaping, as a more healthy different as a result of in addition they include nicotine and different dangerous chemical compounds.

Discover a solution to kick the smoking behavior — whether or not it’s chilly turkey, behavioral remedy, hypnosis, acupuncture, or over-the-counter nicotine patches, gum, or lozenges. If extra assist is required, there are drugs and nicotine inhalers and sprays a health care provider can prescribe.

Schedule an appointment with a well being care supplier or behavioral specialist to debate the choices and obtain professional recommendation to quit smoking.

Shed some pounds

“Being chubby or overweight can result in many well being issues, like hypertension, excessive ldl cholesterol, and diabetes. As we’ve mentioned, these circumstances injury the center. Adults with extreme weight are additionally at better threat of changing into significantly unwell throughout a pandemic. On your coronary heart and total well being, it’s finest to be at a wholesome weight,” Fuentes mentioned.

A physique mass index (BMI), which is a measure of physique fats based mostly on weight and top, can decide if somebody is chubby based on medical requirements. Nevertheless, a easy solution to assess physique fats is to measure the circumference across the waist. Typically, a lady’s waist mustn’t measure greater than 35 inches and a person’s waist mustn’t measure greater than 40 inches.

A physician can carry out an correct BMI and decide if it poses a better threat for heart problems or different well being issues. In that case, the physician can suggest a goal weight and provides food plan and train pointers to lose kilos in a secure and wholesome method. 

See a well being care supplier earlier than beginning a substantial weight reduction program.

Take excellent care of your coronary heart by following the physician’s orders.

Graphic for a Prescription for a Healthy Heart from UT Physicians
Prescription for a wholesome coronary heart: 1) See a doctor to get your numbers. 2) Train a half hour a day, 5 occasions per week. 3) Eat a Mediterranean food plan. 4) No smoking. 5) Shed some pounds.

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