Chest pain primary prevention: Difference between revisions

Jump to navigation Jump to search
No edit summary
 
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Chest pain}}
{{Chest pain}}
{{CMG}}{{AE}}{{Aisha}} ,{{nuha}}
{{CMG}}{{AE}}{{Aisha}} ,{{nuha}},
==Overview==
==Overview==
[https://www.wikidoc.org/index.php/Chest_pain Chest pain] from [https://www.wikidoc.org/index.php/Heart_disease heart disease] can be prevented by maintain normal weight, control  [https://www.wikidoc.org/index.php/High_blood_pressure high blood pressure], [https://www.wikidoc.org/index.php/High_cholesterol high cholesterol], and [https://www.wikidoc.org/index.php/Diabetes diabetes], avoid smoking and [https://www.wikidoc.org/index.php/Exercise exercise].


==Primary Prevention==
==Primary Prevention==
Make healthy lifestyle choices to prevent [https://www.wikidoc.org/index.php/Chest_pain chest pain] from [https://www.wikidoc.org/index.php/Heart_disease heart disease]:<ref name="pmid196830932">{{cite journal| author=Turk MW, Tuite PK, Burke LE| title=Cardiac health: primary prevention of heart disease in women. | journal=Nurs Clin North Am | year= 2009 | volume= 44 | issue= 3 | pages= 315-25 | pmid=19683093 | doi=10.1016/j.cnur.2009.06.001 | pmc=3459312 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19683093  }}</ref>
Make healthy lifestyle choices to prevent [https://www.wikidoc.org/index.php/Chest_pain chest pain] from [https://www.wikidoc.org/index.php/Heart_disease heart disease]:<ref name="pmid196830932">{{cite journal| author=Turk MW, Tuite PK, Burke LE| title=Cardiac health: primary prevention of heart disease in women. | journal=Nurs Clin North Am | year= 2009 | volume= 44 | issue= 3 | pages= 315-25 | pmid=19683093 | doi=10.1016/j.cnur.2009.06.001 | pmc=3459312 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19683093  }}</ref>


*Achieve and maintain normal weight (BMI < 25 kg/m<sup>2</sup>) by eating healthy diet focusing on adequate nutrient intake and energy balance recommendations from the American Heart Association (AHA) include balancing caloric intake with energy expenditure in order to attain or maintain a normal body weight, eating a diet containing an abundance of fruits, vegetables, whole-grain and high-fiber foods, fish twice weekly, and moderate alcohol consumption.<ref name="pmid167853382">{{cite journal| author=American Heart Association Nutrition Committee. Lichtenstein AH, Appel LJ, Brands M, Carnethon M, Daniels S | display-authors=etal| title=Diet and lifestyle recommendations revision 2006: a scientific statement from the American Heart Association Nutrition Committee. | journal=Circulation | year= 2006 | volume= 114 | issue= 1 | pages= 82-96 | pmid=16785338 | doi=10.1161/CIRCULATIONAHA.106.176158 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16785338  }}</ref>
*Achieve and maintain normal weight (BMI < 25 kg/m<sup>2</sup>) by eating healthy diet focusing on adequate nutrient intake and energy balance recommendations from the American Heart Association (AHA).<ref name="pmid167853382">{{cite journal| author=American Heart Association Nutrition Committee. Lichtenstein AH, Appel LJ, Brands M, Carnethon M, Daniels S | display-authors=etal| title=Diet and lifestyle recommendations revision 2006: a scientific statement from the American Heart Association Nutrition Committee. | journal=Circulation | year= 2006 | volume= 114 | issue= 1 | pages= 82-96 | pmid=16785338 | doi=10.1161/CIRCULATIONAHA.106.176158 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16785338  }}</ref>
*Control [https://www.wikidoc.org/index.php/High_blood_pressure high blood pressure], [https://www.wikidoc.org/index.php/High_cholesterol high cholesterol], and [https://www.wikidoc.org/index.php/Diabetes diabetes].
*Control [https://www.wikidoc.org/index.php/High_blood_pressure high blood pressure], [https://www.wikidoc.org/index.php/High_cholesterol high cholesterol], and [https://www.wikidoc.org/index.php/Diabetes diabetes].<ref name="pmid17309915">{{cite journal| author=Mosca L, Banka CL, Benjamin EJ, Berra K, Bushnell C, Dolor RJ | display-authors=etal| title=Evidence-based guidelines for cardiovascular disease prevention in women: 2007 update. | journal=Circulation | year= 2007 | volume= 115 | issue= 11 | pages= 1481-501 | pmid=17309915 | doi=10.1161/CIRCULATIONAHA.107.181546 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17309915  }}</ref>
*Avoid cigarette smoking and secondhand smoke.
*Maintain [[LDL]] < 100 mg/dl, [[HDL]] > 50 mg/dl, and [[triglyceride]] levels < 150 mg/dl through diet and exercise. Pharmacologic agents can be used as necessary.<ref name="pmid17309915" />
*Avoid cigarette smoking and secondhand smoke.<ref name="pmid17309915" />
*Eat a [https://www.wikidoc.org/index.php/Diet diet] low in saturated and hydrogenated fats and [https://www.wikidoc.org/index.php/Cholesterol cholesterol], and high in starches, [https://www.wikidoc.org/index.php/Fiber fiber], fruits, and vegetables.
*Eat a [https://www.wikidoc.org/index.php/Diet diet] low in saturated and hydrogenated fats and [https://www.wikidoc.org/index.php/Cholesterol cholesterol], and high in starches, [https://www.wikidoc.org/index.php/Fiber fiber], fruits, and vegetables.
*Get at least 30 minutes of moderate intensity [https://www.wikidoc.org/index.php/Exercise exercise] on most days of the week, fitness and increasing exercise capacity, one can decrease risk that may result in up to a 35% reduction in CHD.<ref name="pmid128215922">{{cite journal| author=Thompson PD, Buchner D, Pina IL, Balady GJ, Williams MA, Marcus BH | display-authors=etal| title=Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease: a statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity). | journal=Circulation | year= 2003 | volume= 107 | issue= 24 | pages= 3109-16 | pmid=12821592 | doi=10.1161/01.CIR.0000075572.40158.77 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12821592  }}</ref>
*Get at least 30 minutes of moderate intensity [https://www.wikidoc.org/index.php/Exercise exercise] on most days of the week, fitness and increasing exercise capacity, one can decrease risk that may result in up to a 35% reduction in CHD.<ref name="pmid128215922">{{cite journal| author=Thompson PD, Buchner D, Pina IL, Balady GJ, Williams MA, Marcus BH | display-authors=etal| title=Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease: a statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity). | journal=Circulation | year= 2003 | volume= 107 | issue= 24 | pages= 3109-16 | pmid=12821592 | doi=10.1161/01.CIR.0000075572.40158.77 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12821592  }}</ref><ref name="pmid17309915" />
*Updated recommendations also suggest that individuals will benefit from twice-weekly activities that increase muscle strength (8–10 weight resistance exercises with 8–12 repetitions per exercise).
*The Women’s Health Initiative Observational Study found that the total physical activity score at baseline exhibited a strong inverse relationship with CHD. The more activity a woman participated in, the lower her risk for the development of disease.
*Reduce [https://www.wikidoc.org/index.php/Stress stress].
*Reduce [https://www.wikidoc.org/index.php/Stress stress].



Latest revision as of 20:34, 18 February 2021

Chest pain Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Chest pain from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Chest Pain in Pregnancy

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Interventions

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Chest pain primary prevention On the Web

Most recent articles

cited articles

Review articles

CME Programs

Powerpoint slides

Images

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Chest pain primary prevention

CDC on Chest pain primary prevention

Chest pain primary prevention in the news

Blogs on Chest pain primary prevention

to Hospitals Treating Chest pain primary prevention

Risk calculators and risk factors for Chest pain primary prevention

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aisha Adigun, B.Sc., M.D.[2] ,Nuha Al-Howthi, MD[3],

Overview

Chest pain from heart disease can be prevented by maintain normal weight, control high blood pressure, high cholesterol, and diabetes, avoid smoking and exercise.

Primary Prevention

Make healthy lifestyle choices to prevent chest pain from heart disease:[1]

  • Achieve and maintain normal weight (BMI < 25 kg/m2) by eating healthy diet focusing on adequate nutrient intake and energy balance recommendations from the American Heart Association (AHA).[2]
  • Control high blood pressure, high cholesterol, and diabetes.[3]
  • Maintain LDL < 100 mg/dl, HDL > 50 mg/dl, and triglyceride levels < 150 mg/dl through diet and exercise. Pharmacologic agents can be used as necessary.[3]
  • Avoid cigarette smoking and secondhand smoke.[3]
  • Eat a diet low in saturated and hydrogenated fats and cholesterol, and high in starches, fiber, fruits, and vegetables.
  • Get at least 30 minutes of moderate intensity exercise on most days of the week, fitness and increasing exercise capacity, one can decrease risk that may result in up to a 35% reduction in CHD.[4][3]
  • Reduce stress.


References

  1. Turk MW, Tuite PK, Burke LE (2009). "Cardiac health: primary prevention of heart disease in women". Nurs Clin North Am. 44 (3): 315–25. doi:10.1016/j.cnur.2009.06.001. PMC 3459312. PMID 19683093.
  2. American Heart Association Nutrition Committee. Lichtenstein AH, Appel LJ, Brands M, Carnethon M, Daniels S; et al. (2006). "Diet and lifestyle recommendations revision 2006: a scientific statement from the American Heart Association Nutrition Committee". Circulation. 114 (1): 82–96. doi:10.1161/CIRCULATIONAHA.106.176158. PMID 16785338.
  3. 3.0 3.1 3.2 3.3 Mosca L, Banka CL, Benjamin EJ, Berra K, Bushnell C, Dolor RJ; et al. (2007). "Evidence-based guidelines for cardiovascular disease prevention in women: 2007 update". Circulation. 115 (11): 1481–501. doi:10.1161/CIRCULATIONAHA.107.181546. PMID 17309915.
  4. Thompson PD, Buchner D, Pina IL, Balady GJ, Williams MA, Marcus BH; et al. (2003). "Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease: a statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity)". Circulation. 107 (24): 3109–16. doi:10.1161/01.CIR.0000075572.40158.77. PMID 12821592.