Arterial Disease

Heart Attacks




Some Topics

  • Exercise is Good For You

    Exercise is good for you. Exercise has great value in the preventing and control of arterial disease and diabetes.

    Coronary artery disease is the leading cause of mortality in the United States. Each year coronary heart disease is newly diagnosed in about 1.5 million individuals at an estimated cost of $47 billion. Based on 1989 coronary heart disease mortality data, the estimated cost of physical inactivity was $5.7 billion. Among other coronary heart disease risk factors, only elevated serum cholesterol greater than 200 ug/dL had a higher estimated cost of $7 billion.

    In one study, physical activity was associated with 78 fewer coronary heart disease events and 1,138 quality adjusted life-years pined during a 30-year period. For each quality adjusted life-year gained the direct cost was $1395 for a total of $11,313, which is similar cost savings from other coronary heart disease strategies.

    Exercise Protects

    Research evidence has shown obvious benefits from physical activity. Darren et al reviewed the evidence for the health benefits of exercise and concluded that physical activity contributes to the primary and secondary prevention of several chronic diseases and is associated with a reduced risk of premature death. [i] They stated that: “Physical inactivity is a modifiable risk factor for cardiovascular disease and a widening variety of other chronic diseases, including diabetes mellitus, cancer (colon and breast), obesity, hypertension, bone and joint diseases (osteoporosis and osteoarthritis), and depression... being fit or active was associated with a greater than 50% reduction in risk . [ii] Modest enhancements in physical fitness in previously sedentary people have been associated with large improvements in health status. For instance, people who went from unfit to fit over a 5-year period had a reduction of 44% in the relative risk of death compared with people who remained unfit. “
     A Canadian program including physical activity classes 2 to 3 times per week, for 30 to 45 minutes per session, resulted in lower per capita medical claims at the intervention site compared to the control site having no promotion of physical activity. For each worker, the intervention program saved $679 in medical claims per year, a return of $6.85 on each dollar invested Other examples of work-site programs have been estimated to cost employers about $100 to $400 per employee, per year.

    The estimated rate of return is about $513 per employee per year, including reduced health care cost and reduced loss of productivity. Estimates suggest that in the United States, 20,000 fewer persons would die per year if half of these individuals with no leisure-time physical activity began to participate in moderate activity, including brisk walking at a minimum of 2 to 3 times per week.

    Exercise would improve weight control, enhance glucose tolerance and insulin sensitivity, reduce blood pressure, improve coronary artery flow and enhance HDL cholesterol levels. Emphasis should be placed on participation of a variety of self-directed, moderate-level physical activities which include gardening, yard work and walking with a goal of at least 30 minutes of activity per day at least 5 days per week.
    [i] Darren E.R. Warburton, Crystal Whitney Nicol and Shannon S.D. Bredin. Health benefits of physical activity: the evidence. CMAJ • March 14, 2006; 174 (6).
    [ii] Myers J, Kaykha A, George S, et al. Fitness versus physical activity patterns in predicting mortality in men. Am J Med 2004;117:912-8

  • Topics from the book Heart & Arterial Disease The author is Stephen Gislason MD 2018 Edition: 190 Pages

    Major diseases originate from eating too much of the wrong food and damage is done to many organs simultaneously. The evidence does suggest that some interventions are beneficial in terms of preventing heart attacks and strokes and that disease progression can be halted by important changes in diet and increased exercise. The occurrence of a heart attack or stroke confirms that atherosclerosis is advanced, damage has been done and that the rules of intervention have changed. We suggest that a prudent person suffering early vascular dysfunction symptoms would be wise to pursue vigorous, thorough diet revision at the earliest opportunity.

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