Privention strategy of ischaemic heart disease

Primary prevention-two coTmplementary strategies can be usued to prevent ischaemic heart disease is apparently healthy but at risk individuals.

The poulation strategy aims to modify the risk factors of the whole population through diet and life style advice like;

•     Do not smoke, or consume smokeles tobacco

•     take regular exercise(minimum of 30 minutes, 5-7 days a week)

•     maintain ideal body weight

•     Eat a mixed diet rich in fresh fruits and vegetables

•     Aim to get no more than 10% of energy intake from saturated.

The targeted strategy aims to identify and treat high risk individuals, who usually have combination risk factors.There is strong obeservational evidence that miderate to high levels of physical activity reduce the risk of coronary heart disease and stroke.

Secondary preventiopn- patients who already have evidence od atheromatous vascular disease are at high risk of another vascular event offered a variety of measures that have shown to improve their outlook.The energetic correction of risk factors, particularly smoking,hypertension,hyperlipidaemia, is particularly important in this patient group because the absolute risk of further vasculaar events is very high.<<learn more

Risking factors of ischaemic heart disease

There are many risk factors of ischaemic heart disease-


Age and sex : Age is the most powerful independent risk factor for atherosclerosis process. Pre-menopausal women have much lower rates of disease than age -and risk-matched males; the gender difference disappears rapidly after the menopause.>> learn more


Family history : It also runs in the family. This may be due to a combination of shared genetic, environmental and lifestyle (e.g.. Smoking, exercise and diet) factors. A 'positive' family history is present when clinical problems in first -degree relatives occur at a relatively young age, such as<50 years for men and <55years for women.So family factors is the important thing of ischaemic heart disease.

Smoking : Most important avoidable cause of atherosclerotic vascular disease; there is a strong, consistent and dose-linked relationship between cigarette smoking and ischemic heart disease.

Hypertension : The incidence of atherosclerosis increases as blood pressure rises and this excess risk is related to both systolic and diastolic blood pressure as well as pulse pressure.

Diabetes mellitus : Is a potent risk factor for all forms of atherosclerosis and is often associated with diffuse disease that is difficult to treat. Insulin resistance is associated with obesity and physical inactivity.

Hemostatic factors : Platelet activation and high level of fibrinogen are associated an increased risk of coronary thrombosis.

Physical activity : Physical inactivity roughly doubles the risk of coronary heart disease.

Other dietary factors : Diet deficient in fresh fruit vegetables and polyunsaturated fatty acid are associated with an increased risk of vascular disease.So we should careful by risking factors of ischaemic heart disease.>>learn more