Kyouko Yamauchi writes:

        Consider the case of patient O.

        1) Your current health is very serious. Because you have many risk factors that are relative to heart diseases. The following are concrete instances.

        Your cholesterol tests are not positive.

        You have hypertension.

        You are almost 20 kilos over weight from casual observation.

        You had once been heavy cigarettes smoker. And you smoke less than half a pack a day now.

        You complain of a clear symptom of angina.

        You work too much.

        High LDL, low HDL are a risk factor of myocardial infraction. Hypertension is listed as a contributing cause on heart attack and heart failure victims. And these are risk factors of CVD: cigarette smoke and cholesterol, overweight, etc.

        2) You must prepare the right kind of behavior for the time you should have another heart attack. If you experience symptoms of heart attack, act quickly and take the following steps.

        First, keep quiet (sit down or lie down). Next, call the emergency telephone number and say you may be having a heart attack. And go to the hospital by the first best way, ambulance or car. But don't drive yourself because it is very dangerous. It is better that your family try cardiopulmonary resuscitation beforehand. Finally don't delay getting medical treatment. A delay can cause permanent damage to your heart. This is a most important thing.

        3) There are two or three things you can do in the short term to improve your health outlook. The first thing is that you should refrain from smoking, because your blood vessels shrink from smoking. Secondly, you shouldn't work hard too much because it overloadd the heart. And stress caused by strains results in much smoking and unbalanced diet. Please don't forget to take tablets for angina, and lead a regular life.

        4) Please carry out the following to prevent the occurrence of another heart attack.

        Make an effort to control blood pressure. Reduce sodium in your diet. (You can lower your blood pressure.) Don't take alcohol. (Excessive alcohol can raises blood pressure.)

        Do exercise to lose weight. (You can also reduce your blood pressure.)

        Follow your doctor's instruction and stay on your medication.

        Give up smoking. The walls of a smoker's arteries thicken faster. So smokers are increasing their risk of heart attack.


        Avoid having physical exertion or emotional stress, because angina occurs when these conditions exist.

        You must reduce your LDL and increase your HDL. Eat more vegetables. So your excessive levels of cholesterol are removed from your blood.

         

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