Hiroaki Watanabe writes:

        First, T must understand that he isn't one of the lucky people. This fact is important for he has recently been diagnosed "hypertensive" (170/100mmhg), and he frequently experiences feelings of weakness and mild pain in the neck and chest areas. And clinical analyses indicate early atherosclerosis. "Hypertension" is one of the risk factors of CHD. And even though CHD's death rate in the United States has declined approximately 50% since 1970, CHD remains the leading cause of death for both men and women. He must understand the fact that "I am not a lucky man, but I am a man who has the danger of death by CHD".

        He tells us that his parents lived well into their sixties, (his mother died after heart by-pass surgery complicated by hardening of the arteries) and "I am too young". But he hasn't compared his real situation with that of his mother. After this, the situation which he will be meeting with will produce high anxiety. In the case of men, "there is a great sense of urgency when a 45-year-old -man, who's at the peak of his earning power and may have children entering college, is struck down prematurely with a myocardial infarction." Even now, T at age 39 is "hypertensive", so this time is the dangerous period for him.

        In short, the danger will approach him. The danger is a myocardial infarction by stress (by a great sense of urgency) and hypertension and smoking. If he can not take away these three problems, his danger is certainly increasing.

        About heart attack, the doctor can prescribe the use of aspirin. Studies show that aspirin, which is widely available and costs very little, is as effective as specialized drugs and the other drugs that cost hundreds of dollars per dose. But this passing solution isn't complete. For a complete solution, T must change his lifestyle. It is difficult to change his character, but it is comparatively easy to reduce his smoking and to take up regular exercise. That is, the problem of decreasing smoking and taking up regular exercise is his own will. If he understands his danger, I think that he can do this. It's possible that he can reduce a cigarette a day, every day. And it is possible that he doesn't use vehicles and walks or runs as much as he can.

         

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