WHEN SHOULD WE CHECK HEART HEALTH?

 Our body consists of several organs, such as liver, lungs, kidneys, spleen, brain and so on. All these organs have their respective functions. Of course, to run a metabolic function needed n u Trisi. Where does the supply of nutrients to these organs come from?

Yes, that's the main role of our heart, pumping nutrients to all organs of the body. Disruption of one organ will affect the performance of other organs, either from interference with other organs that will damage the heart or vice versa from heart problems that can damage other organs. This is where it is important to have a health check, but checking all organs will certainly cost money. Therefore we must know some diseases that are at risk of causing heart problems before symptoms or serious complications appear.

The risk of heart disease is divided into 4 categories, ranging from low, moderate, high, and very high. Included in the VERY HIGH risk include those who have a history of heart attack, heart surgery, stroke, circulatory disorders in the limbs, the results of cardiac catheterization or CT-scan blood vessels with significant narrowing, diabetes mellitus more than 20 years or with complications, severe kidney disorders (including hemodialysis / dialysis),   genetic cholesterol disorders (from a young age). Advanced with HIGH risk include hypertension, diabetes more than 10 years, high cholesterol and mild to moderate renal impairment. Then for MEDIUM risk risikofor those with diabetes at a young age and an unhealthy lifestyle. Apart from that it is included in low risk.

To avoid the things above, it would be nice for us to prevent it with a healthy lifestyle and regular health control. What are they?

  1.             Quitting smoking (including any exposure to substances involved with smoking)
  2.              Consumption of foods that contain fiber, vegetables, fruit, fish and low in fat
  3.              Regular exercise (30 minutes of aerobic activity per day, at least 5 times a week)
  4.              Control body weight (body mass index 20-25 kg/m 2 ) or waist circumference <94 cm (male) and <80 cm (female)
  5.              Blood pressure less than 140/90 mmHg
  6.              Target LDL cholesterol < 115 mg/dL and can be even lower if you are at very high risk.
  7.              Blood sugar control (HbA1c <7%)

 Apart from that, it is important to know that any infectious disease will aggravate the performance of the heart. All of us should continue to maintain the health of ourselves and the surrounding environment by following the recommendations of the local health system in the face of the COVID-19 pandemic which has been proven to be fatal (the mortality risk reaches more than 50% for those with a history of heart disease).


Source:

1.Mach F, et al. 2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk. European Society of Cardiology (ESC) and European Atherosclerosis Society (EAS). European heart journal. 2020 Jan 1;41(1):111-88.

2.Shi S, Qin M, Shen B, et al. Association of cardiac injury with mortality in hospitalized patients with COVID-19 in Wuhan, China [published online March 25, 2020]. JAMA Cardiol. doi: 10.1001/jamacardio.2020.0950.

3. Santoso A, et al. Clinical practice guidelines (PPK) and clinical pathways (CP) for heart and blood vessel disease. Indonesian Association of Cardiovascular Specialists. Jakarta: 2016

4.Piepoli MF, et al. 2016 European Guidelines on cardiovascular disease prevention in clinical practice. European Association for Cardiovascular Prevention & Rehabilitation (EACPR). European heart journal. 2016 Aug 1;37(29):2315-81.

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