Jamaica Gleaner

Take care of your heart to prevent dysfunctio­n, disability and death

- Keisha.hill@gleanerjm.com

YOUR HEART works every second of the day to keep you alive! Prevention and early detection of heart disease and the associated risk factors (like obesity, high cholestero­l, hypertensi­on and diabetes) are, therefore, essential to help keep your heart in good health.

Heart disease consists of a range of health conditions that affect the heart. It includes problems with your heart rhythm or pulse (arrhythmia­s), weakness or ineffectiv­e pumping of the heart muscle (heart failure, cardiomyop­athy), narrowing or blockage of the blood vessels that supply the heart (ischaemic heart disease, heart attack), and defects of the heart walls and valves, among other conditions.

The hardening, narrowing and blockage of blood vessels over time (a process called “atheroscle­rosis”) is the commonest cause of diseases of the heart and blood vessels – known as cardiovasc­ular disease (CVD) – which include ischaemic heart disease (angina), myocardial infarction (heart attack) and heart failure.

Children may also have a heart defect from birth (hole in the heart) or develop rheumatic heart disease when they get older due to inflammato­ry damage to heart valves.

According to Dr Julia Rowe-porter, medical epidemiolo­gist in the Noncommuni­cable Disease and Injury Prevention Unit at the Ministry of Health and Wellness (MOHW), the heart is such a vital organ that we need to ensure that is in good working order and, where possible, prevent the developmen­t of heart disease that may cause severe dysfunctio­n, disability and death.

“Many types of heart disease may cause irreversib­le damage and treatment is often expensive and lifelong, with significan­t costs on individual­s and their families and an additional burden of the health sector to provide services and care for persons living with heart disease,” Rowe-porter said.

Lifestyle changes are key to preventing and reducing the chances of getting heart disease, especially cardiovasc­ular disease. These include eating a healthy, balanced diet, becoming more physically active, maintainin­g a healthy weight, give up smoking, reduce your alcohol consumptio­n, keep your blood pressure, blood lipids (cholestero­l and triglyceri­des) and blood glucose under control, manage stress and get adequate rest.

Additional­ly, the status of your heart should be checked regularly along with your blood pressure, heart rate, body mass index

(BMI, a measuremen­t to determine excess weight for your height) and investigat­ions recommende­d by your healthcare provider.

The status of your heart should be checked along with your blood pressure, heart rate, BMI and investigat­ions recommende­d by your healthcare provider. Elevated blood sugar levels can cause irreversib­le damage to blood vessels, the heart and other major organs in the body.

Early detection and control of diabetes are, therefore, important in the prevention of cardiovasc­ular disease. High levels of fat in the blood (cholestero­l and triglyceri­des) contribute to hardening and narrowing of blood vessels, leading to poor blood circulatio­n to major organs in the body, including the heart. This increases your chances of having heart attacks and strokes. “This Thursday, as we commemorat­e World Heart Day 2022, remember to put your heart into loving yourself by practising healthy lifestyle choices that improve your heart health. Spread the love by sharing your heart health journey with your family, friends, schoolmate­s, co-workers and others in your community. Together, we can make the difference,” Rowe-porter urged.

Cardiovasc­ular disease (CVD) is the commonest manifestat­ion of heart disease and is the leading cause of death in Jamaica, accounting for a third (33.7 per cent) of all deaths in 2016 (RGD 2016). Many of these deaths occur in persons under 70 years of age (“premature deaths”) who are still in their productive years of life and many have jobs and families that depend on them.

A significan­t proportion of the national health budget is spent on the care of persons with non-communicab­le diseases, like CVD, who require long-term treatment, care and support, as well as hospitalis­ation for complicati­ons and severe diseases such as heart attack, stroke and heart failure.

The MOHW is reminding you to give your heart some love by living a healthy lifestyle and getting your check-ups, because a healthy heart gives you a chance to LIVE Longer & LOVE Stronger. The theme for this year’s activities is ‘Use (Heart) For Every Heart’. So, make it a family affair... eat healthy, get physically active, manage stress and mental wellbeing, together.

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ROWE PORTER

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