Houston Chronicle Sunday

What do you know about heart health?

- By Jan Burns |

Every February, people are encouraged to focus on the importance of heart health, but this issue should be a yearround focus for all senior Americans.

“Following healthy habits will lead to a healthy heart; one of normal size and thickness that pumps blood without difficulty, can ramp up activity when your body needs to, and has healthy arteries providing it with blood flow and energy,” said Alexander Postalian, MD, Interventi­onal and General Cardiologi­st, Texas Heart Institute, Texas Heart Medical

Group. “The major factors that everyone can act on to improve their cardiovasc­ular health include nutrition, physical activity, stress management, and vices. No major surprises there.” According to the National

Heart, Lung, and Blood Institute (NHLBI), heart disease is a leading cause of death in the U.S. for both men and women.

Dr. Postalian said that eating a diet rich in simple (bad) carbohydra­tes like sugar, rice, bread, pasta, or potatoes has negative metabolic effects that affect your cardiovasc­ular system. The same goes for excess saturated fats. Eating too much salt, if done often, can increase your blood pressure into unhealthy territory. Not only is food compositio­n important, but the amount matters — an excess caloric balance will result in your body storing those extra calories, and that happens in the form of fat. Some of this fat you can see from the outside, but a large part of it is inside your body wrapping your vital organs causing metabolic havoc.

“There are many specific diets that you can try to follow but be wary of those that are too dogmatic and harsh. In general: If you eat meat, favor fish or chicken over beef, avoid fried things, and use healthy vegetables

as sides,” said Dr. Postalian. “Be careful with what dressing you put on your salad, because some are extremely high in sugar and bad fats, shooting the calorie load of your meal through the roof — sometimes even higher than a hamburger or French fries.”

Stress management is a broad category — happy mind, happy heart. Try to make sure you have adequate sleep, avoid feeling and amplifying stress at work and home, spend time outside, enjoy time with loved ones, and be at peace accepting things that cannot be changed.

“Vices, particular­ly smoking, are also a major problem. Fortunatel­y, the number of cigarette smokers in the United States has dropped significan­tly in recent years. However, the advent of vaping may change this, and we need to remain vigilant as a society. In general, I recommend avoiding putting unknown substances in your body unless proven to be beneficial, or at least harmless,” said Dr. Postalian. “Overall: Be vigilant. If it feels wrong, it is probably wrong. If you are noticing something concerning with your body, or if you have lingering questions about what you can do to manage your cardiovasc­ular risk factors, it is never wrong to have a conversati­on with your GP or cardiologi­st.”

According to the Mayo Clinic (www.mayoclinic.org), symptoms of heart disease depend on what type you have. Heart diseases include blood vessel disease, such as coronary artery disease, heart rhythm problems (arrhythmia­s), heart valve disease, disease of the heart muscle, and heart infection.

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