DR OM MURTI ANIL
Do you smoke? Do you have diabetes? Do you have hypertension? Do you have high cholesterol? Are you obese or have more fat around your waist? Do you have any history of heart attack or coronary artery disease in family at younger age? Do you drink excessive alcohol? Do you have depression or mental stress?
Smoking increases risk of heart attack by 2-4 times. More you smoke, higher will be risk. If you started very early age, risk is even higher. If you are diabetic, hypertensive or have high cholesterol, then you are at very high risk of having heart attack. Diabetes also increases risk of heart attack by 2-3 times. Diabetes of longer duration makes you more susceptible for heart attack. Get your blood test done for sugar in fasting state (Morning empty stomach) Hypertension, if not controlled, increases risk of heart attack by approximately two times. Get your blood pressure checked wherever and whenever feasible. High cholesterol (dyslipidemia) increases risk of heart attack by approximately 3 times, sometime even more. Higher the level of cholesterol, more you are at risk. You will not know it unless you check your blood cholesterol in fasting state. Those who have diabetes, hypertension, obesity and family history of heart attack should always know their cholesterol level. If you are obese or have more fat around your waist, you are at risk. Roughly you can calculate your desired weight by knowing your height in centimeter. If your weight (in kg) is more than your height (in centimeter) – 100, then you are likely obese. If any close relative like father, mother, brother or sister have such history at younger age (less than 55 females and less than 45 males), then you are also at risk. Depression and any sort of mental stress increases risk of heart attack. Excessive consumption of alcohol put you at risk of heart attack. Always remember, if you have more than one above mentioned risk factors, then you are more susceptible.
Stop smoking today. Quit it completely. Control your blood pressure and blood sugar and cholesterol by regular physical activity, healthy diet, weight reduction and medicine if required. Consume regular fresh fruits, enough vegetables and fish. Engage yourself in regular physical activity (walking, jogging, cycling, swimming) at least more than 30 minute on most days of week. Remember, heavy sternous activity don’t benefit your heart. Don’t consume excessive alcohol. Reduce your weight if you are obese. Avoid mental stress and depression by creating harmony at your home and office. Consume less salt, sugar and fat in your daily diet.
Dr Anil is Assistant Professor, MCVTC, Kathmandu