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Strategies to prevent PAD are similar to those that prevent coronary
artery disease. They include:
- Learn your
family medical history. A patient’s family medical history can greatly
increase (or decrease) the risk of the patient developing certain medical
conditions, including PAD.
- Eat a
heart-healthy diet. While certain vitamins and minerals have been shown
to be helpful to heart health, fats and oils such as saturated fat and tropical
oils (palm and coconut oil) have been shown to be particularly harmful, because
they can speed up the development of PAD, atherosclerosis, and obesity.
- Improve
cholesterol level. A person's total cholesterol ratio (which includes
LDL cholesterol, HDL cholesterol, and triglycerides) should be no more than 200
milligrams per deciliter and no more than five times the HDL level. Key
strategies to improve cholesterol ratios include a heart-healthy diet, regular
exercise, limited alcohol use, and prescription cholesterol-reducing drugs (if
needed).
- Have blood
tested. Researchers recently identified factors found in blood that can
help to predict an individual's risk of developing PAD. The factors include the
ratio between total blood cholesterol and HDL cholesterol and C-reactive protein
levels.
- Control
homocysteine levels. High homocysteine levels have been linked to
damage of the arteries, which can increase the risk of heart attack, stroke or
other cardiovascular problems. Homocysteine can be kept at moderate, healthy
levels if the body has adequate levels of three important B-vitamins: vitamin
B-6, vitamin B-12, and folic acid.
- Exercise
regularly. Exercise can be an excellent tool in the prevention of heart
disease. Physically, it can slow or even reverse the process of atherosclerosis,
as well as lower blood pressure and reduce cholesterol levels (consult with your
physician before beginning any exercise program).
- Control
diabetes. Persons with diabetes are more likely to develop
heart-related diseases. Preventative care iscrucial to the overall health and
heart function of diabetic patients.
- Control
high blood pressure (hypertension). Individuals with high blood
pressure are at greater risk of developing vascular problems. Hypertension can
be controlled through blood pressure-lowering medications, self-monitoring,
eating a heart-healthy and low-salt diet, and engaging in regular exercise.
- Control
weight. Obesity and being overweight are major risk factors for a host
of serious health conditions, including PAD, high blood pressure, diabetes,
heart attack, and stroke.
- Manage
stress. Stress may be a direct contributor to poor heart health because
it produces increases in blood pressure that could become permanent.
- Quit
smoking (or don’t start to smoke). Tobacco smoking is a major cause of
PAD and stroke. A study by the Centers for Disease Control and Prevention (CDC)
shows heart disease as the leading smoking-related cause of death in the United
States among men and women.
- Control
chronic depression. Depression has been linked with a higher risk of
developing high blood pressure, heart disease, and having a heart attack.
How is PAD treated?
Early
intervention is very important. If patients stop smoking, if their diabetes is
well controlled, if their blood pressure is normalized with either diet or
medication, if their cholesterol is normalized with diet or medication – these
things can help to greatly change the progression of the disease and
significantly reduce the likelihood that the patient will have a heart attack or
stroke.
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