Ashd (atherosclerotic heart disease) Prevention
Prevention is the key to managing the risk for coronary artery disease. Other conditions such as diabetes, high blood pressure and elevated cholesterol contribute to the development of coronary artery disease. These illnesses must be well-managed, in order to minimize the progression of coronary artery disease.
Lifestyle choices that help to prevent coronary artery disease include:
- Regular exercise program.
- Eat a healthy diet:
- Weight loss if you are overweight.
- Stop smoking.
- Avoid exposure to secondary smoke.
- Reduce stress.
- Avoid using nonsteroidal anti-inflammatories if you have had a heart attack before. Studies show an increase risk for heart attack and death in those who do. Ask your doctor for guidance with regard to these medications.
Ashd (atherosclerotic heart disease) Diet
Dietary guidelines to prevent coronary artery disease include:
- Limit your intake of fat to 30% of your total calories.
- 10% to 15% of your total calories should be in the form of monounsaturated fats, such as olive oil, canola oil and peanut oil.
- Consume only unsaturated fats that are low in cholesterol.
- Consume less than 300 milligrams of cholesterol a day.
- Consume less than 3,000 mg of salt per day. Consume less than 2,000 mg of salt per day if you have high blood pressure, kidney disease, liver disease or congestive heart failure.
- Eat plenty of fresh fruit and vegetables.
- Avoid red meat.
- Avoid fad diets.
- Talk to your doctor about B vitamin supplements.
- Talk to your doctor about vitamin D supplements.
- Eat foods that are rich in omega-3 fatty acids:
- Omega-3's are present in salmon, tuna, and mackerel.
- Walnuts and flax seed are also rich in omega3's.
- If you don't like fish, your local pharmacy has omega-3 supplements in capsule form.
- Omega-3-acid ethyl esters (Lovaza)
- Consume more fiber. Sources include:
- Whole grains
- Brown rice
Continue to Ashd (atherosclerotic heart disease) Outlook
- ALLHAT Collaborative Research Group: Major outcomes in moderately hypercholesterolemic, hypertensive patients randomized to pravastatin vs usual care: The Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT-LLT). JAMA 2002 Dec 18; 288(23): 2998-3007. 
- Bild DE, Bluemke DA, Burke GL, et al: Multi-ethnic study of atherosclerosis: objectives and design. Am J Epidemiol 2002 Nov 1; 156(9): 871-81. 
- Brown TL, Merrill J, Hill P, Bengel FM. Relationship of coronary calcium and myocardial perfusion in individuals with chest pain. Assessed by integrated rubidium-82 PET-CT. Nuklearmedizin. 2008;47(6):255-260. 
- Thuresson M, Jarlov MB, Lindahl B, Svensson L, Zedigh C, Herlitz J. Symptoms and type of symptom onset in acute coronary syndrome in relation to ST elevation, sex, age, and a history of diabetes. Am Heart J. 2005 Aug;150(2):234-42. 
- Viles-Gonzalez JF, Fuster V, Corti R, Badimon JJ. Emerging importance of HDL cholesterol in developing high-risk coronary plaques in acute coronary syndromes. Curr Opin Cardiol. 2003 Jul;18(4):286-94.