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How to Reduce Your Risk for a Second Heart Attack
November 11, 2010: 0 comment(s)
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According to medical research, anyone who has
experienced a heart attack has a 50% chance of having a
second heart attack within 5 years. Now scientists think they
know why the risk for a second heart attack is so high and
what people who have heart disease can do to avoid future
injury to their hearts.
Dr. Ira Ockene at the University of Massachusetts Medical
School (UMMS) said, “An overwhelming number of CHD
(coronary heart disease) patients, roughly 80%, do not
attend cardiac rehabilitation programs, which instruct CHD
patients about proper diet and exercise. Changing one’s
eating habits is a long-term process, and optimal care
should include cardiac rehabilitation and appointments
with dietitians, which can build upon the patient’s initial
foundations to improve his or her diet and overall health.”
Coronary heart disease is the number one cause of death
in the America and over 13 million individuals have suffered
their first heart attack. Dr. Ockene believes a fundamental
reason for a second heart attack is due to poor food choices
that continue to promote plaque formation and disease
within the arteries of the heart.
In order to examine the relationship between diet and repeat
heart attacks, Dr. Yunsheng Ma, MD, PhD, MPH and his
colleagues at UMMS conducted a study that followed what
cardiac patients were eating a year after being diagnosed
with the disease. They used the Alternative Health Eating
Index to numerically score the diet of 555 CHD patients with
previous heart attacks.
This tool gives points for foods that lower the risk of heart
disease and takes points away for unhealthy foods. Fruits,
vegetables, nuts, soy, and cereal fiber raise the score while
red meat and unsaturated fats lower the score. The closer
your score is to 80, the healthier your diet. Patients in the
study averaged only 30.8 points. Of the 555 volunteers,
less than 13% were eating enough vegetables and less
than 8% were eating enough fruits or cereal fiber. Only
5.2% of the 555 patients kept their trans-fat intake under the
recommended 0.5% of total calories.
As a reference point, some popular diet plans were also
measured. The Atkins diet scored the lowest at 42.3 and the
Ornish diet the highest at 64.6. Remember, the higher the
number the better. The fact that some popular commercial
diets like the Atkins diet didn’t score well highlights the
confusion people may be experiencing.
So, if I have coronary heart disease what changes should I
make to my diet and where can I go for help?
Study co-author, Barbara Olendzki, RD, MPH,
stated, “Physicians and health care providers should
consider placing more of an emphasis on dietary counseling,
along with exercise, for CHD patients. Nutrition counseling
and patient dietary changes can lead to significant
improvements in subsequent CHD risk and better quality of
life.”
A book called, Prevent and Reverse Heart Disease, by Dr.
Caldwell Esselstyn is a good place to start.
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