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What You Can Do For Your Heart

- Summary
- Family history
- Coronary risk profile
- Heart-healthy diet
- Exercise program
- Cholesterol levels
- Quit smoking
- Limit alcohol
- Control conditions, stress
- Medications and more
- Prevent blood clots
- Questions for your doctor

Reviewed By:
David Slotnick, M.D.

Exercise program

Some experts have proposed that not exercising is as damaging to your cardiovascular system as smoking. Exercise strengthens the heart muscle, helps it to work more efficiently, helps to maintain a healthy blood pressure, improves the cholesterol ratio, helps to keep the blood vessels free of blood clots and plaque buildup, and may even reverse the process of atherosclerosis (“hardening of the arteries”).

Exercise is also essential for achieving and maintaining a healthy weight. Therefore, it is vital that you talk to your doctor about picking a healthy and enjoyable form of exercise, and then start a regular exercise program.

Cholesterol levels

The results of a blood test called a blood fat profile will include your total cholesterol level, which is the sum of your LDL (“bad”) cholesterol, your HDL (“good”) cholesterol, and one-fifth of your triglycerides (HDLs + LDLs + 1/5 triglycerides). In general, the lower your LDL and higher your HDL, the more heart-healthy you are. Directly measuring LDL cholesterol is both difficult and expensive. Fortunately, LDL can be reliably calculated by directly subtracting HDL and triglycerides (which are easier to measure) from the total cholesterol, as long as triglycerides are under 400. However, this formula becomes unreliable when triglyceride levels are over 400, in which case LDL must be directly measured. The National Cholesterol Education Program classifies cholesterol levels as follows:

  • Total cholesterol levels less than 200 are desirable.
  • Total cholesterol levels between 200 and 239 are borderline-high.
  • Total cholesterol levels that are equal to or above 240 are high.
  • HDL levels should be 40 or greater for men and 50 or greater for women.
  • LDL levels should optimally be less than 100. Levels greater than 129 are considered borderline-high and levels higher than 159 are considered high.

Typically, test results will also include the ratio of your total cholesterol to your HDL cholesterol. This ratio should be 5:1 or less. Strategies for improving this ratio include lowering cholesterol, lowering triglycerides and increasing HDL cholesterol.

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Review Date: 12-08-2006
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