Primary Prevention:
Prevention of disease BEFORE it occurs.
Risk factors for Coronary Heart Disease:
- Family History
- Abnormal Lipid Profile
- High blood pressure
- Diabetes
- Smoking
- Psycho-social issues
- Way of Living and way of Feeling
- Physical inactivity
- Heredity and age are uncontrollable factors
- Consumption of tobacco in any form trebles the risk
- So does excessive consumption of alcohol
Stress management is important in Primary Prevention of CHD.
Universal Healing Program (UHP) has an important role to play in stress management, and freedom from addiction.
Investigations:
Fasting blood sample for
CBC, Lipid Profile, SGPT, Sugar, HBA1C, TSH
Coronary calcium score,
with CT Scan X‐ray of chest,
without injection of a dye,
gives a fair estimate of beginning of
atheromatous changes in coronary arteries.
LDL cholesterol is recommended as the primary
goal in lipid analysis for screening and risk
assessment, as well as target for treatment.
Control of culprit LDL‐C through adequate dose of statin
has reduced the incidence of heart attack, stroke
and the complications of diabetes a great deal.
In case of strong family history if LDL–C is kept below 70,
(Lower the better), triglycerides lose their strength as risk factor.