Dr Neeraj Mahajan talks about prevention of heart diseases

Your heart needs the care it deserves

Prevention of heart disease

When heart experts talk about prevention, they usually refer to one of three types: secondary, primary and primordial prevention.

All three have similar elements, but different starting times and different effects.

Secondary prevention

These efforts are started after someone has a heart attack or stroke, undergoes angioplasty or bypass surgery, or develops some other form of heart disease.

It involves taking medications like aspirin and/or a cholesterol-lowering statin, quitting smoking and losing weight if needed, exercising more, and following a healthy diet.

These steps can prevent a second heart attack or stroke, halt the progression of heart disease, and prevent early death. It may be obvious, but the number one killer of individuals who survive a first heart attack is a second heart attack.

Primary prevention 

Primary prevention aims to keep an individual at risk of heart disease from having a first heart attack or stroke, needing angioplasty or surgery, or developing some other form of heart disease.

Primary prevention is usually aimed at people who already have developed cardiovascular risk factors, such as high blood pressure or high cholesterol. As with secondary prevention, primary prevention focuses on controlling these risk factors by making healthy lifestyle changes and, if needed, taking medications.

That said, the appearance of worrisome cardiovascular risk factors means that inflammation, atherosclerosis, and/or endothelial dysfunction are already at work and, in most cases, aren’t reversible.

Primordial prevention 

The word “primordial” means existing from the beginning. Primordial prevention involves working to prevent inflammation, atherosclerosis, and endothelial dysfunction from taking hold, and thus prevent risk factors such as high blood pressure, high cholesterol, excess weight, and ultimately cardiovascular events.

Steps for the primordial prevention of heart disease

Five key lifestyle steps can dramatically reduce your chances of developing cardiovascular risk factors and ultimately heart disease:

1. Not smoking

2. Maintaining a healthy weight

3. Exercising

4. Following a healthy diet

5. Improving sleep health

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