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Cardiovascular Disease

The heart is a muscle that's about the size of your fist. It beats around 100,000 times a day to pump blood around the body.

The heart is a muscle that's about the size of your fist. It beats around 100,000 times a day to pump blood around the body. In fact, the human heart beats more than 2.5 billion times during the average lifetime and 5.6 litres or so of blood circulates around the body three times a minute. In one day, all that blood is estimated to have travelled a total of 12,000 miles.

If you have a problem with your heart or your circulation, the general condition is called cardiovascular disease. This is an umbrella term for conditions including heart disease, stroke, cardiomyopathy (disease of the heart muscle), atrial fibrillation (irregular heart rhythm) and heart failure. Together, says the British Heart Foundation (BHF), these diseases currently cause more a quarter of all deaths in the UK (around 160,000 every year).


Single biggest killer

The most common type of heart disease is coronary heart disease. This is the UK’s single biggest killer, says the BHF, with nearly one in six men and one in 10 women dying from coronary heart disease every year (that’s around 73,000 deaths in the UK annually). The cause of coronary heart disease is a build-up of fatty substances in the coronary artery walls – a process known as atherosclerosis. This can cause restricted blood supply to your heart, causing chest pains known as angina. If your coronary artery becomes completely blocked, the result can be a heart attack (myocardial infarction).

According to the BHF, most deaths from coronary heart disease are caused by heart attacks, with one currently happening in the UK every minutes (that’s around 175,000 each year). Men are more likely to be affected by a heart attack than women – current figures state that every year in the UK around 110,000 men and 65,000 women have a heart attack. 

Another condition that can affect people with coronary heart disease is heart failure. This is when the heart is too weak to operate properly, which can cause a build-up of fluid in the lungs and lead to breathing difficulties.


Are you at risk?

There are several risk factors that increase your likelihood of developing cardiovascular disease. The main ones include the following:

  • Smoking
    According to the British Heart Foundation (BHF), an estimated 22,000 deaths each year from cardiovascular disease can currently be attributed to smoking. This is because the chemicals in cigarette smoke can damage and narrow your arteries, with two in particular (nicotine and carbon monoxide) putting your heart under strain by making it pump faster. Giving up smoking may help to reduce the strain on your heart, plus it can reduce other risk factors such as high cholesterol, high blood pressure and having diabetes (see below).

  • High blood pressure
    Like smoking, having high blood pressure (hypertension) can put a strain on your heart. BHF figures suggest that more than a quarter of adults in the UK have high blood pressure, with as many as half of them not receiving any treatment for the condition. Click here for more information on high blood pressure.

  • High cholesterol
    The BHF also claims that more than half of adults in the UK have high blood cholesterol levels of 5mmol/L or more. High cholesterol is another main risk factor for cardiovascular disease because too much cholesterol in the blood can cause your arteries to narrow and may increase your risk of developing a blood clot. Click here for more information on high cholesterol.

  • Inactivity
    Not exercising regularly could mean you’re twice as likely to have a heart attack than those who are more active. This may be because exercise gets your heart working and keeps it healthy, plus it can help to reduce your blood pressure and cholesterol. Exercise is also an ideal way of managing your weight. However, according to the BHF, a third of men and almost half of women in England  don’t achieve the recommended levels of physical activity.

  • Diabetes
    The latest statistics from Diabetes UK suggest 3.9 million people are living with diabetes in the UK, with one person diagnosed with the disease every two minutes. However, people with diabetes have a greater risk of developing heart disease than others who don’t have diabetes. That’s because having high blood glucose levels can damage the walls of your arteries. Keeping your blood glucose levels at a normal level can help to protect your heart health as much as possible.

  • Weight problems
    If you're overweight or obese, you have a higher risk of developing cardiovascular disease than someone whose weight is normal because being overweight or obese raises your risk of developing diabetes and high blood pressure. Around a quarter of adults in the UK are currently obese, with more than a third being overweight – 30 per cent of children in the UK are also overweight or obese.

  • Family history
    If cardiovascular disease runs in your family, your risk may be higher. You are considered to have a family history of cardiovascular disease if your father or brother was diagnosed with cardiovascular disease before they reached the age of 55, or your mother or sister before they reached 65. Your ethnic background may also put you at a higher risk – for instance, people who originate from South Asia and who live in the UK are one and a half times more likely to die from coronary heart disease before they reach their 75th birthday compared with the rest of the population.

  • Age
    The older you get, the higher your risk becomes of developing cardiovascular disease.


How to have a heart-healthy lifestyle

Thankfully, many of the main risk factors of cardiovascular disease can be prevented by making the following lifestyle changes:

  • Give up
    Giving up smoking can cut your risk of cardiovascular disease in half. If you're having difficulties giving up, find out about stop smoking aids that could help, such as patches, gum and lozenges.

  • Eat more fruit and veg
    Try to eat at least five portions of fruit and veg a day to provide your body with the vitamins, minerals and antioxidants that are thought to help protect the cardiovascular system. Fruit and veg also contain fibre, which may help keep your cholesterol levels down.

  • Eat more fruit and veg
    Try to eat at least five portions of fruit and veg a day to provide your body with the vitamins, minerals and antioxidants that are thought to help protect the cardiovascular system. Fruit and veg also contain fibre, which may help keep your cholesterol levels down.

  • Cut down on sugar
    Eating too many sugary foods can make you put on weight, which can raise your blood pressure. There’s also strong evidence that sugar can caused raised blood sugar and insulin levels, which in the long term could lead to diabetes and heart disease. Try having fruit with low-fat yoghurt or fromage frais instead of sugary desserts.

  • Eat less saturated fat
    If you have high levels of saturated (or animal) fat in your diet, it could affect your cholesterol levels. So cut down on fatty meats, cheese, butter, cakes, biscuits and processed snacks, and try to cook with small amounts of vegetable oils such as rapeseed, olive, corn and sunflower oils.

  • Choose oily fish
    Fish such as salmon, mackerel, trout, sardines, pilchards and fresh (not tinned) tuna contain high levels of omega-3 fatty acids that may help prevent dangerous clots developing in your blood. Try to eat at least one portion of oily fish a week (or take a good-quality fish oil supplement if you’re not fond of eating fish). 

  • Reduce your salt intake
    Eating too much salt is thought to raise blood pressure, so avoid adding it to food and avoid eating too many processed foods that are high in salt as well as salty snacks. Aim for no more than 6g of salt a day (that's around one teaspoonful).

  • Drink alcohol in moderation
    According to the British Heart Foundation more than a third of men and a quarter of women regularly exceed the government recommended limits for alcohol intake. However, drinking too much alcohol may increase your risk of heart disease and stroke because it can increase your blood pressure and cholesterol levels. The recommended guidelines for alcohol intake for both men and women state no more than 14 units a week spread over at least three days. A unit is the equivalent of half a pint of ordinary strength beer, lager or cider, or a single pub measure of spirits (a small 125ml glass of wine contains 1.5 units).

  • Stay physically active
    If you have a sedentary lifestyle, it’s important to start building more exercise into your daily routine – for your heart’s sake. See Exercise and your heart for more information.

  • Manage your weight
    Being overweight can increase your risk of having high blood pressure, high cholesterol and type 2 diabetes, not to mention the extra strain it can put on your heart. The good news is that adopting a healthy lifestyle that includes eating healthily and staying physically active can really help keep your weight down.

  • Tackle stress
    Stress may not be a direct risk factor for cardiovascular disease, but it can cause problems with your heart in several ways – for instance, you may smoke, drink too much alcohol or overeat when faced with stressful situations. If you have coronary heart disease, stress can also trigger symptoms such as angina, according to the British Heart Foundation. When life is stressful, try to find ways to relax more often. If you can’t avoid stress, try to avoid smoking as well as drinking more than normal. Instead, try using techniques for managing stress such as deep breathing, meditation or yoga – or whatever helps to make you feel calmer and more relaxed – and try to stay as active as possible. 


Exercise and your heart

According to the British Heart Foundation, around one in every five cases of heart disease in developed countries such as the UK is caused by the lack of physical inactivity. Your heart is, after all, a muscle – and like any other muscle, it needs to be exercise to keep it healthy. Staying physically active can help your heart in a number of ways. It can help reduce your blood pressure and cholesterol levels, and if you have diabetes it can help you to control your condition. It can help to keep your weight down and reduce your stress and anxiety levels.

Plus if you already have a heart condition such as coronary heart disease or you’ve recently had a heart attack or heart surgery, being active on a regular basis can help prevent problems with your heart in the future.


How much exercise?

Experts suggest aiming for 30 minutes of moderate pulse-raising exercise on five or more days of the week (in other words, at least 150 minutes of physical activity per week). And if you can't do 30 minutes all at the same time, you can break it down into two 15-minute sessions or even three 10-minute sessions. But if you’re new to exercise or you haven’t been very active lately, remember to check with your GP before you start, especially if you have any existing medical conditions or you’re very unfit.


What type of exercise?

The best type of exercise where your heart is concerned is activity that makes your heart and lungs work harder, such as brisk walking, cycling, aerobics, dancing and even climbing the stairs. As well as these types of moderate-intensity physical activity, your heart can also benefit if you improve your flexibility, mobility and strength. Try exercises such as yoga, Pilates or t'ai chi as well as digging the garden and housework such as vacuuming and sweeping.

The British Heart Foundation also recommends activities for balance and co-ordination if you’re aged 65 or older, such as cycling, rambling, bowls and exercise classes that include standing and moving exercises. In addition to your 150 minutes of exercise each week, it’s a good idea to build more exercise into your daily routine so that you’re more active in general. This means doing things like walking wherever possible instead of using your car or taking the bus, and using stairs instead of taking the lift or the escalator.

Try building up your activity levels gradually, and you’ll find as you get fitter you’ll be able to do more exercise. It also helps to do something that you enjoy rather than forcing yourself to do something you don’t like, and if you vary your activities instead of doing the same thing over and over again, it could help to keep you motivated.


Natural remedies for a healthy heart

A healthy lifestyle is the best way to keep your heart in good condition. But there are several nutritional supplements you could consider taking too, including the following:


Fish oils

Many studies have investigated whether or not the omega-3 fatty acids found in oily fish can protect the heart from disease, with a review of some of them suggesting fish or fish oily may reduce heart disease mortality and sudden cardiac death (i). Experts also believe sudden cardiac death is rare in populations with a high intake of omega-3 fatty acids. Fish oils are widely considered to reduce inflammation, including within the blood vessels, and there’s also evidence they may help to reduce the level of triglycerides, a type of fat found in the blood that can lead to artery damage and ultimately heart disease (ii). Fish oils may also be beneficial for heart health as they may raise levels of ‘good’ (HDL) cholesterol (iii).


Coenzyme Q10

Also known as ubiquinone, CoQ10 is a powerful antioxidant that’s in every cell in the body, with high concentrations found in the muscles of the heart. And while there’s been a lot of interest in how CoQ10 may help treat congestive heart failure (iv), there’s also evidence that it may help lower high blood pressure (v). Studies also suggest it may help people recovering from a heart attack (vi).


B vitamins

Several of the B vitamins are needed to keep the heart muscle healthy. Studies also suggest that three particular B vitamins – namely vitamin B6, B12 and folic acid – help to reduce levels of homocysteine in the body (homocysteine is a substance produced in the body that’s believed to be linked to heart attacks and strokes as it may increase atherosclerosis – or hardening of the arteries) (vii).


Magnesium

This mineral is required by the body for muscle relaxation and is thought to be important for the regular functioning of heart muscle. Taking magnesium supplements regularly may also help to treat high blood pressure (viii).


Plant stanols/sterols

Substances found in plants called stanols and sterols – including beta-sitosterol – may be good for heart health because they’re thought to help to lower cholesterol in people with mildly or moderately raised levels. Numerous studies suggest stanols and sterols are effective at reducing total cholesterol and ‘bad’ (LDL) cholesterol, with some research also suggesting they may help people already taking cholesterol-lowering medicines called statins to improve their cholesterol even further (ix).


Garlic

Several studies confirm garlic may help with heart health by reducing cholesterol. In an analysis of 16 trials, researchers suggest garlic may reduce total cholesterol by 12 percent compared with a placebo after just four weeks of supplementation (x). If you take any other prescription medicines, especially anticoagulants (medicines that thin your blood), checking with your doctor or pharmacist before taking garlic supplements.


Pomegranate

Pomegranate contains vitamin C, potassium and is a rich source of antioxidants called polyphenols. It has primarily been of interest to medical researchers as a heart-healthy fruit, and there’s evidence to suggest it may reduce help systolic blood pressure (xi).

 


References:

  1. , , , et al. N-3 polyunsaturated fatty acids in coronary heart disease: a meta-analysis of randomized controlled trials. Am J Med. ;112:298-304.

  2. , , , . Efficacy of omega-3 fatty acid supplements (eicosapentaenoic acid and docosahexaenoic acid) in the secondary prevention of cardiovascular disease: a meta-analysis of randomized, double-blind, placebo-controlled trials. Arch Intern Med.
    , , et al. N-3 fatty acids and cardiovascular outcomes in patients with dysglycemia. N Engl J Med. ;367(4):309-318.

  3. , , , et al. Effects of docosahexaenoic acid on serum lipoproteins in patients with combined hyperlipidemia: a randomized, double-blind, placebo-controlled trial. J Am Coll Nutr. ;16:236-243.
    , , et al. Eicosapentaenoic acid and docosahexaenoic acid from fish oils: differential associations with lipid responses. Br J Nutr. ;87:435-445.

  4. , , . Coenzyme Q 10 treatment in serious heart failure. Biofactors. ;9:285-289.
    , , , et al. Lack of effect of coenzyme Q on left ventricular function in patients with congestive heart failure. J Am Coll Cardiol. ;33:1549-1552.

  5. Mol Aspects Med. ;15(suppl):S257-S263.
    , , , et al. Effect of hydrosoluble coenzyme Q 10 on blood pressures and insulin resistance in hypertensive patients with coronary artery disease. J Human Hypertens. ;13:203-208.

  6. , , , et al. Effect of coenzyme Q 10 on risk of atherosclerosis in patients with recent myocardial infarction. Mol Cell Biochem. ;246:75-82.

  7. , , , et al. Vitamin supplementation reduces blood homocysteine levels: a controlled trial in patients with venous thrombosis and healthy volunteers. Arterioscler Thromb Vasc Biol. ;18:356-361.
    , , , et al. Effect of folic acid and B vitamins on risk of cardiovascular events and total mortality among women at high risk for cardiovascular disease: a randomized trial. JAMA. ;299:2027-2036.

  8. , , , et al. Oral magnesium supplementation reduces ambulatory blood pressure in patients with mild hypertension. Am J Hypertens. ;22(10):1070-1075.

  9. , , , et al. Incremental reduction of serum total cholesterol and low-density lipoprotein cholesterol with the addition of plant stanol ester-containing spread to statin therapy. Am J Cardiol. ;86:46-52.

  10. , . Garlic as a lipid lowering agent – a meta-analysis. JR Coll Physicians Lond. 28(1):39-45.

  11. . The effects of pomegranate juice consumption on blood pressure and cardiovascular health. Complment Ther Clin Pract. ;17(2):113-5.


Disclaimer: The information presented by Nature's Best The Pharmacy is for informational purposes only. It is based on scientific studies (human, animal, or in vitro), clinical experience, or traditional usage as cited in each article. The results reported may not necessarily occur in all individuals. Self-treatment is not recommended for life-threatening conditions that require medical treatment under a doctor's care. For many of the conditions discussed, treatment with prescription or over the counter medication is also available. Consult your doctor, practitioner, and/or pharmacist for any health problem and before using any supplements or before making any changes in prescribed medications.