Nao Takenouchi writes:
1) Mr.O is not in good health. While
he is still relatively young, his blood pressure indicates moderate to
high hypertension, 165-105mmHg. Also his cholesterol tests are not positive:
LDL 173mg/dl; HDL 26mg/dl. Furthermore, he is almost 20kg overweight. He
had once been a heavy cigarette smoker. And it is clear that he doesn't
have physical activity. He hardly gets out of the office to do exercise,
his only exercise is walking across the street from his apartment to his
office and back. Also, his elder brother died of heart disease five years
2) When he has another heart attack, he should first sit down or lie down. And he should call his local emergency telephone number, then he can get to the hospital by ambulance. And he can see a doctor and have treatment. He must see a doctor, because at least 250,00 people a year die of heart attack within one hour. These are sudden deaths caused by cardiac arrest, usually resulting from ventricular fibrillation.
3) Additional risk factors for heart disease are high blood pressure and smoking. While each individual risk factor increases the likelihood of developing heart-related problems, the more risk factors you have, the greater the odds of developing heart-related illness. A person with any two risk factors has four times the risk of someone without any risk factors. If you smoke, have high blood pressure and high blood cholesterol, the risk factor can be eight times as great of developing heart disease than for someone who has none of the risk factors. So, first of all, as he has cut down his smoking from a pack a day to less than half a pack, he had better quit smoking.
4) It seems that cholesterol is a risk factor of myocardial infarction. There are two kinds of cholesterol in the blood. HDL (high-density lipoproteins) -- the good guys -- remove cholesterol from the lining of the arteries and help maintain good blood flow. LDL (low-density lipoproteins) -- the bad guys -- deposit cholesterol in the artery wall by forming plaques. If he has a "high cholesterol" level it usually means there is an excess of LDL in his blood. Excess cholesterol and unsaturated fat collects in the linings of blood vessels, forming fatty deposits called plaques. Over time, blood vessels may become clogged, reducing the blood flow and oxygen supply to the heart muscle. Without sufficient oxygen to the heart, this may cause chest pain called "angina", or if the blood supply is cut off, there is heart muscle injury and a "heart attack," possibly resulting in sudden death.
Less than 130 mg/dL = Good or desirable level;
130 to 159 mg/dL = Borderline-high risk;
160 mg/dL or above = High risk.
Less than 35 mg/dL = High risk.
After all HDL-cholesterol readings are the reverse of LDL-cholesterol levels. The lower the HDL level the greater the risk for heart disease.
He should lose weight in the long term. Because being overweight may also increase your blood cholesterol level. Most overweight people with elevated blood cholesterol levels can help lower their levels by losing weight. Therefore, regular physical activity may help control his weight and is associated with a reduced risk of heart disease and lower blood pressure. Also, it is necessary for him to eat diet low in cholesterol or unsaturated fat. The following foods contain high cholesterol or saturated fat: egg yolks, sausage, kidneys, liver, and whole milk products such as butter, cheese, yogurt and ice cream.
In the long term, he must be careful with his diet and have regular physical activity in order to reduce bad cholesterol.
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