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Livonia Family Medicine
16167 Southampton St
Livonia, MI 48154
LivoniaFamMedicine @ hotmail dot com
Coronary Artery Disease
The most common cause of death among Americans is coronary artery disease. Coronary artery disease causes death from myocardial infarction (heart attack) and congestive heart failure. Closely related to coronary artery disease is stroke, the 5th most common cause of death among Americans.
Multiple risk factors contribute to coronary artery disease. Some of those risk factors can be changed by changing your lifstyle:
Smoking cessation Weight loss Improved diet Exercise
Some of those risk factors can be changed with medication:
Statins (Lipitor, Simvastatin, Pravastatin, Lovastatin) lower total cholesterol
Vytorin - lowers triglycerides
Niacin – lowers triglycerides
Fenofibrate – lowers triglycerides
Omega-3-fatty acid (fish oil) – lowers triglycerides
Blood thinners (aspirin, plavix, coumadin) – prevents clot formation in arteries
Adequate treatment of diabetes
Adequate treatment of hypertension
Some of those risk factors cannot be altered:
Genetics Age Gender
All of these factors work together to lower your risk of heart disease and stroke.
Goals:
Total cholesterol under 200
HDL (good) cholesterol over 40, but over 60 is better
LDL (bad) cholesterol under 130
Triglycerides under 150
Hemoglobin A1C <6.0
Weight (if over idea range) reduce by 5%
Blood pressure <130/<80
Smoking none
Exercise one hour daily
Diet high fiber, low saturated fat, low sodium
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