Question No. 1: What can I do to improve my heart health?
Many lifestyle factors contribute to poor heart health (poor diet, smoking, sedentary lifestyle), so be honest with your provider when looking for guidance on lifestyle improvements.
Question No. 2: How does family history affect heart health?
If you have a family history of heart disease, ask how that might affect you. Before your medical appointment, compile a family health history, including all close blood relatives, going back to your grandparents. Share this with your provider.
Question No. 3: Am I at increased risk for heart disease or a heart attack? Understanding your risk factors is the first step in improving your heart health. Some important (yet modifiable) risk factors include:
¦ high blood pressure
¦ high blood cholesterol
¦ diabetes, pre-diabetes
¦ smoking
¦ being overweight or obese
Question No. 4: What are the warning signs of a heart attack?
Common heart attack signs include:
¦ pressure, tightness, pain, or a squeezing or aching sensation in your chest or arms that may spread to your neck, jaw or back
¦ nausea, indigestion, heartburn or abdominal pain
¦ shortness of breath
¦ cold sweat
¦ fatigue
¦ lightheadedness or sudden dizziness
Question No. 5: Is my blood pressure within normal range?
American Health Association (AHA) recommends that high blood pressure should now be treated earlier with lifestyle changes and possibly medication, at 130/80 mm Hg (rather than 140/90).
Question No. 6: What should my ideal weight be?
Determine your ideal weight by looking at your body mass index (BMI), which is the measure of your weight in relation to your height. A BMI between 18.5 and 25 is ideal, while one between 25 and 30 is considered overweight. Your doctor can determine your BMI, or you can find it yourself by dividing your weight in kilograms by the square of your height in meters. If you need to lose weight, talk with your provider about adopting a healthier lifestyle through diet and exercise.
Question No. 7: Is my blood cholesterol within normal range?
Blood cholesterol test reports show cholesterol levels in milligrams per deciliter of blood (mg/dL). Total cholesterol and HDL (good) cholesterol are among many factors your provider can use to predict your risk for a heart attack or stroke. A total cholesterol level that’s under 200 mg/dL is considered healthy, while 240 mg/dL is considered high.
Question No. 8: How much exercise does a person need to prevent heart disease?
The AHA suggests at least 150 minutes per week of moderate exercise or 75 minutes per week of vigorous exercise (or a combination of moderate and vigorous activity).
Question No. 9: Do you suggest that I take an aspirin every day?
The United States Preventive Services Task Force (USPSTF) recently released new guidelines regarding the use of aspirin as a primary prevention for cardiovascular disease (CVD) and colorectal cancer (CRC). Your provider can explain both the benefits and risks of aspirin therapy, based upon your risks and individual medical history.
Question No. 10: How often should I come back for routine check-ups or diagnostic testing?
Before leaving your medical appointment, be sure to get your next appointment scheduled and discuss any diagnostic test or lab work you may require.
You should leave your appointment feeling confident that your heart health is in good hands with your health care provider. Don’t hesitate to ask your questions.
February is Heart Month. Becoming an informed, engaged partner in your health care is critical. Knowledge is power, especially when it comes to your heart health.
Mridani Choudhury, MD, is a family medicine physician at Aurora Bay Area Health Center, 4061 Old Peshtigo Road, Marinette. Her office can be reached at 715-732-8130.