How to prevent heart disease's 'fatty material' as expert warns of early deaths
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New data shows more people dying from heart disease at an early age with the number of people dying prematurely from heart disease rising to the highest level in more than 10 years.
In 2022, over 39,000 people died early due to a range of cardiovascular conditions including heart attacks, coronary heart problems and stroke. This is the highest annual total since 2008.
The statistics come as data released by the British Heart Foundation (BHF) shows a reverse of previous falling trends for people dying from heart problems before the age of 75. And it's believed that there could be a connection between the rise in conditions linked to a potentially more unhealthy population, widening health inequalities, pressure on the NHS and the pandemic.
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Dr Sonya Babu-Narayan, consultant cardiologist and BHF associate medical director said: “This is sobering evidence that we’re in the grip of a heart care crisis."
She added: “Every part of the system providing heart care is damaged. But this is happening at a time when more people are getting sicker and need the NHS more than ever.
“It doesn’t need to be this way. Urgent intervention is long overdue – I find it tragic that we’ve lost hard-won progress to reduce early death from cardiovascular disease.”
So what is heart disease and what should we be on the look out for? Here is what you need to know.
What is heart disease?
The BHF explains that heart disease, also known as cardiovascular disease (CVD), includes conditions that narrow or block blood vessels. A fatty material called atheroma gradually builds up inside the coronary arteries and eventually narrows them so much that they can’t get enough blood to the heart.
If a piece of the fatty material breaks off, a blood clot can form and block the coronary artery, cutting off the supply of blood and oxygen to the heart muscle. This is a heart attack.
CVD also includes problems with the heart muscle and valves, or conditions causing abnormal heart rhythms (arrhythmias).
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What are the symptoms of heart disease?
Symptoms of heart disease vary depending on the specific condition, but they can include:
- Chest pains
- Weakness, pain or numbness in the legs and/or arms,
- Breathlessness
- A very fast or slow heartbeat or palpitations
- Dizziness
- Lightheadedness or feeling faint
- Fatigue
- Swollen limbs
What are the risk factors of heart disease?
There are many CVD risk factors, some of which you can’t do anything about, including gender (men are more likely to get heart disease earlier than women), age (risk increases the older you get), ethnicity (black Africans, African Caribbeans and South Asians are at higher risk of developing high blood pressure or type 2 diabetes, which are heart disease risk factors), and family history (a combination of your genes and habits you share with your family).
But there are also many risk factors you can tackle. The BHF says lifestyle risk factors include smoking, stress, alcohol, high blood pressure, high cholesterol, physical inactivity, being overweight or obese, and having diabetes.
“Cardiovascular disease is preventable in many cases, and for those who do develop it research has given us effective treatments, explains Babu-Narayan. “There are things we can all do to reduce our risk, including managing our weight, improving our diets and keeping physically active.
“Attending your routine health check when invited is crucial to enable early detection and treatment of risk factors for heart disease, such as high blood pressure and high cholesterol, which could help prevent heart attacks, strokes and vascular dementia.”
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Can heart disease be prevented?
Changing your lifestyle by stopping smoking, reducing alcohol intake, eating a healthy diet, losing weight if necessary, and exercising can help reduce high blood pressure and high cholesterol, and reduce your risk of having heart and circulatory problems.
Babu-Narayan explains that further treatments include medication, having devices fitted such as an Implantable Cardioverter Defibrillator (ICD) or a pacemaker, which help treat abnormal heart rhythms, having stents fitted, which help improve blood supply to the heart, or having surgery to replace or repair damaged heart valves.
But CVD still causes around a quarter of all UK deaths, and Babu-Narayan warns: “We are still seeing more people than expected die from cardiovascular conditions overall – more than any other disease group.”
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