Cardiovascular Disease: Definition
A group of diseases that affect the heart and blood vessels. The most common form is the building up of plaque in our blood vessels known as Atherosclerosis. When this build up is large enough, blood flow through those vessels is compromised resulting in heart attack, stroke or compromised blood flow to your extremities

Causes
Family and Ethnic tendencies
- Obesity
- Smoking
- High blood pressure
- Diabetes
- High cholesterol
- Inflammation
- Gender – Men over 45yrs and post-menopausal women

Prevention
It is not inevitable that you will have disease because of family history. It can be prevented by Good nutrition, Exercise, and avoidance of toxic substances like tobacco. The beginning of the disease starts in childhood. So it is important that these lifestyle measures are well taught and ingrained in childhood.

Management
Lifestyle
- Nutrition : Plant based whole foods diet is Key. Eating a rainbow of colors is important. The less processed your diet the better it is for one’s health. Take time to mindfully eat enjoying food.
- Exercise : minimum of 150 minutes/week a combination of stretching, aerobics and strength training is great. Find activities that you enjoy
- Sleep hygiene : Lack of sleep leads to elevated blood pressure and blood sugars which are risk factors for vascular disease. Good sleep habits are important.
- Stress management : Increased stress leads to elevated cortisol which increases blood pressure, makes you insulin resistant leading to diabetes, increases inflammation in your body and increased cholesterol
- Supplements : multivitamins, fish oil/omega 3 fatty acid, vitamin D3, Plant sterols

Medical Management
Medication
- Manage Blood Pressure
- Manage Cholesterol
- Manage Diabetes
- Manage Inflammation
Interventions
- Maybe a candidate for interventions like stents, bypass etc..

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Scott has experienced weight loss and has less heartburn symptoms and less joint pain. His highest weight was 245 pounds, he is now at 194 pounds and his current goal is 185 pounds. His A1C started at 10.1 and is currently 6.9. At the highest point his triglycerides were 446 and are currently 203.
Michelle Anderson

I have learned to relax through Dr. Abraham’s Stress Management Program. If I get stressed or start to have heart palpitations my deep breathing and relaxation response comes automatically.
Beatrice F.

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