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ATHEROSCLEROSIS

  • Oct 14
  • 6 min read

Disclaimer: The content of this blog post, authored by Dr. Moran Sciamama-Saghiv, is provided for informational and educational purposes only and does not constitute medical advice, diagnosis, or treatment. No doctor–patient relationship is created by reading or applying the information. Readers should always consult a licensed healthcare professional before making decisions related to medications or treatment. Neither the author nor any affiliated party assumes any liability for actions taken based on this content.


Atherosclerosis is not just a medical term; it represents a serious threat to cardiovascular health. This disease narrows and hardens arteries, leading to life-altering complications. With heart disease being the leading cause of death globally, understanding atherosclerosis is vital. In this post, we will review its causes, symptoms, diagnosis, and treatment options, as well as lifestyle changes you can adopt to safeguard your heart health.



Atherosclerosis
Atherosclerosis


What is Atherosclerosis?

Atherosclerosis occurs when plaque builds up in the arteries, comprising fat, cholesterol, calcium, and other substances found in the blood. This buildup can begin as early as childhood and may silently progress over decades. Often, only significant blockages reveal the presence of the disease. For example, studies indicate that approximately 50% of adults aged 45 and older show signs of atherosclerosis without any symptoms. The danger lies in its silent nature while blocking blood flow to vital organs like the heart and brain can have serious consequences if untreated.


Causes of Atherosclerosis

Understanding the factors contributing to atherosclerosis can empower individuals to make healthier choices.


High Cholesterol Levels

Cholesterol plays a crucial role in atherosclerosis. High levels of low-density lipoprotein (LDL) cholesterol can lead to plaque formation. In contrast, higher levels of high-density lipoprotein (HDL) cholesterol help protect against the disease. According to the CDC, about 38% of U.S. adults have high cholesterol levels, significantly increasing their atherosclerosis risk.


High Blood Pressure

Hypertension can wear down arterial walls over time, making them prone to injury and plaque build-up. Research shows that managing blood pressure can reduce the risk of atherosclerosis by up to 20%.


Smoking

Smoking is one of the most significant risk factors for atherosclerosis. It not only damages blood vessels but also decreases oxygen levels in the blood. The American Heart Association reports that smoking doubles the risk of heart disease.


Diabetes

Individuals living with diabetes face an elevated risk, primarily due to consistently high blood sugar levels that can damage blood vessels. Statistically, nearly 68% of adults with diabetes will eventually die from heart disease.


Sedentary Lifestyle

A lack of physical activity contributes to obesity and high cholesterol levels, both of which can heighten the risk of atherosclerosis. Engaging in regular exercise can lower heart disease risk by about 30% to 40%.


Unhealthy Diet

Diets rich in saturated fats and high in sugar contribute to atherosclerosis. For example, consuming more than 6% of daily calories from added sugars can significantly elevate cholesterol levels and promote plaque development.



Atherosclerosis
Atherosclerosis


Symptoms of Atherosclerosis

The disease often remains undetected until it causes significant artery blockage. However, some symptoms may provide early warnings.


Chest Pain (Angina)

Angina is characterized by discomfort or pain in the chest when the heart doesn’t receive enough blood. It may manifest as pressure or squeezing, and it can vary in intensity.


Shortness of Breath

If you find yourself unusually short of breath during activities, it may indicate a problem. This symptom can occur when atherosclerosis limits blood flow to your heart during exertion.


Fatigue

Unexplained fatigue can signal that your heart might not be pumping effectively due to reduced blood flow.


Heart Attack or Stroke

In severe cases, atherosclerosis can lead to heart attacks or strokes. According to the World Health Organization, about 47% of heart attack victims have a history of atherosclerosis.


Diagnosis of Atherosclerosis

If you suspect atherosclerosis, consult a healthcare professional. They may employ a variety of tests to assess your cardiovascular condition.


Blood Tests

Simple blood tests can gauge cholesterol and blood sugar levels as key indicators of your risk for atherosclerosis.


Imaging Tests

Tests such as ultrasounds and CT scans visualize arteries to identify plaque buildup. In some cases, they can detect atherosclerosis even before symptoms arise.


Stress Tests

A stress test helps evaluate heart function during physical activity, identifying any irregularities in blood flow.


Treatment Options for Atherosclerosis

Upon diagnosis, a healthcare provider will tailor a treatment plan to your individual needs. This may involve lifestyle changes, medications, and sometimes surgical procedures.


Lifestyle Changes

Implementing healthy lifestyle changes is crucial. Here are some actionable steps:


  • Adopt a Heart-Healthy Diet: Focus on fruits, vegetables, whole grains, and lean proteins. Aim for a diet where processed foods are limited to under 10% of total calorie intake.

  • Exercise Regularly: Aim for at least 150 minutes of moderate aerobic activity weekly. This could include brisk walking or cycling.

  • Quit Smoking: Smoking cessation can improve cardiovascular health within months and should be a priority for anyone at risk.

  • Manage Stress: Techniques like yoga or meditation can lower blood pressure while enhancing your sense of well-being.


Medications

Your doctor may prescribe medications including:


  • Statins: These lower LDL cholesterol levels, reducing heart disease risk significantly.

  • Anti-platelet Agents: Aspirin can prevent clot formation in narrowed arteries, a key factor in heart attacks.

  • Blood Pressure Medications: If needed, medications can help control hypertension, essential for managing atherosclerosis.


Surgical Procedures

For severe cases, surgical options may be necessary. These can include:


  • Angioplasty and Stenting: This involves using a balloon to open narrowed arteries and placing a stent to keep them open.



Atherosclerosis - A Stent Put within A Blood Vessel
Atherosclerosis - A Stent Put within A Blood Vessel


  • Coronary Artery Bypass Grafting (CABG): This procedure creates a bypass around blocked arteries, restoring blood flow.



Atherosclerosis - Coronary Artery Bypass Grafting (CABG)
Atherosclerosis - Coronary Artery Bypass Grafting (CABG)


Preventing Atherosclerosis

Prevention is the best approach to this serious condition, and adopting a heart-healthy lifestyle can greatly diminish your risk.


Regular Health Check-Ups

Stay proactive by scheduling check-ups to monitor your blood pressure and cholesterol levels.


Know Your Family History

A family history of heart disease raises your risk for atherosclerosis. Understanding this can guide your preventive measures.


Stay Informed

Knowledge of atherosclerosis and its risk factors empowers you to make informed health decisions.


Taking Control of Your Heart Health

Atherosclerosis can lead to significant health complications if ignored. By understanding its causes, symptoms, and treatment options, you can take steps to protect your cardiovascular health. Incorporating healthy lifestyle changes and staying vigilant about your heart health is essential. Remember, the actions you take today can lead to a healthier tomorrow. Make your heart health a priority; your future depends on it.




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An Image of the Pumpy & Pumpina children's book by Dr. Moran Sciamama-Saghiv
Pumpy & Pumpina children's book by Dr. Moran Sciamama Saghiv. Meant for children ages 2-5.


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