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February is American Heart Month, an ideal time to focus on cardiovascular health and learn how everyday choices affect your heart. Heart disease remains the leading cause of death in the United States, according to the Centers for Disease Control and Prevention (CDC). While this statistic is sobering, it is also empowering: many forms of heart disease are preventable, or at least manageable, through informed lifestyle choices and regular medical care.

When people hear the term heart disease, they often think of heart attacks, but the reality is broader. Heart disease is an umbrella term that includes several conditions affecting the heart and blood vessels. These include coronary artery disease (the most common form), heart rhythm disorders (arrhythmias), heart valve disease, heart failure, cardiomyopathy, pericardial disease, congenital heart defects, and conditions related to poor circulation such as peripheral artery disease (PAD). Understanding this range is important because risk factors and prevention strategies often overlap.

At the core of many heart-related conditions is atherosclerosis, a buildup of plaque inside the arteries. When plaque narrows the coronary arteries, it restricts blood flow to the heart muscle and can lead to coronary artery disease, heart attacks, or heart failure. When similar blockages occur in the arteries of the arms or legs, known as peripheral artery disease, the risk of heart attack and stroke still increases. In short, vascular health anywhere in the body affects heart health everywhere. The encouraging news is that lifestyle habits play a powerful role in protecting your heart. While genetics and age cannot be changed, many of the most significant risk factors are within your control.

One of the most impactful steps you can take is improving your diet. A heart-healthy eating pattern emphasizes whole, nutrient-dense foods while limiting ingredients that strain the cardiovascular system. Diets such as the DASH (Dietary Approaches to Stop Hypertension) plan have been shown to lower blood pressure and improve cholesterol levels. Key principles include eating more fruits and vegetables, choosing whole grains, and selecting lean or plant-based proteins.

Equally important is knowing what to reduce. Excess saturated fat, trans fat, sodium, and added sugars all contribute to heart disease risk. Foods to limit include red and processed meats, full-fat dairy products, coconut oil, fried foods, packaged and highly processed items, margarine, and certain baked goods. Too much sodium can raise blood pressure, while unhealthy fats can increase cholesterol and accelerate plaque buildup in the arteries.

Physical activity is another cornerstone of heart health. Regular exercise strengthens the heart muscle, improves circulation, helps regulate blood sugar, raises “good” HDL cholesterol, lowers “bad” LDL cholesterol, and supports healthy weight management. Most adults are encouraged to aim for at least 30 minutes of moderate physical activity on most days of the week. Exercise does not have to be intense to be effective; walking, cycling, swimming, or even active household chores can provide meaningful benefits when done consistently.

Smoking remains one of the most dangerous risk factors for heart disease. Nicotine increases heart rate and blood pressure, forcing the heart to work harder, while carbon monoxide reduces the oxygen available in the bloodstream. Together, these effects significantly damage cardiovascular health. The benefits of quitting are profound: within one year of stopping smoking, the risk of heart disease drops dramatically, and those benefits continue to grow over time.
Maintaining a healthy weight also plays a critical role. Excess weight places additional strain on the heart and increases the likelihood of high blood pressure, high cholesterol, and type two diabetes—all major risk factors for heart disease. Tools such as body mass index (BMI) can offer a general guideline, but overall health, waist circumference, and lifestyle habits matter just as much as the number on the scale.

Preventive care ties all of these efforts together. Regular medical check-ups allow potential problems to be detected early, often before symptoms appear. Blood pressure, cholesterol, and blood sugar screenings provide valuable insight into heart health and help guide personalized prevention strategies. Your doctor can recommend how often these tests should be done based on your age, family history, and existing health conditions.

Family history is another important piece of the puzzle. Heart disease can run in families due to shared genetics, shared environments, or both. If close relatives have experienced heart disease, heart attacks, or strokes, it is important to discuss this with your healthcare provider. Awareness allows for earlier monitoring and more proactive prevention.

Finally, understanding the differences between major cardiovascular events can help clarify risk and symptoms. A heart attack occurs when blood flow to the heart muscle is blocked. A stroke happens when blood flow to the brain is interrupted. Heart failure develops over time when the heart can no longer pump enough blood to meet the body’s needs. While these conditions differ, they often share the same underlying risk factors — and many of the same preventive strategies.

Taking care of your heart is not about perfection; it is about progress. Small, consistent changes in diet, activity, and habits can lead to meaningful improvements over time. American Heart Month serves as a reminder that there is no better time to start than now.

For more information about heart disease and prevention strategies, visit cdc.gov, heart.org, or mayoclinic.org.

This information is for educational purposes. Please consult your physician regarding any medical issues. The Visiting Nurse Association of the Treasure Coast (VNA) is committed to bringing trusted and quality home health, private care and hospice to Indian River County patients. For more information about VNA services, call 772-567-5551 or visit vnatc.com.

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