Reference this article for coronary disease management guidelines.
Coronary Disease (CAD, CHF, CVA)
Based on recommendations by the American Heart Association (AHA)
Blood Pressure Control
- Goal is less than 120/80.*
- Take blood pressure medication as prescribed.
- Recommended lifestyle modifications:
- Weight loss
- Exercise
- Salt restriction
- If you consume alcohol, do so in moderation
*Keep a personal record of these readings to share with your doctor.
Nutrition Management
- Consume a diet high in fruits, vegetables, beans, whole grains, nuts and seeds
- Limit intake of saturated fats to <7% of total calories, transfat to <1% of calories and cholesterol to <300mg/day.
- Include olive oil as an important source of monounsaturated fat
- Consume oily fish like salmon and sardines at least 2x/week to provide Omega 3 fatty acids
- Limit dairy products, poultry, and red meat
- Choose and prepare foods with little or no salt
Cholesterol Management
- Total Cholesterol less than 200.*
- LDL (“bad” cholesterol) less than 100 is optimal
- HDL (“good” cholesterol) greater than 50.
- Triglycerides less than 150.
- Lipid lowering medication is recommended if cholesterol is not under control.
Know your numbers and keep a personal record of these results in addition to the records kept in the doctor’s office.
Smoking Cessation
- Member and family are encouraged to stop smoking.
- A smoking cessation program along with nicotine replacement medication.
Weight Control
- Balance calorie intake & physical activity to achieve or maintain a healthy body weight
- Body Mass Index (BMI) <25kg/m2 and waist circumference < 35 inches
- Less than 10% over recommended ideal weight for men.
- Less than 10% over recommended ideal weight for women.
Physical Activity
- 30 to 60 minutes of activity at least 3 to 4 times weekly. Consult with your physician before beginning an exercise program.
Antiplatelet (Anti-clotting) Medication
- One aspirin (81 to 325 mg) if there are no contradictions. Check with your Health Care Provider.