By Dr. Georges Damaa

Cardiologist, HARH

February is National Heart Month. Recognition and awareness are good things, but proper care for your heart requires awareness every single day. All of us need to recognize what causes medical problems in the heart.

As a cardiologist, I work every day, all year long, to help people take care of their hearts. Patients with heart disease need to have a clear idea of what is needed for them to do that. Everyone else needs a clear idea of what is needed to avoid heart disease.

Your body has systems that allow it to function, just like any other machine. They are biological systems and tend to be more complex than the machines we are used to fixing, such as cars or refrigerators.

Like a building we live or work in, the body also has important systems for electricity and plumbing. You can think of the medical science of the heart as focusing in these two main areas where the body is concerned.

Many cardiologists specialize in the heart’s unique plumbing system, and I pay a lot of attention to the cholesterol level in blood because the science has shown us that it has a lot to do with your chances of getting heart disease.

The higher your blood cholesterol level, the greater your risk for eventually developing heart disease or having a heart attack.

Too many of us have too much of this fatty substance in our blood stream. When there is too much cholesterol in the blood for too long, it builds up along the walls of the arteries. Over time, this buildup causes “hardening of the arteries” so that arteries become narrowed and blood flow to the heart is slowed down or blocked.

This is why patients suffer chest pain. The heart is basically “screaming out” for more oxygen to do its vital work. As the situation in the arteries continues to deteriorate, the blood supply to a portion of the heart is eventually completely cut off by a blockage. The result is a heart attack.

Many people are unaware that their cholesterol level is too high because the symptoms don’t show. That makes it extra important for you to find out what your cholesterol numbers are. Lowering those levels lessens the risk and reduces the chance of a heart attack or dying of heart disease.

Cholesterol lowering is important for everyone — younger, middle age and older adults; women and men; and people with or without heart disease. Everyone age 20 and older should have their cholesterol measured at least once every 5 years.

It is best to have a blood test called a “lipoprotein profile” to find out your cholesterol numbers. This blood test is done after a 9- to 12-hour fast and gives information about your:

• Total cholesterol

• LDL (bad) cholesterol—the main source of cholesterol buildup and blockage in the arteries

• HDL (good) cholesterol—helps keep cholesterol from building up in the arteries

• Triglycerides—another form of fat in your blood

There are a variety of things that can affect cholesterol levels. This is what you can do something about:

• Your diet. Saturated fat and cholesterol in the food you eat make your blood cholesterol level go up. Saturated fat is the main culprit, but cholesterol in foods also matters. Reducing the amount of saturated fat and cholesterol in your diet helps lower your blood cholesterol level.

• Weight. Being overweight is a risk factor for heart disease. It also tends to increase your cholesterol. Losing weight can help lower your LDL and total cholesterol levels, as well as raise your HDL and lower your triglyceride levels.

• Physical activity. Not being physically active is a risk factor for heart disease. Regular physical activity can help lower LDL (bad) cholesterol and raise HDL (good) cholesterol levels. It also helps you lose weight. You should try to be physically active for 30 minutes on most, if not all, days.

There are also a number of things you cannot do anything about that can also affect cholesterol levels. These include:

• Age and gender. As women and men get older, their cholesterol levels rise. Before the age of menopause, women have lower total cholesterol levels than men of the same age. After the age of menopause, women’s LDL levels tend to rise.

• Heredity. Your genes partly determine how much cholesterol your body makes. High blood cholesterol can run in families.

I will be discussing these issues at a special Lunch & Learn program at the Harlan Depot beginning at noon on Feb. 14. I hope to see you there.

Georges Damaa, MD, is a cardiologist at the ARH Daniel Boone Clinic in Harlan.