What are the risk factors for Heart attack?

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心臟病嘅風險因子係咩?

心臟病嘅風險因素有幾種,包括:

1. 年齡: 心臟病嘅風險隨著年齡增加, 特別係男人 45 歲,女人 55 歲之後.

2. 高膽固醇水平: 高LDL (壞) 膽固醇水平同低HDL (好) 膽固醇水平可以增加心臟病發作嘅風險.

3. 高血壓: 控制唔到嘅高血壓可以破壞動脈,增加心臟病發嘅風險.

4. 糖尿病:因為高血糖可以傷害血管,糖尿病患者心臟病發嘅風險更高.

5. 體重過重或者肥胖: 體重過重可以增加心臟病發嘅風險 因為佢會增加高血壓同糖尿病等其他風險因素

6. 冇運動: 缺乏運動可以促成心臟病嘅發展,增加心臟病發作嘅風險.

7. 吸煙: 吸煙係心臟病嘅主要風險因素, 因為吸煙會破壞血管,增加血栓嘅風險.

8. 家庭歷史: 家庭歷史嘅心臟病可以增加心臟病發嘅風險.

9. 心房 fibrillation: 呢種心律不規則,可以增加心臟病發同中風嘅風險.

10. 以前心臟病發或者中風: 曾經心臟病發或者中風嘅人 再次心臟病發嘅風險更高.

11. 壓力:慢性壓力可以促成心臟病嘅發展,增加心臟病發作嘅風險.

12. 自身免疫病: 狼病同狀關節炎等病可以增加女性患心臟病嘅風險.

13. 同懷孕有關嘅健康問題: 懷孕期間患上妊娠糖尿病或者高血壓嘅女性, 晚年患上心臟病嘅風險會增加.

14. 雌激素水平低: 經過更年期或切除子宮嘅女性 雌激素水平低, 令佢哋患心臟病嘅風險 比起冇切除子宮嘅女性更高.

值得注意嘅係,一啲風險因素,例如年齡同家族史,係冇辦法改變嘅, 但好多風險因素都可以通過改變生活方式同醫學介入嚟控制.

定期檢查,健康飲食,定期運動,戒煙 同埋控制高血壓同糖尿病等慢性病 都可以減少心臟病發嘅風險

參考資料

PubMed/Medline https://www.nlm.nih.gov/databases/download/pubmed_medline.html

RefinedWeb https://arxiv.org/abs/2306.01116

Poomsrikaew O, Ryan CJ, Zerwic JJ: Knowledge of heart attack symptoms and risk factors among native Thais: a street-intercept survey method. Int J Nurs Pract. 2010, 16 (5): 492-8.

Ahmed AAA, Al-Shami AM, Jamshed S, Zawiah M, Elnaem MH, Mohamed Ibrahim MI: Awareness of the Risk Factors for Heart Attack Among the General Public in Pahang, Malaysia: A Cross-Sectional Study. Risk Manag Healthc Policy. 2020, 13 (): 3089-3102.

Fussman C, Rafferty AP, Reeves MJ, Zackery S, Lyon-Callo S, Anderson B: Racial disparities in knowledge of stroke and heart attack risk factors and warning signs among Michigan adults. Ethn Dis. 2009, 19 (2): 128-34.

Ahmed AAA, Al-Shami AM, Jamshed S, Fata Nahas AR: Development of questionnaire on awareness and action towards symptoms and risk factors of heart attack and stroke among a Malaysian population. BMC Public Health. 2019, 19 (1): 1300.

Hwang SY, Ryan CJ, Zerwic JJ: Korean immigrants' knowledge of heart attack symptoms and risk factors. J Immigr Minor Health. 2008, 10 (1): 67-72.

Fukuoka Y, Oh YJ: Perceived Heart Attack Likelihood in Adults with a High Diabetes Risk. Heart Lung. , 52 (): 42-47.

Poomsrikaew O, Ryan CJ, Zerwic JJ: Knowledge of heart attack symptoms and risk factors among native Thais. West J Nurs Res. 2009, 31 (8): 1088-9.

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What are the risk factors for heart attack?

There are several risk factors for heart attack, including:

1. Age: The risk of heart attack increases with age, especially after the age of 45 for men and 55 for women.

2. High cholesterol levels: High levels of LDL (bad) cholesterol and low levels of HDL (good) cholesterol can increase the risk of heart attack.

3. High blood pressure: Uncontrolled high blood pressure can damage the arteries and increase the risk of heart attack.

4. Diabetes: People with diabetes are at a higher risk of heart attack due to the damage high blood sugar can cause to blood vessels.

5. Being overweight or obese: Excess weight can increase the risk of heart attack by contributing to other risk factors such as high blood pressure and diabetes.

6. Not exercising: Lack of physical activity can contribute to the development of heart disease and increase the risk of heart attack.

7. Smoking: Smoking is a major risk factor for heart attack, as it damages the blood vessels and increases the risk of blood clots.

8. Family history: A family history of heart disease can increase the risk of heart attack.

9. Atrial fibrillation: This is an irregular heart rhythm that can increase the risk of heart attack and stroke.

10. Previous heart attack or stroke: People who have had a previous heart attack or stroke are at a higher risk of having another one.

11. Stress: Chronic stress can contribute to the development of heart disease and increase the risk of heart attack.

12. Autoimmune conditions: Conditions such as lupus and rheumatoid arthritis can increase the risk of heart disease in women.

13. Pregnancy-related health problems: Women who develop gestational diabetes or hypertension during pregnancy are at an increased risk of developing heart disease later in life.

14. Low estrogen levels: Women who have gone through menopause or had a hysterectomy have lower levels of estrogen, which can increase their risk of heart disease compared to women who have not.

It is important to note that while some risk factors, such as age and family history, cannot be changed, many others can be managed through lifestyle changes and medical interventions.

Regular check-ups, maintaining a healthy diet, exercising regularly, quitting smoking, and managing chronic conditions like high blood pressure and diabetes can help reduce the risk of heart attack.

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