Sunday, April 12, 2009

Heart Health

I spent spring break with my kids this week at Disney in Orlando. As a cardiologist, it is second nature for me to observe people, and make an evaluation of their health habits. It didn't take an expert to observe some of the bad habits that many of us have adopted. It is well documented, but to see the obesity rates first hand, especially in children, is disturbing. Watching a family of obese kids being pushed around the park in a cart, while feasting on a huge turkey leg, is an image that I can not get out of my brain.

We booked a room in a nice hotel, and as usual, requested a non smoking room. After about 2 hours in the room, which had no windows, we were all slightly nauseous and dizzy from the residual smoke in this "non smoking" room. To think in 2009, after decades of warnings on the health effects of smoking, that in certain segments of the population the smoking rates are increasing, is appalling.

As more studies reveal that we need to treat cholesterol to very low levels, I am afraid that many people are still walking around with cholesterol levels that put them at high risk of heart attack and stroke. The JUPITER trial, which was released late last year, showed that even people with normal cholesterol levels may benefit from medical treatment.
As far as smoking is concerned, nothing more needs to be written about the health effects of this terrible habit. It is linked to more diseases than any other toxic exposure.

I enjoy a good meal as much as the next guy, we had a great dinner at Emeril's restaurant. But the next day, I had a good workout at the gym, and ate just a soup and salad. I tell many of my patients that moderation is the key to good health. Everyone makes choices that may not be the best for their health, but as long as the majority of the time you make the best decision for your health, you will be in good shape.

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