Dr.Kamini Silvarajan MD/AAAM

Editorial Board: Kamini Silvarajan MD/AAAM

Heart Disease Incidence Guidelines

The American Heart Association (AHA) identified four basic categories for heart diseases. Primarily, it is based on the effectiveness of the pharmaceutical and natural treatment that helps reduce or eliminate the mortality and morbidity rates of heart diseases.

People with categories 1 and 2 risk factors can reduce their risk for having heart diseases through preventive measures. These precautionary measures include modification of diet (eating patterns), losing weight, managing of blood pressure (normal BP), and avoidance of addictive activities (smoking and alcohol intake).

Additionally, there are the 4 categories that were established by AHA to help assess and evaluate an individual who is at risk for developing heart diseases: 

Category 1

  1. In this category, the major factors along with proper medical interventions are proven to reduce the risk of the person to suffer from heart diseases. These risk factors include:
  2. High serum low-density lipoprotein (LDL) level for at least 160 mgs per dl or higher;
  3. High total serum of cholesterol in the blood (190 mgs per dl or higher);
  4. Hypertension (Blood pressure of 140/90 mmHg or higher);
  5. High dietary intake of cholesterol and saturated fats; and
  6. Cigarette smoking

Category 2 

In here, the risk factors are those in which medical interventions are likely to reduce the risk of getting heart diseases. 

These factors are:

  1. Postmenopausal status for women;
  2. Obesity;
  3. Low serum high density lipoprotein (HDL) level below 40 mg per dl;
  4. High serum of triglyceride in the blood for about 150 mg per dl or higher;
  5. Poor physical activity; and
  6. Endocrine problem (diabetes mellitus)

Category 3

The risk factors included in this category are those in which medical interventions may lower the risk of having heart diseases. 

These risk factors are:

  1. Alcohol intake (moderate alcohol congestion may reduce the risk of getting heart diseases through inducing the flavonoids and HDL in the blood);
  2. High blood homocysteine level (insufficient amount of enzyme and poor supply of Vitamin B6 (pyridoxine), Folate (Folacin) and B12 (Cyanocobalamin) are associated with the development of CAD);
  3. Oxidation of Lipoprotein (Ingestion of antioxidants and Vitamin E (Tocopherol) can help the LDL to be more resistant to oxidation (prevents free radicals) and possibly can help reduce the development of CAD); and
  4. Emotional stress (psychological factors) such as social isolation and hostility are associated to higher rates of CAD.

Category 4

The risk factors in this category are those which can’t be changed or factors wherein modification process is less likely to reduce the risk of developing heart diseases. 

These risk factors include:

  1. Family history of acute heart disease at early stage (hereditary);
  2. Gender (men are more prone to heart diseases over women);
  3. Race (Latin Americans and African Americans are most likely to suffer from heart disease compared to Caucasians); and
  4. Age (the risk for CAD is higher as the person grows older)
These categories can help evaluate the incidence rate of having heart disease. It also serves as guideline for most medical doctors in assessing their clients – By Edterchelle Soriano