Cardiovascular ailments continue to be among the most common causes of death around the world, but many heart attacks are preventable. Even though most people tend to focus on identifying symptoms once they occur, healthcare practitioners recommend taking preventive measures long before then.
In his capacity as a cardiologist and through social media, where he provides information regarding heart conditions, Dr Evan Levine has suggested ten measures that may help prevent a heart attack before the age of 60.
Never smoke and stay away from cocaine
According to Dr Levine, smoking remains one of the biggest risk factors for heart disease. "Never smoke, or ever try cocaine," he says. Smoking damages blood vessels, raises blood pressure and increases the risk of heart attacks and strokes. Cocaine can also trigger dangerous cardiovascular events, even in otherwise healthy individuals.
Cut down on sugary drinks and fast food
According to the cardiologist, one should avoid drinks that contain high amounts of sugar, such as sodas.
People are also advised to avoid fast food. Diets containing processed foods, unhealthy fats, salt and sugar have been associated with conditions such as obesity, diabetes and heart disease.
Make exercise your daily routine
Regular exercise is important for maintaining heart health.
Dr Levine recommends exercising for about 30 minutes each day, including both cardiovascular and resistance exercises.
Exercise helps improve blood flow, maintain a healthy weight, reduce blood pressure and strengthen the heart muscle.
Why a coronary artery calcium scan matters
One of Dr Levine's most important recommendations is getting a coronary artery calcium (CAC) scan, a test that detects calcium deposits in the arteries supplying blood to the heart.
He suggests that people under 40 with elevated cholesterol levels, significantly high lipoprotein(a) levels or a strong family history of heart disease should consider discussing the test with their doctor.
For most adults over 40, he believes the scan can offer valuable insight into future heart disease risk.
According to Dr Levine, a CAC score above 100 may indicate the presence of coronary artery disease and should prompt a conversation with a healthcare provider about more aggressive risk management.
Stress management is heart protection
Chronic stress can negatively affect cardiovascular health.
"Resolve or remove stress—job, relationships. Enjoy soft music," Dr Levine advises.
While stress cannot always be eliminated completely, finding healthy coping mechanisms such as exercise, meditation, hobbies or relaxation techniques may help protect both mental and physical health.
Don't ignore hypertension and diabetes
Underlying medical conditions can quietly damage blood vessels over time.
Dr Levine explains how critical it is to manage hypertension and diabetes properly because both are associated with an increased risk of heart disease when left untreated.
Regular monitoring is essential for managing these conditions effectively.
Lose weight, especially in the abdominal area
Having excess weight around the abdominal region may be associated with metabolic syndrome, characterised by high blood pressure, elevated triglycerides, fatty liver and dyslipidaemia.
Dr Levine warns that central obesity can significantly raise cardiovascular risk and should be addressed through lifestyle modifications.
Be careful where you get heart advice
The cardiologist also encourages people to rely on qualified medical professionals for heart-health guidance.
He warns against taking advice from people who do not have the necessary cardiovascular knowledge or expertise, especially when it comes to preventing or treating cardiovascular disease.
Moderate alcohol intake
Dr Levine's final piece of advice concerns alcohol consumption.
In his view, it may be acceptable for some people to have one glass of wine a day, while drinking more than that could pose health risks.
Prevention begins long before symptoms appear
Many people believe that heart attacks occur suddenly. However, cardiovascular disease often takes many years to develop. Dr Levine's recommendations highlight the importance of establishing healthy habits, managing risk factors and using preventive screening techniques where appropriate.
Prioritising heart health early in life may help reduce the risk of cardiovascular problems in the future.
