Preventive Cardiology

Our preventive cardiology team at Coastal Cardiovascular in Wilmington, NC, helps you mitigate the risk of a heart attack or stroke. 

Whether you have the potential to develop heart disease or you have cardiovascular disease and are at risk of further issues, our expert team is dedicated to your overall health. Let’s set and meet your goals together!

 

Preventive Cardiology may be right for you if you:

  • Have medical conditions that increase your risk of developing cardiovascular disease. 
  • Have a family history of heart disease. 
  • Want to lower your risk of developing heart disease
  • Have been diagnosed with heart disease risk factors
  • Have had a stroke or heart attack and want to prevent another in the future. 


By taking proactive steps to mitigate risks, you can significantly reduce your chances of having heart difficulties in the future.

Preventive Cardiology Approaches

At Coastal Cardiovascular, we focus on preventing heart disease through:

  • Risk Stratification
  • Personalized Care Plans
  • Lifestyle Modification
  • Cholesterol Management
  • Blood Pressure Control

Risk Stratification

Risk stratification helps us identify your risk level for developing heart disease or other heart complications. This ensures that we approach your heart health needs with the appropriate intensity level. We’ll also use the information gathered to monitor and adjust our approach to your preventive cardiology care.  

To identify your level of risk, we’ll use clinical data, health history, demographics, statistics, and the expertise of our incredible team.

Personalized Care Plans

Our cardiologists and nurses believe that effective preventive cardiology starts with a comprehensive, tailored approach to each patient’s unique heart health background. Our personalized care plans address your specific risk factors, lifestyle, and goals so you can maintain optimal heart health.

First, we’ll assess your individual risk factors, family history, lifestyle choices, fitness level, and more. Depending on your situation, we may also include your Primary Care Physician, and any other doctors, to develop a multidisciplinary plan. Once we have a plan in place, we’ll monitor progress and make adjustments as needed, taking your feedback into consideration throughout.

Lifestyle Modification

The best way to prevent cardiovascular disease (CVD) is by adopting a heart-healthy lifestyle. While CVD remains a leading cause of sickness and death worldwide, we have good news! Many major risk factors for CVD can be controlled and even reversed with sustainable lifestyle changes. 

Our team will work to identify where you need to make some changes to improve your heart health and reduce risk. 

Some lifestyle changes we may recommend are:

  • A heart-healthy diet: We may suggest adjusting your diet so that you have a proper balance of nutrients and foods you enjoy. We recommend you strive to meet your needs with a low sodium diet of fruits and vegetables, whole grains, healthy fats, and lean proteins.
  • Physical activity: Exercise can help lower your cholesterol and blood pressure, improve circulation, and maintain a healthy heart and weight overall. 
  • Quit smoking: Smoking is one of the most significant CVD risks. Smoking damages your blood vessels, increases your blood pressure, and accelerates plaque buildup in arteries. While we know quitting smoking isn’t an easy task, our team is here to support you in moving toward a smoke-free life. 
  • Limit alcohol: Excessive alcohol consumption can raise blood pressure, increase your risk of developing arrhythmias, and contribute to heart failure. This is why it’s important to drink alcohol in moderation. 
  • Manage stress: Chronic stress can negatively impact your heart health. We recommend our patients find effective stress management strategies such as physical activity, yoga, or meditation. 

 

We know that changing your habits and lifestyle can be hard. Our Wilmington, NC team is here to support you through every step of this transition!

Cholesterol Management

Cholesterol is another key component of heart disease and risks. High cholesterol levels are a risk factor for plaque buildup in your arteries (atherosclerosis), which can lead to heart problems. Cholesterol levels can be managed through lifestyle changes, medicine, and routine monitoring. 

What is cholesterol?

Cholesterol is a fatty substance in your blood that helps to build healthy cells. However, too much can increase your risk of heart disease.There are 2 types of cholesterol, Low-Density Lipoprotein (LDL) and High-Density Lipoprotein (HDL). You’ve probably heard that there is a “good” and a “bad” cholesterol. This is because LDL can build up in your arteries, while HDL actually removes LDL from the blood stream, preventing that build up. 

High cholesterol (mainly LDL) can lead to coronary artery disease (CAD). This is because plaque accumulation can restrict blood flow, depriving your heart of nutrients and oxygen. This results in chest pain (angina), heart attack, or other complications. 

How can I manage cholesterol?

Cholesterol can be managed with a heart-healthy diet (healthy fats, high fiber, low trans fats, low cholesterol-rich foods), exercising, maintaining a healthy weight, limiting/quitting tobacco and alcohol, and medication. 

Our cardiologists can measure your cholesterol levels and create a management plan if needed. We’ll regularly check in with our plan and your cholesterol levels to make sure we are moving toward your goals!

Blood Pressure Control

Maintaining a good blood pressure is another key factor in your heart and overall health. High blood pressure (hypertension) is a major risk factor for cardiovascular complications and disease. Thankfully, blood pressure can be managed to improve your risk levels. 

What is a good blood pressure?

Typically, a good blood pressure is less than 120/80 mmHg. The first number refers to systolic pressure. This is the pressure in your arteries when your heart beats. The second number is diastolic pressure, which is the pressure in between your heartbeats, when your heart is resting. If your blood pressure is consistently higher than this, you may have:

  • Elevated blood pressure: Systolic is between 120-129 mmHg, and diastolic is less than 80 mmHg. 
  • Hypertension Stage 1: Systolic is between 130-139 mmHg, or diastolic is between 80-89 mmHg. 
  • Hypertension Stage 2: Systolic is 140 mmHG or higher, or diastolic is 90 mmHG or higher. 

 

Hypertension is commonly referred to as the “silent killer”, because it usually doesn’t have obvious symptoms but it can cause serious heart, kidney, and blood vessel damage. 

How to improve blood pressure:

  • A heart healthy diet. Reduced sodium, high potassium, limited processed/high-fat foods, or the DASH (dietary approaches to stop hypertension) diet may help improve your blood pressure. 
  • Regular exercise. Exercise helps your heart pump efficiently and reduces artery strain. Even small improvements like a daily walk can make a difference. 
  • Limit alcohol and smoking. Like other preventive cardiology efforts, limiting alcohol and smoking can lower your blood pressure and overall risks. 
  • Get to and maintain a healthy weight. High blood pressure risks are increased if you are overweight or obese, as your heart is working harder, causing blood vessel inflammation. 
  • Medication. If lifestyle changes alone aren’t enough to get your blood pressure at a consistent, healthy level, we may prescribe you medication. These can include diuretics, ACE inhibitors, calcium channel blockers, beta-blockers, and more. 

 

Your target blood pressure depends on a lot of factors, but ultimately we strive to see a pressure of less than 130/80 mmHg in our patients!

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Preventive Cardiology with Coastal Cardiovascular

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