Cardiovascular Health

We all think we are well-informed about cardiovascular health. But is what we think we know really accurate? Here, a renowned cardiologist describes the biological processes leading to heart and blood vessel disease. He challenges the conventional view that risk factors, poor diet, and lack of exercise are the biggest culprits. Each of these widely-described risk factors is individually discussed and Dr. Cohn concludes that their role in affecting cardiovascular health is often overstated. He promotes a greater emphasis on an individual's personal and largely inherited cardiovascular health by simple assessment of the function and structure of the arteries and heart. By identifying early disease likely to progress he advocates for early intervention, often with drug therapy, to slow disease progression and prevent symptoms of cardiovascular disease.
ThroHe concludes that health care providers can better treat patients with medications that slow the biological processes that contribute to the development of artery and heart disease. These medications lower blood pressure and cholesterol, but their main effect is to slow progression of disease even in those whose blood pressure and cholesterol levels are not elevated. He describes a strategy for identifying and treating these early abnormalities before symptoms develop. Ultimately, early diagnosis and treatment, he argues, can contribute to better prevention and the slowing of cardiovascular disease progression that would otherwise shorten our lives.

Jay N. Cohn, MD, is Professor of Medicine at the University of Minnesota Medical School and Director of the Rasmussen Center for Cardiovascular Disease Prevention. He was Director of the University's Cardiovascular Division from 1974-96. He is widely recognized for his contributions to an understanding and management of hypertension, coronary artery disease, myocardial infarction and heart failure. He is the author of the scientific memoir "Saving Sam: Drugs, Race, and Discovering the Secrets of Heart Disease". He has published over 750 scientific papers and has been honored for his research accomplishments by the American Heart Association, American College of Cardiology, American College of Physicians, American Society of Hypertension, Heart Failure Society of America, American Association for the Advancement of Science, Cornell University and the University of Minnesota. He has served as president of four national and international societies and is co-editor of a major textbook, "Cardiovascular Medicine". He holds a number of patents on devices and drugs used to diagnose and treat cardiovascular disease.

INTRODUCTION
1: WHAT CAUSES HEART ATTACKS, STROKES AND OTHER CARDIOVASCULAR ILLNESSES?
2: MYOCARDIAL INFARCTION OR HEART ATTACK
3: BLOOD PRESSURE
4: CHOLESTEROL
5: BLOOD CLOTS
6: OBESITY
7: DIABETES
8: SMOKING
9: DIET
10: INFLAMMATION
11: STATISTICS VS. BIOLOGY
12: DETECTION OF EARLY DISEASE
13: SECONDARY PREVENTION
14: A COMMUNITY APPROACH
15: A FUTURE FREE OF SYMPTOMATIC CARDIOVASCULAR DISEASE
EPILOGUE