8 ways to beat a genetic predisposition for cardiovascular disease

Many of my patients who have a family history of heart issues seem to resign themselves to the fact that they will experience the same fate as their relatives.

They assume that it’s just a matter of time until heart disease finds them — they think that genetics has the last word.

There’s nothing further from the truth.

Genetics is not destiny. It is merely a predisposition. And that means if you are vigilant and proactive, you have a big say in your outcome.

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Your genetic blueprint isn’t carved in stone

I often use the story of the Three Little Pigs to highlight the role of genetics on heart disease…

We are all handed a genetic blueprint when we are born. But how we act upon that blueprint can yield very different results.

Each of the Three Little Pigs was handed the same blueprint instruction: build a house. But each pig used very different materials with very different outcomes.

So even if you’ve been given a faulty blueprint, build with bricks, not with straw!

How do you do this? First, the obvious:

  • Don’t smoke
  • Move your body every day
  • Eat a diet rich in beans and greens, nuts and seeds, fruits and vegetables, and grains in their most whole and unprocessed forms
  • Get down to a healthy weight and stay there (which will happen on its own if you move your body and eat a whole-food plant-based diet).

Of course, all of the points above are good advice regardless of your personal blueprint, but it’s especially critical for those with a family history of heart disease.

These lifestyle changes are not enough, though…

A detailed family history could change your history

You also need to get more interested in your risk factor profile and work hard to neutralize any risks you have. This is where you’ll need to get serious about being proactive – you’ll need to have conversations with your doctor, ask questions, and maybe even do a little research.

What does it mean to get more serious?

  • Get more clarity about your family history. Find out more about the heart histories of your relatives and about any risk factors that they had. If autopsies were done, try to get those records.
  • Get more information about your own risk factors. Get your cholesterol, blood pressure and blood sugar assessed. Ask your doctor about Lipoprotein A —  the heart disease triple-threat that isn’t routinely checked for. If you’re over 30 and you’ve not had that done, you’re overdue.
  • In conjunction with your provider, determine if you are a candidate for additional screening — like coronary calcium scanning (finally added to the latest cholesterol guidelines) — or more in-depth blood work like advanced lipid testing.
  • Manage your risk factors, even if this means starting medications. But don’t ignore the power of food. Depending on the condition, the right foods have been known to lower disease risk better than meds.

One final thought: Sometimes people build straw houses not out of ignorance but out of denial or fear — the heart disease in their family may be tied to loss or trauma, making it something that they don’t want to look at or think about. Or they’re afraid of what they may find when they check their own risk profile. That’s a very natural reaction, but ultimately not very helpful.

You have a lot of power over your health destiny, but nothing will change until you take action. It’s simply not a foregone conclusion that you will follow in the footsteps of your relatives.

Build with bricks, not with straw.

Visit Step One Foods if you can’t or don’t want to solely rely on medications to improve your health.

Dr. Elizabeth Klodas MD, FACC

By Dr. Elizabeth Klodas MD, FACC

"Diet is a major driver of high cholesterol, but instead of changing the food, we prescribe medications. This never seemed logical to me.” Dr. Klodas has dedicated her career to preventive cardiology. Trained at Mayo Clinic and Johns Hopkins, she is the founder and Chief Medical Officer for Step One Foods. Dr. Klodas is a nationally sought out speaker and has an active role at the American College of Cardiology. Her clinical interests include prevention of heart disease and non-invasive cardiac imaging and she has published dozens of scientific articles throughout her career. Dr. Klodas has been featured on CNN Health for her mission to change how heart disease is treated. An independent study performed at leading medical institutions affirmed the ability of Step One Foods to deliver measurable and meaningful cholesterol-reduction benefits in the real world. The results of the trial were presented at the 2018 American Heart Association’s Scientific Sessions. Dr. Klodas has also authored a book for patients, "Slay the Giant: The Power of Prevention in Defeating Heart Disease," and served as founding Editor-in-Chief of the patient education effort of the American College of Cardiology. In addition to her practice and her duties at Step One Foods, she also serves as medical editor for webMD.

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