are lots of things you can do to lower your risk for coronary artery disease. But some diets and
dietary supplements do not lower risk. It's not clear if vitamins, minerals,
and multivitamins can lower risk.
Talk with your doctor about the best ways
to lower your risk of heart disease. By eating heart-healthy foods, most people can
lower their risk and get all of the nutrients they need. Other proven ways
to lower risk include being active, staying at a healthy weight, and not smoking.
diets. These diets could cause serious medical problems, especially if you have
heart disease, type 2 diabetes, high cholesterol, or high blood pressure. The Academy of Nutrition
and Dietetics and the American Heart Association do not recommend these diets.
diets. These diets limit healthy foods such as fruits and vegetables. And they
don't include essential vitamins, minerals, and fiber. The American Heart Association
does not recommend high-protein diets.
Vitamins and supplements
By eating heart-healthy foods, most people can lower
their risk and get all of the vitamins and nutrients they need.
clear that taking some vitamins and supplements does not lower the risk of heart disease,
heart attack, and stroke.
Do not take these supplements to lower risk:
Vitamin B or folic
It is not clear if taking other
vitamins, multivitamins, or supplements can lower risk. There is not enough evidence
to show that they work or don't work.
used to think that hormone therapy for women could lower the risk of getting heart
disease. But hormone therapy does not prevent heart disease. So experts no longer
recommend this use of hormone therapy.
American Heart Association (2006). Diet and lifestyle
recommendations revision 2006. Circulation, 114(1): 82-96. [Erratum in Circulation,
Berthold HK, et al. (2006). Effect of policosanol on lipid
levels among patients with hypercholesterolemia or combined hyperlipidemia. JAMA,
Bravata DM, et al. (2003). Efficacy and safety of low-carbohydrate
diets: A systematic review. JAMA, 289(14): 1837-1850.
Fihn SD, et al. (2012).
ACCF/AHA/AATS/PCNA/SCAI/STS guideline for the diagnosis and management of patients
with stable ischemic heart disease: A report of the American College of Cardiology
Foundation/American Heart Association Task Force on Practice Guidelines, and the American
College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular
Nurses Association, Society for Cardiovascular Angiography and Interventions, and
Society of Thoracic Surgeons. Circulation, 126(25): e354-e471.
Fish oil supplements
(2012). The Medical Letter on Drugs and Therapies, 54 (1401): 83-84.
Preventive Services Task Force (2014). Vitamin, mineral, and multivitamin supplements
for the primary prevention of cardiovascular disease and cancer. U.S. Preventive Services
Task Force. http://www.uspreventiveservicestaskforce.org/uspstf/uspsvita.htm. Accessed
March 28, 2014.
Staff Primary Medical ReviewerRakesh
K. Pai, MD - Cardiology, Electrophysiology Martin
J. Gabica, MD - Family Medicine Adam Husney, MD
- Family Medicine Specialist Medical ReviewerE. Gregory Thompson, MD - Internal Medicine
This information does not replace the advice of a doctor.
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