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How do genetics affect one's risk of heart disease?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 45 year old female and I am concerned about my heart health given my family history of heart disease. Could you help me understand my personal risk score? I am wondering how much genetics plays a role in my case. Are there specific lifestyle modifications you would recommend for me? Also, should I consider any particular tests to assess and improve my heart health and circulatory system function, considering my genetic predisposition? I want to be proactive about my cardiovascular health.

Kindly help.

Thank you.

Answered by Sumiya Sulthana

Hello,

Welcome to icliniq.com.

I understand your concern.

Inheritance:

Familial dilated cardiomyopathy has different inheritance patterns depending on the gene involved. In 80 to 90 percent of cases, it is inherited in an autosomal dominant pattern, meaning one copy of the altered gene in each cell is sufficient to cause the disorder.

Acquired or hereditary disease of the heart muscle:

This condition, whether acquired or hereditary, makes it hard for the heart to deliver blood to the body and can lead to heart failure.

Symptoms people may experience:

  1. Pain areas: Chest.

  2. Whole body: Dizziness, fatigue, or loss of appetite,

  3. Heart: Abnormal heart rhythm, fast heart rate, or murmur.

  4. Gastrointestinal: Bloating or fluid in the abdomen.

  5. Also common: Coughing, shortness of breath, swelling in extremities, or weight gain.

Medications:

  1. Anticoagulant.

  2. Beta-blocker.

  3. ACE(angiotensin-converting enzyme) inhibitor.

  4. Diuretic.

  5. Antihypertensive drug.

  6. Statin.

  7. Antiarrhythmic.

Eating a balanced diet:

  1. Eat at least five portions of a variety of fruits and vegetables every day.

  2. Base meals on higher-fiber starchy foods like potatoes, bread, rice, or pasta.

  3. Include some dairy or dairy alternatives (such as soya drinks).

  4. Eat some beans, pulses, fish, eggs, meat, and other proteins.

  5. Besides being an effective weight loss method, eating a Mediterranean-style diet is linked to a lower risk of heart disease, diabetes, depression, and some forms of cancer. Experts developed the DASH diet (Dietary approaches to stop hypertension) specifically as a heart-healthy regimen.

I hope that you get your answer.

Please, let me know if you want some help.

Thank you.

Answered bySumiya Sulthana

Medically reviewed byiCliniq medical review team

Published At September 4, 2024
Reviewed AtSeptember 4, 2024

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