Tag Archives: Prevent heart attack

Valentine’s Day is free Heart book day


Our special free download event for Your Heart  has pushed it to #1 on the Top 100 Free in both the Internal Medicine and Cardiology categories! 

Thank you.

We’d love to have reviews from our readers posted to Amazon.



Understand your risk factors and take action … before you have a heart attack.

Your Heart Book Cover- Final FINALThe American College of Cardiology reported young women with heart attacks are more likely to die than men. Part of this scenario is because many women do not experience the classic symptoms of chest pressure, arm, or jaw pain. Women are also more likely to report stomach symptoms, fatigue or shortness of breath instead of chest pressure when a coronary artery is closing. Without the proper diagnosis, life-saving interventions including stents to open a closing artery are delayed or not performed.

In a study evaluating women under age 55, Yale researchers found half the women believed they were healthy prior to a heart attack. Fewer women than men in the study had not received education from their care providers regarding risks for heart disease. Many of the women had modifiable risks and only 22% of them received information about heart disease and how to reduce their risks.

Nearly half of women in a 2012 survey did not report heart disease as a leading cause of death, yet they considered themselves well-informed on female health issues. Read a quick take on statistics and how you can identify and reduce your risks.

Excerpt from Your Heart book:

Women and Heart Disease

Many women do not realize they are at high risk for heart disease and early death. Under age 50, heart attacks in women are twice as likely to be fatal as in men. Each year more than 250,000 women die of heart attacks. Six times the number of women die from heart disease than from breast cancer. Many factors weigh into these statistics including hormones.

♥ Research reported in the National Institutes of Health bulletin, The Heart Truth for Women, states that by leading a healthy lifestyle, women can lower risks by 82%. You are in charge. This means: regular exercise, healthy weight and not smoking. Also take medications to control other risk factors such as high blood pressure and high cholesterol. What you choose to do and what you eat can improve health and prolong life.


Five risk factors both men and women can modify and reduce their risk for dying from a heart attack:
• High cholesterol
• Smoking, tobacco use
• Diabetes
• Obesity
• High blood pressure

What to do about these risks: See your physician for an evaluation

  • Check your cholesterol and blood pressure.
  • Treat cholesterol and blood pressure abnormalities with diet modification and medication.
  • Stop all tobacco use.
  • Keep blood glucose normal with diet and medication.
  • Eat a Mediterranean diet and control your calorie intake. Consider the 5/2 diet for weight reduction (discussed in previous blogs on this website)
  • Exercise at least 30 minutes each day.

Betty Kuffel, MD

Statin Treatment for Cardiovascular Disease

Primary Prevention and Treatment in Women

More women die of heart disease than of breast cancer.
Women are also more likely to die from a heart attack than men.

vitruvian-woman-sm1.jpgIf you have risk factors for, or have already had, a cardiovascular event such as a heart attack or stroke, taking a statin medication to alter abnormal cholesterol can be life-saving.

Common Risk Factors:
High blood pressure
High LDL cholesterol
High triglycerides
Low HDL cholesterol
Family history of early heart disease
Sedentary life style

Lowering LDL cholesterol with statins can prevent cardiovascular disease.

A recent study analyzed the effects of 27 trials including 174,000 people and found women gain the same benefits from statins as men. Prior to this study the value of treating healthy women with risk factors to prevent heart disease was not clear.

We have known lowering cholesterol after a heart attack or stroke is beneficial in both men and women, but this new study confirms statin drugs are also valuable in preventing cardiovascular disease in women. Statin treatment improves overall survival by reducing the liver’s production of cholesterol.

Men develop heart disease at a younger age than women, likely because estrogen in women is protective. Following menopause, risk for heart disease in women climbs especially in those who smoke.

People with diabetes have an increased risk for cardiovascular disease affecting the coronary arteries in the heart, arteries in the brain, and small arteries in the eyes and kidneys. Last summer, another study important to women showed diabetic women had a 30% reduction in the risk of dying of heart attack or stroke when treated with another cholesterol modifying drug, fenofibrate.

Many scientific studies over decades have shown the benefit of lowering low-density lipoprotein LDL cholesterol to prevent heart attacks and strokes. LDL is the “bad” cholesterol, (think “L” for Lard as a way to remember LDL as the bad cholesterol) and that you want it Low. This is the cholesterol that clogs arteries similar to the way lard solidifies if poured down a drain.

Triglycerides, another form of cholesterol often elevated in diabetics, obesity, and as a familial disorder, contribute to heart and vascular disease. This must also be lowered to reduce risk.

The high-density lipoprotein (HDL) is the transport molecule that moves LDL out of the arteries. The HDL is the “good” cholesterol you want High.

Assess and lower risks for heart disease:
• See your doctor. Discuss risk factors and how to modify them.
• Have blood tests: lipid panel and hemoglobin A1c (check for diabetes)
• Assess your cholesterol levels and discuss treatment needs and options
• Reduce saturated fat intake, fried foods – no more than 35% of your daily calories should come from fat
• Attain ideal weight
• Exercise at least thirty minutes a day – If you’re healthy but not physically active, starting an aerobic exercise program could increase your good cholesterol by 5% in the first two months. Regular exercise also lowers bad cholesterol.

Remember, high cholesterol does not cause symptoms. It is a silent disease that slowly narrows arteries throughout your body.

For more information on modifying risk factors read additional posts on this site. At www.lipsticklogic.com you will also find articles on women’s health.

Best wishes for good health in 2015.

Betty Kuffel, MD and Bev Erickson


The Five/Two Eating Plan

As a method of weight loss and weight control, this easy solution of five/two pertains to a 7 day eating plan. Once you have reached your ideal weight, you transition to healthy baseline calorie intake every day. If you gain a pound, then you can transition back to the 5/2 plan. This is how it works:

·         For 5 days a week, you eat a healthy diet based primarily on fruits, vegetables, a few nuts, a little olive oil, limiting pasta or rice to twice a week. Add limited whole grains tokabob veg the mix, with low-fat meat, including salmon or other similar fish. Mirror your food selections with the Mediterranean diet like people who live along the southern Italian coast and Greek islands. Eating primarily fresh fruits, vegetables, and little saturated fat, they tend to live longer, in better health and with lower heart disease.

·          For two days a week, eat very few calories, only 500-600. The two days must not be consecutive. Instead separate them such as Monday and Thursday.

 Why not do the low calorie days together? Harsh calorie restriction can trigger what researchers call the starvation response. With starvation, the body revs up to store calories by lowering the metabolic rate and packing on calories when food becomes available. It is a natural process to maintain life.

Even though the two low calorie days are not true fasting, if they are consecutive such as Monday and Tuesday, your metabolic rate may be affected. Separating the days, combined with daily exercise such as walking is known to increase metabolic rate and calorie burn. — And, with exercise, you are unlikely to stimulate a starvation response. In fact, with a marked reduction in calorie intake and consistent exercise, you will lose weight.

 British physician Michael Mosley, described the 5/2 diet in his book FastDiet in 2012. In a follow up study done at the Aston University in the UK, they found intermittent fasting (very low calorie days) more effective than daily calorie restriction and calorie counting. Favorable findings included:

  • Reduced weight
  • Reduced inflammation
  • Reduced blood glucose
  • Reduced lipids (cholesterol)
  • Reduced blood pressure

True fasting (consuming no nutrition) has been shown to lower weight, prolong life, lower blood glucose and lower cholesterol levels. However, fasting also lowers metabolic rate, something you do not want, because your body becomes very efficient at storing excess calories and weight returns.

Eating two low calorie days per week is usually safe for Type 2 diabetics. Those taking medications and insulin must consult their medical provider for advice and to help manage medication dosages when reducing calorie intake. In the end, with weight loss, some Type 2 diabetics can reduce or stop some of their medications. Or, for those with borderline glucose elevations, weight loss and the drug Metformin, may help ward off the development of full-blown Type 2 diabetes. Without interventions, most people with borderline elevation of blood glucose will evolve to Type 2 diabetes within ten years.

 Pay special attention to your daily intake:

  • Choose fruits over sweets for desserts.
  • Exercise portion control. Avoid second helpings. Wait 30 minutes and see if you are really still hungry.
  • Do your best to prepare low calorie meals such as turkey breast instead of hot wings or steak.
  • Forget potatoes, pasta, gravy, cheese sauce and fattening salad dressing.
  • If you are preparing meals, serve light calorie recipes and fruit for dessert.
  • Take time to exercise

 Note: If you are, pregnant, breast feeding or a Type 1 diabetic, following a Mediterranean-type cuisine is healthy but do not follow the very low calorie day recommendations. However, this is a heart-healthy approach for those with high blood pressure and heart disease, even those who have had bypass and stent procedures.

 Betty Kuffel, MD

Follow: yourheartbook.com blog for additional updates

*****February 28th is the last day of the Sale*****

Your Heart – Prevent & Reverse Heart Disease in

Women, Men and Children

Kindle e-book $2.99   http://tinyurl.com/kindle-heart-sale     Your Heart Book Cover- Finalwfontchg.2 (Small)

Paperback $9.99   https://www.createspace.com/4330606


National Wear Red Day on February 7th

 In support of American Heart Month, we are providing excerpts from our book

and have reduced prices for the entire month of February.

 Your Heart – Prevent & Reverse Heart Disease in

Women, Men and Children

Kindle e-book $2.99   http://tinyurl.com/kindle-heart-sale     Your Heart Book Cover- Finalwfontchg.2 (Small)

Paperback $9.99   https://www.createspace.com/4330606

Excerpt:    Cardiovascular Disease

Coronary arteries carry blood, nutrients and oxygen to the heart muscle. When waxy cholesterol accumulates within the inner artery wall, it stiffens the artery and begins blocking the flow of blood. The artery disease is called atherosclerosis. The word describes what is happening: athero means fat; sclerosis means hardening. Many people call atherosclerosis “hardening of the arteries.”

Because this destructive process occurs not only in the heart arteries, but in arteries throughout the body, it is called cardiovascular disease. When blood flow is decreased to other organs, such as the kidneys and brain, kidney failure and dementia occur.

Many other forms of heart disease are the result of infection, toxins, hereditary factors and congenital abnormalities over which you have little control. But with the right information, you can take control and treat atherosclerosis. The sooner you make good decisions to improve your health, the more likely you are to add years to your life. Food choices play a huge role. Both men and women are developing coronary artery disease at younger ages. Early evidence of coronary artery disease is even seen in children.

Beginning at a young age, what you eat makes a huge difference. Arteries are more likely to become narrowed throughout the entire body if predominant food choices are:

● High in salt, fat and calories — such as potato chips and French fries

● High in sugar — such as sweet-rolls, pancakes and candy

● High in saturated fats — such as bacon cheese-burgers

Many factors contribute to coronary artery disease; smoking and uncontrolled high blood pressure are two of the most harmful. In the US each year, these two factors are responsible for one-in-five heart related deaths. Next are obesity and inactivity, accounting for approximately one-in-ten heart deaths per year.

Experts agree inflammation is the likely trigger for atherosclerosis. Diabetes, obesity and inactivity are directly related to developing atherosclerosis. Other factors include: high LDL-cholesterol, stress, excessive alcohol intake, and illicit drug use. All of them increase inflammation in the body. Blood tests can measure inflammatory markers that correlate with coronary artery disease.

Daily stress levels rise with holding a job while juggling household responsibilities and securing childcare. Job burn-out, job loss, depression, sleeplessness and anxiety, all raise blood pressure and add to heart disease risks. Additionally, working the night shift adds to serious health problems including heart disease, diabetes and obesity.

Gender makes a difference. Men tend to develop coronary artery disease years earlier than women. Younger, premenopausal estrogen-producing women are typically at lower coronary disease risk than men the same age because estrogen is protective. As postmenopausal women age, their risks soon equal those in men.

This guide will take you through body processes contributing to the coronary artery disease epidemic and provide accurate science-based information about actions to improve your health. Even if you already have been diagnosed with coronary artery disease, you have the ability to stop its progression. Aggressive treatment can reverse changes inside the artery wall.

Remember — prevention is always the best medicine.

More life-saving information like this can be found in Your Heart: Prevent & Reverse Heart Disease in Women, Men & Children

Betty Kuffel, MD

Bev Erickson co-author/artist/cover design


If you are a fast food junkie or frequently eat in restaurants, healthier options are becoming available but it is still up to you to make the choice. Forget the bread; choose baked or grilled options and a salad with low fat dressing.

Guidelines for heart health and weight reduction are everywhere but take a look at shopper’s grocery carts. How many of them are filled with fresh fruits and vegetables? Not many.

Some processed foods may be healthy, but you must read labels carefully and then decide. I WmSonoma hot chocolaterecently wanted to purchase a hot chocolate mix to serve during winter holiday activities. Many products on the shelves contained many ingredients I couldn’t identify as safe, even after years of studying chemistry. I left without making a purchase. Most mixes contained unpronounceable chemicals, plus significant fat and sugar.

 Later I found a hot chocolate powder at Williams-Sonoma made with bittersweet chocolate, sugar and peppermint oil that looked a bit healthier. But, if it’s that difficult to buy a hot chocolate mix, it may take you all day to read all packaged food labels of the items you want to purchase. On the other hand, if you avoid the center isles of the grocery and purchase fresh and frozen products, you will save time and money and have a better chance of improving your health.

Fast Healthy Choices to Consider:

Fat Free Yogurt, raw oatmeal with flax seed is quick and heart healthy

Fresh fruits and vegetables require little preparation – many can be eaten raw.

Fresh meats – wash, season and grill – avoid frying or adding gravy or sauces

Fresh or frozen cold water fish like salmon, cod or trout – marinade and grill in minutes

Avoid sweets, fats and breads (except hearty whole wheat or multi-grains)

Limit your portions


Choose unprocessed grains: oatmeal, steel cut oats, rice, wild rice, barley, whole grain breads. Avoid sugar-rich granola, sugary cereals and white breads.

Choose fresh fruits and vegetables: you’ll save money by purchasing whole or bulk fruits and Saladveggies like bags of potatoes, apples, full sized carrots, heads of lettuce, celery, cauliflower and broccoli – wash and cut them as you need them.

Choose fish and lean meat; boil/bake/broil – no frying. Avoid all fried foods for a healthier heart and weight.

 Med.FoodExercise a minimum of 30 minutes three times a week.


cropped-vitruvian-heart-woman1.jpgSome of my friends believe they can make better choices to attain maximum health and yet I see them regularly exercising and eating wisely. These are two very important actions in the scheme of health and living longer. After seeing parents and relatives die young from smoking, heart disease, diabetes and obesity, they vowed to make personal choices that correlate with better health.

 Other people I know do not exercise and eat wantonly. A common breakfast choice by one particular person is a bacon/sausage omelet with a side of pancakes. This person is more than 100 pounds overweight, has high blood pressure, out-of-control diabetes and has had a heart attack. His choices and health issues provide a view of factors seen in many who contribute to current world statistics placing heart disease as the leading cause of death in women and men.

Coronary artery disease, also called atherosclerosis is a disease in which arteries narrow because of metabolic abnormalities related to lifestyle choices. In the United States, 18% of all deaths are from coronary artery disease. Inflammation is a large component of this disease in conjunction with the accumulation of LDL-cholesterol fat inside blood vessels. Increasing weight leads to Type 2 diabetes and diabetes contributes to the disease process.

You have probably read or heard this scenario so many times you find it boring. Some people say they have tried everything and can’t lose weight. Losing weight is not magical. It doesn’t matter what time of day you eat, whether you drink water before, during or after meals. It doesn’t matter whether your largest meal is in the evening, whether you graze all day, or eat one meal per day. What matters is how much you eat and what you eat. In other words, it is important to balance your food intake with your energy output.

We all need to eat for energy. Without proper food, our body processes are impaired. But when we eat more food than we burn off each day, the body stores that extra food as fat. If the stored fat isn’t burned, it continues to accumulate — that is how the body evolved to survive during times of sparse food.

 Consider these examples:

If you eat one scoop of ice cream (about 400 calories) in addition to your daily calorie needs, you must walk one hour just to burn off that extra 400 calories. If you don’t exercise to burn the extra fuel, your body will store the calories as fat.

Even eating one extra little banana per day (about 100 calories) can add up. In one month you will have consumed 3100 more calories than you needed to maintain your energy needs. At the end of one year, your scale will show you are up by 10 pounds.

One weekly meal that includes a bacon cheeseburger, fries and a shake (about 1500 calories) can put you on the road to obesity. Over a year, without significant additional exercise, that daily fast food meal alone can add up to a 20 pound weight gain per year.

The first step in taking control of your health is to learn how. Making a healthy lifestyle change is within your power. By making healthy changes in your diet and adding exercise to your daily routine, you will begin the road to better health and possibly even extend your life. Just like adults, obese children show signs of early heart disease. Teaching kids to eat right and exercise can also reverse the negative effects of their overeating.

Your Heart is a health guide. Scientific studies over many years support healthy food choices like the Mediterranean diet and vegetarian eating, too. Choose to eat healthy.

Make 2014 the year for better health choices for you and your family. Don’t smoke. Avoid sweets and all fried and fatty foods. Eat fresh fruits and vegetables and add exercise to your day.

Beginning today Your Heart is available at a reduced price in both paperback and Kindle through December 24th. To purchase, click on Kindle Heart book or Paperback Heart book

Happy Holidays


Cardiac arrest

Are there warning signs before the heart stops?

A study reported at the American Heart Association’s Scientific Sessions this month showed sudden death isn’t so sudden after all. Fifty-six percent of the men in an Oregon study had chest pain and didn’t report it. Others had: dizziness, fainting, palpitations and shortness of breath. These may be unrecognized heart symptoms in women, too.

Nearly 400,000 people have cardiac arrests each year and 88% of the events occur at home. Unless medics are called and CPR is started immediately survival is low. Fewer than 10% of those suffering a cardiac arrest survive.

 What can you do?

Learn the symptoms and seek attention before a heart attack or cardiac arrest occurs.

Chest pain is not always the first symptom of coronary artery blockage. More than 50% of people having heart attacks die before reaching the hospital. To improve your chances for survival, pay attention to possible symptoms of reduced heart blood flow. These vary and in women are often subtle.

            Possible heart symptoms: May be mildchest-pain

            ♥ Indigestion, nausea

            ♥ Upper back or abdominal discomfort

            ♥ Aching in neck, jaw, or either arm

            ♥ Short of breath or weak with activity

            ♥ Weakness with mild activity

            ♥ Chest discomfort or pressure

What causes the heart to stop?

Heart disease develops over a lifetime. The slow narrowing within heart arteries is silent — no symptoms. When the blood flow is decreased to the point when symptoms are recognized, the actual blood flow may be restricted by more than 90%. When increased oxygen is needed such as with exercise or stress, the heart beats faster but cannot supply enough blood and the heart muscle suffers. Sometimes sudden death is caused by abnormal fatal rhythms generated by the irritable oxygen-starved conduction system. In a heart attack, the vessel has closed, stopping all blood flow to a portion of the muscle and the heart stops beating.

What are common factors increasing risk for heart disease and sudden death?

Untreated High Blood pressure

Smoking: All tobacco use & second hand smokecigarette smoking quitting

Obesity and high fat diet


High LDL cholesterol

Low HDL cholesterol


Illicit drug use

Excess alcohol



Hands-Only® CPR instructional video recommended for adults since 2008



♥ ♥ ♥ ♥ ♥


Yesterday, experts in cardiovascular disease prevention published new guidelines for heart and vascular health. Based on hundreds of clinical research studies, this is the latest science-based analysis on heart disease and stroke prevention. Source: American College of Cardiology and the American Heart Association.

 My father died in 1960 of coronary heart disease. He was 52 years old. His first heart attackIMG_5818 occurred at age 46. Like many people today, he had familial cholesterol elevation and smoked. Had he known what actions to take to improve his health and the opportunity to take a statin drug to lower his cholesterol, I’m sure he would have added many years to his life. With the new guidelines, we all have the Links to Living Longer.

 The information below is provided to help others take steps to improve cardiovascular health and live longer through healthy actions. I appreciate feedback and questions.

 Thank you,

Betty Kuffel, MD

♥ ♥ ♥ ♥ ♥

 Cardiovascular disease is the number one cause of death.

It is preventable and treatable.

Many people do not follow lifestyle recommendations and do not take medications known to prolong life. These guidelines provide a standardized basis for the best approach to reduce risks and save lives.


Eat Healthy

Vegetable heartCalculate your calorie requirements and follow a Mediterranean or plant-based diet that includes a predominance of fresh foods with 4-5 servings of fruits and vegetables per day, high fiber and whole grain foods, fat-free or low-fat milk products, nuts, lean meat/poultry/fish, limit saturated fat and trans fat, limit sweets and added sugar.

Reduce High Blood Pressure

See your physician for a health evaluation and laboratory studies. Blood pressure monitoring and treatment may be necessary. Reducing salt/sodium intake below 2,000/ day is recommended for most adults. Monitor your own blood pressure and read food labels. Avoiding processed food and salty soups will help reduce blood pressure.

Reduce High Cholesterol

Because of common inherited disorders many people cannot reduce cholesterol to healthy levels even when eating a low fat vegetarian diet and attaining low weight. Some must take a drug to treat the abnormal lipids. (Lipid is a generic term for fat and cholesterol.)

If Necessary, Take Statins

Statins are the most effective drugs to reduce harmful LDL cholesterol. The new guidelines strongly recommend the use of statins while at the same time decreasing your intake of all types of saturated fat including full fat milk products, coconut/palm oil, and all trans fats found in “partially-hydrogenated” fat products. These include margarine and many commercial baked goods. Under new guidelines statins are indicated for people diagnosed with heart disease, Type 2 diabetics aged 40-75, and an LDL of 190 or higher, and other factors if determined to be at risk. LDL is the bad cholesterol. Remember – taking a statin does not mean you can continue to eat bacon cheeseburgers – healthy eating is imperative to reduce risks of heart disease even when taking statins.

Lose Weight

If you are overweight like most Americans, no matter what your age, you are at higher risk for arterial heart disease and vessel disease throughout your body. Children as young as five years old, who are obese, are at risk for early heart disease and diabetes.

With weight gain, fat accumulates in the body contributing to high LDL (bad) cholesterol, higher triglycerides and high blood pressure. All are known to be detrimental to health.

In addition, weight gain correlates with the development of Type 2 diabetes and blood glucose elevation making your risk of heart disease even higher. Avoid diabetes. Treat pre-diabetes (mild elevations of blood glucose).

 To calculate your ideal weight and develop a plan for better heart health, see your physician for guidance. Note: Many websites such as www.realage.com  provide calculators for calorie needs and BMI to determination obesity range. BMI is Body Mass Index. Knowing these guidelines will help you take appropriate action to reduce your health risks.

Be Active

Risk reduction recommendations include activities such as brisk walking for 40 minutes at least 3-4 times a week.

Factors contributing to cardiovascular health include: race, gender, age, total cholesterol, HDL cholesterol, blood pressure, diabetes and smoking.

Uncontrolled high blood pressure, cholesterol abnormalities, excessive weight, diabetes and tobacco use are high risk factors contributing to arterial narrowing, heart disease and stroke.














Even if you have been diagnosed with Type 2 diabetes, coronary artery disease, peripheral vascular disease, or have had a heart attack, stents or a stroke, there is hope for improvement.

 Major risk factors for coronary artery disease are all factors under your control:

♥ Tobacco use – stop smoking or chewing

♥ High blood pressure – meds, weight loss & exercise help lower blood pressure

♥ Cholesterol abnormalities – statin drugs & a low-fat diet help reduce cholesterol

♥ Obesity – exercise and reduced calorie intake help reduce obesityObesity Concept

 ♥ Type 2 diabetes – lower blood sugar with proper diet and insulin

♥ Low activity – take walks, join a fitness center

♥ More than one alcohol drink per day – limit all alcohol consumption

♥ Illicit drug use – get help – stop using illegal drugs

♥ High levels of calcium supplements (over 1200mg/day) – limit supplements


smoke-091Quit using tobacco of any kind, normalize blood pressure, weight and blood glucose. In addition, a medication regimen to improve lipids may be necessary. All these factors contribute to lowering risks and reducing the closure of arteries and stents.

 Stents are inserted into diseased plaqued-blocked arteries to buy time. Bypass grafts provide a route around the blockage. Both are temporary methods used to save lives.

The body accepts the stent and forms a smooth covering over the interior like the natural vessel. If lifestyle changes and medications are not made to keep the stent open, the stent will close just like the diseased artery. Bypass grafts also develop cholesterol plaques. New plumbing buys you time and allows you to take control and improve your health.

 Taking a statin to lower your cholesterol is not a ticket to eating fried foods, bacon cheeseburgers or eggs.

Taking a glucose-lowering medication or insulin, is not a ticket to eating sweets and carbohydrates

 Stents and grafts are not tickets to continue your past eating and lifestyle habits


In addition to cholesterol narrowing in large arteries, microvascular disease  makes small coronary arteries stiff. More common in women, this disorder can also affect men. The cause is not known but is more commonly seen in conjunction with Type 2 diabetes and inflammatory disorders related to autoimmune diseases such as: rheumatoid arthritis, MS and lupus. In addition, anemia, polycystic ovary disease and hormones can contribute to microvascular dysfunction.

Microvascular disease is treated with medication, lifestyle changes, and normalizing all risk factors. Exercise and healthy food choices are key.Family exercise