Cover image for Cardiovascular health : living your best with a healthy heart / Martin Juneau, M.D., M.Ps., FRCP(C) ; foreword by Pierre Lavoie ; translated by Barbara Sandilands.
Cardiovascular health : living your best with a healthy heart / Martin Juneau, M.D., M.Ps., FRCP(C) ; foreword by Pierre Lavoie ; translated by Barbara Sandilands.
Publication Information:
Toronto : Dundurn, 2018.

Physical Description:
159 pages : color illustrations ; 26 cm
General Note:
Translation of: Un cœur pour la vie.
"Sometimes seems that there are no significant discoveries left to be made in the field of cardiovascular medicine. And yet, globally, this is not the case: cardiovascular diseases are the leading cause of mortality worldwide. Specialists recommend that we adopt a proactive attitude with respect to disease prevention. Cardiovascular health begins with some good news: by modifying lifestyle habits, it is possible to increase the number of healthy years you enjoy. Dr. Martin Juneau examines specific case studies from his own extensive clinical practice to explain new issues in heart health, in language accessible to the non-specialist. From the incredible importance of exercise and diet to the unsuspected role of stress and air pollution, the book explains how the heart works, describes coronary bypasses and other rescue operations, takes readers through promising new research, and keeps you informed of the risks and preventative steps you can take to have a keep a happy, healthy heart."-- Provided by publisher.
Added Author:


Call Number
Material Type
Home Location
616.1205 JUN Book Adult General Collection

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A complete guide to the treatment and prevention of cardiovascular disease.

Being diagnosed with a cardiovascular disease seems unlikely to many, yet cardiovascular diseases are actually the leading cause of mortality worldwide. The good news is that by modifying our lifestyle habits, it's possible to increase both our number of healthy years and our lifespan. While modern medicine has an impressive arsenal of drugs, imaging techniques, and intervention procedures and can usually save patients in the acute phase of a heart attack, heart specialists recommend that we adopt a proactive attitude with respect to disease prevention.

In a simple, easy-to-read style, Dr. Martin Juneau examines specific case studies from his own extensive clinical practice to explain new issues in heart health. From the incredible importance of exercise and diet to the unsuspected role ofstress and air pollution, Cardiovascular Health explains how the heart functions, describes coronary bypasses and other rescue procedures, explores promising new research, and teaches you about the risks and preventative steps you can take to maintain a happy, healthy heart.

Author Notes

Dr. Martin Juneau is a cardiologist who has worked for over thirty years in clinical practice, teaching, and research. He is the director of the prevention division at the Montreal Heart Institute (MHI), and the director of the cardiac rehabilitation and prevention centre of the MHI (EPIC Centre). He is a clinical professor of medicine in the Faculty of Medicine at the Univeristy of Montreal. He lives in Longueuil, Quebec.



Although we all agree that an ounce of preventionis worth a pound of cure, in everydaylife we place our hopes much moreon curing diseases than on preventing them.Governments can be defeated because of problemsrelated to the healthcare system, likewaiting lists that are too long or overflowingemergency rooms, but never because thereisn't enough prevention. It's therefore not accidental that ourhealthcare system is mainly orientedtoward treating diseases while preventionis overlooked. According to the CanadianInstitute for Health Information, in 2013only 5.1% of the total healthcare expenditurein Canada was for public health, whichencompasses activities related to healthpromotion and prevention, a proportionclearly inadequate to counter the damagecaused by smoking, obesity, and a sedentarylifestyle. Like most of my colleagues, I chose tospecialize in cardiology because I wantedto save lives and alleviate the symptoms ofpatients who have cardiovascular disease.Medical progress achieved during the pastcentury has given modern medicine animpressive arsenal of drugs, imaging techniques,and intervention procedures thathave prevented an incalculable numberof premature deaths and contributed to anincreased life expectancy. Although this progress is impressive,cardiologists are the first to realize thelimits of this curative approach every day.For example, even though we can usuallysave patients in the acute phase of a heartattack, it's much more difficult to treatthe underlying causes of the attack -- theprocess of atherosclerosis that attacks theinterior of the coronary arteries, whichnourish the cardiac muscle. As a result,even if they are out of danger in the shortterm, patients who have had an acute heartattack and do not deal with the problemsthat caused the disease (poor diet, sedentariness,smoking) risk having a secondheart attack and, ultimately, developingheart failure, which will undermine theirquality of life. In other words, modern medicine isexcellent and unequalled for treating eventsthat suddenly put a person's life in danger,but its effectiveness remains limited in theface of chronic diseases that develop insidiouslyover decades. Experts agree that lifestyle is one of themain factors in the development of chronicdiseases. For example, the decrease in mortalityobserved since the 1970s in peoplewith cardiovascular disease is due not onlyto medical advances but also to improvementin certain lifestyle habits, in particularthe significant decline in smokingin the last fifty years. Unfortunately, it'sthought that these recent gains will becancelled out by the negative effects ofobesity and junk food, and we are alreadybeginning to glimpse the first signs of anincrease in the incidence of cardiovasculardisease in young people. In an editorialthat appeared recently in the medicaljournal JAMA Cardiology, Dr. Donald M.Lloyd-Jones of the Department of PreventiveMedicine at Northwestern Universityin Chicago underlined that the gains madein the last fifty years will be erased by thelargest epidemic of chronic diseases in thehistory of humanity. Since 1985 we have,in fact, witnessed steady increases in obesityand diabetes, affecting every age groupin society and contributing to a resurgencein cardiovascular disease, especiallyin young adults. What's more, recent datashow that the incidence of heart attackshas not decreased in the last ten years inmen ages 30 to 54 and that it has actuallyincreased among women in this age group. This is an alarming situation. Oneserious problem our society faces is thathealthy life expectancy, without incapacitatingillness, has not increased as fast as totallife expectancy. For example, in Canada lifeexpectancy is 79 years of age for men and 83for women, whereas healthy life expectancyis just 69 for men and 71 for women -- adifference of ten and twelve years, respectively.A great many people will spend thelast ten or twelve years of their lives in poorhealth despite medical progress. This situationmay get worse in coming years becauseof the dramatic increase in obesity and thechronic diseases resulting from it. Fortunately, despite the seriousness ofthe problem, many studies have shownthat the majority of chronic diseases, andespecially cardiovascular disease, can beavoided or greatly delayed by makingsimple lifestyle changes. These studies tellus that we must not just give up: we canavoid the premature onset of diseases associatedwith aging and thus dramaticallyimprove our quality of life. Our lifespanhas its limits, but taking action to shortenthe period of late-life disability as muchas possible lets us maximize the potentialof human life. . For more than three decades of clinicalpractice and research at the Montreal HeartInstitute (MHI) and its prevention centre(the EPIC Centre), I have been in a positionto see, every day, the degree to which peoplewho decide to profoundly change theirlifestyle can improve their health and qualityof life. The effects are often impressive:many patients who complete a secondaryprevention program after a heart attack orsurgery say they are in much better shapethan before their cardiac event because ittriggered major changes in their lifestyle. The aim of this book is to share with youmy belief that chronic diseases, and cardiovasculardisease in particular, are not inevitableand that it's possible, by changingour habits, to live a long and healthy life. Excerpted from Cardiovascular Health: Living Your Best with a Healthy Heart by Martin Juneau All rights reserved by the original copyright owners. Excerpts are provided for display purposes only and may not be reproduced, reprinted or distributed without the written permission of the publisher.

Table of Contents

Forewordp. 9
Introductionp. 13
Chapter 1 Healthy Life Expectancy and Chronic Diseasesp. 17
Perceived Decline in Life Expectancy in Younger Generationsp. 19
Chronic Diseasesp. 20
Collateral Effectsp. 23
What About Genetics?p. 24
Telomeres and Lifestyle Habitsp. 25
Chapter 2 Coronary Disease and Its Treatmentsp. 27
Circulatory Traffic Jamsp. 28
What Is Angina?p. 29
What's the Difference Between Angina and a Heart Attack?p. 31
Heart Attack and Sudden Deathp. 31
Restoring Circulationp. 32
Long-Term Treatment After Angioplasty and Cardiac Surgeryp. 35
Treating an Acute Heart Attack or Unstable Anginap. 35
Chapter 3 At the Heart of the Problem: Atherosclerosisp. 39
An Inflammatory Diseasep. 39
Innate Predispositionp. 41
Risk Factorsp. 43
Targets for Preventionp. 44
Cholesterolp. 46
High Blood Pressurep. 47
Metabolic Syndromep. 48
Chapter 4 Diet and Cardiovascular Diseasep. 53
The Healthy Eating Platep. 54
Plant Protectionp. 56
Cereal Grains: The Importance of Whole Grainsp. 58
Diversity of Protein Sourcesp. 62
Choosing Your Fats Wiselyp. 66
Chapter 5 Diet: Effects on Human and Planetary Healthp. 71
Benefits for the Heartp. 71
A Plant-Based Diet: Reversing Coronary Diseasep. 73
Good for the Health of the Planetp. 81
Chapter 6 Exercise: The Best Medicinep. 85
Working Your Heart Outp. 86
Minimum Effortp. 89
Extreme Exercisep. 93
Brief but Intensep. 96
Not to Lose Weight!p. 97
Motivated to Get Movingp. 100
Air Pollution and Cardiovascular Diseasep. 100
Getting a Move on After a Heart Attackp. 102
Chapter 7 Stress and Heart Diseasep. 105
A Broken Heartp. 107
Chronic Stressp. 107
Depression and Cardiovascular Diseasep. 109
Stress Managementp. 111
Chapter 8 Tobacco and Electronic Cigarettesp. 115
Tobacco and Cardiovascular Diseasep. 115
Second-Hand Smokep. 116
Tobacco Control Measuresp. 117
Quitting Smoking Has Almost Immediate Benefitsp. 117
How to Quit Smoking Successfullyp. 118
Electronic Cigarettes: A Solution or a New Problem?p. 119
Chapter 9 Statins in Primary and Secondary Preventionp. 125
From Mould to Medicinep. 125
Preventing Recurrencep. 126
Prevention at the Sourcep. 130
What Should You Do If Your Doctor Recommends a Statin?p. 133
Side Effects of Statinsp. 134
A Holistic Approachp. 137
Conclusionp. 141
To Learn Morep. 142
Acknowledgemwentsp. 155
About the Authorp. 156
About the EPIC Centrep. 158
Photo Creditsp. 159