Risk factors

Nurse taking a pulse - British Heart FoundationA risk factor is something that increases your chance of getting a disease. The more risk factors for coronary heart disease you have, the greater your chance of developing it.

Reducing your risk

You can help to reduce the impact of some risk factors by making changes to your lifestyle, and also by taking any medicines prescribed by your doctor. There are several risk factors for coronary heart disease and stroke. The main ones are shown below:

High blood pressure

High blood pressure is blood pressure which is constantly higher than the recommended level, which can greatly increase your risk of having a heart attack or stroke.

It is said to be a silent threat as there are usually no symptoms. The only way of knowing is to have it measured by your GP or nurse.

Physical activity

If you are inactive, you have twice the risk of dying from coronary heart disease compared with active people. Being active provides long term benefits for your heart health but also your general health too.

Smoking

Smoking is one of the major risk factors for coronary heart disease, and smokers have nearly twice the risk of having a heart attack compared to people who have never smoked.

Giving up smoking is the single most important thing you can do to improve your heart health.

Diabetes

Overtime diabetes can cause damage to your heart and blood vessels, which increases the risk of developing coronary heart disease, stroke and peripheral vascular disease.

There are two types of diabetes; Type 1 is less common and usually develops in children and young adults, whereas Type 2 is much more common and tends to develop after the age of 40 and is closely linked to:

High blood cholesterol

Cholesterol is a fatty substance found in the blood, and plays an essential role in how every cell in the body works. It's mainly made in the body, however, too much cholesterol in the blood can increase your risk of cardiovascular disease.

Diet

A healthy diet helps to reduce your risk of developing heart disease by helping to control cholesterol levels and blood pressure, and also keep you within a healthy weight and body shape.

If you've already got a heart condition, a healthy diet will also help to protect your heart.

Your sex

Men are more likely to develop coronary heart disease at an earlier age than women.

Age

The older you are, the more likely you are to develop coronary heart disease.

Ethnic background

People from South Asian or black African backgrounds are at a higher risk of coronary heart disease and stroke. Some risk factors appear to have a greater effect on these people. For example, those from South Asian backgrounds tend to put weight on around their middle, increasing their risk of coronary heart disease, stroke and diabetes.

Furthermore, people from African-Caribbean backgrounds have the highest risk of developing high blood pressure of all the ethnic minority groups in the UK.

Family history

If your father, mother, brother or sister has, or had, coronary heart disease or a stroke at a young age (under 65 for women or under 55 for men), you may be at an increased risk of developing it.

If coronary heart disease runs in your family, you need to take more care with your risk factors.

There's no single gene that increases your risk of getting heart disease. It's likely that several genes are responsible, and BHF-funded scientists are discovering more all the time.

Family habits can affect you too – such as what you learn about eating whilst growing up, or whether anyone in your family smokes. However, whilst you can’t change your family's background, you can choose your lifestyle.

Over 40? Get a health check

Also called a heart health assessment or cardiovascular risk assessment, a health check is an assessment carried out by your GP or practice nurse to find out your risk of coronary heart disease, and available to anyone over 40.

Based on your results, your GP or nurse will advise you on what you can do to keep your heart healthy, and consider treatment - such as medicine to protect your heart.

Other risks

The following factors may also increase your risk of developing coronary heart disease or having a stroke.

Poverty

People on lower incomes are more exposed to the risk factors for coronary heart disease and stroke, and are less likely to make healthy lifestyle choices.

How you deal with stress

Stress is not a direct risk factor for cardiovascular disease, but it’s possible that it may contribute depending on your coping mechanism.

Some people cope with stress with risky behaviour – such as smoking, drinking too much alcohol and overeating. These increase your risk of developing cardiovascular disease. 

High alcohol intake

Drinking more than the recommended limits can have a harmful effect on the heart.It can cause abnormal heart rhythms, high blood pressure, damage to the heart muscle and other diseases such as stroke, liver problems and some cancers.

Alcohol is also high in calories so it can lead to weight gain. If you are trying to lose weight, cut down on alcohol.