Monitor These Conditions to Keep Your Heart in Tip-Top Shape
Published Feb. 9, 2023
Heart disease is the leading cause of death for men and women nationally, as well as in Hawaiʻi.
Dr. John Kao, the section chief of cardiology for Hawaiʻi Pacific Health Medical Group based at Pali Momi Medical Center, appeared on Hawaiʻi News Now during American Heart Month to talk about some of the risk factors for heart disease – particularly, hypertension and diabetes – along with signs or symptoms people should look out for.
"Common risk factors that we tell patients to monitor are smoking, high cholesterol and family history of heart disease," Kao said, adding that two risk factors more prevalent in Hawaiʻi's population include hypertension and diabetes.
"If we could get a handle on these conditions, it would really reduce the incidence of heart disease and other serious complications," Kao said.
According to Kao, prevention is key. Those looking to improve their heart health can start with their diet.
"Kimchee fried rice, loco moco – these foods are absolutely delicious, but absolutely horrible for your heart," Kao said.
Instead, he advised incorporating heart-healthy foods like fish, chicken, fresh fruits and vegetables, and whole grains to your meals.
"Stay away from high-sodium, highly processed foods," he cautioned.
Regular exercise can also help keep your heart in tip-top shape.
"Get out and be active," Kao said. "The recommendation is 30 minutes, five days a week of moderate exercise. But if you're not there yet, get out and start walking."
However, with heart disease remaining the leading cause of death in the United States, Kao said everyone should know the common, and not-so-common, signs and symptoms of a heart attack.
"Heaviness, tightness, pressure and squeezing in your chest – these are the most common signs we talk about when it comes to a heart attack. But they only are present in about 40%-50% of patients," Kao said.
Less common, or atypical symptoms can include shortness of breath or a burning in the chest.
"A lot of times, people will come in thinking they have GERD, an ulcer or heartburn," Kao said. "There are two populations where atypical symptoms are actually more common, and that is in women and in elderly patients. Those two populations we have to be really careful about.
"If you're having symptoms that don't feel right, you want to get those checked."
This segment originally aired Feb. 8, 2023, as part of the Hawaiʻi News Now "Sunrise" Healthier Hawaiʻi series. Watch the full broadcast here or below.
View transcript
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a lot of times people come in thinking they have, you know, having a lot of times people come in thinking they have, you know, having a a lot of times people come in thinking they have, you know, having a GERD,1 minute, 21 seconds
a lot of times people come in thinking they have, you know, having a GERD, an a lot of times people come in thinking they have, you know, having a GERD, an ulcer a lot of times people come in thinking they have, you know, having a GERD, an ulcer of thinking they have, you know, having a GERD, an ulcer of thinking they have, you know, having a GERD, an ulcer of heartburn.1 minute, 23 seconds
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about if you're having symptoms that you don't think is a heart attack, but about if you're having symptoms that you don't think is a heart attack, but it symptoms that you don't think is a heart attack, but it symptoms that you don't think is a heart attack, but it doesn't symptoms that you don't think is a heart attack, but it doesn't feel symptoms that you don't think is a heart attack, but it doesn't feel right.1 minute, 42 seconds
symptoms that you don't think is a heart attack, but it doesn't feel right. Want symptoms that you don't think is a heart attack, but it doesn't feel right. Want to is a heart attack, but it doesn't feel right. Want to is a heart attack, but it doesn't feel right. Want to get is a heart attack, but it doesn't feel right. Want to get those is a heart attack, but it doesn't feel right. Want to get those checked? is a heart attack, but it doesn't feel right. Want to get those checked? Well, doesn't feel right. Want to get those checked? Well, doesn't feel right. Want to get those checked? Well, Doctor,1 minute, 45 seconds
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there in the first place. So how do we be more heart healthy? Right, so there in the first place. So how do we be more heart healthy? Right, so yeah, how do we be more heart healthy? Right, so yeah, how do we be more heart healthy? Right, so yeah, absolutely. how do we be more heart healthy? Right, so yeah, absolutely. Prevention.1 minute, 59 seconds
how do we be more heart healthy? Right, so yeah, absolutely. Prevention. You healthy? Right, so yeah, absolutely. Prevention. You healthy? Right, so yeah, absolutely. Prevention. You know,1 minute, 59 seconds
healthy? Right, so yeah, absolutely. Prevention. You know, it's healthy? Right, so yeah, absolutely. Prevention. You know, it's always healthy? Right, so yeah, absolutely. Prevention. You know, it's always better healthy? Right, so yeah, absolutely. Prevention. You know, it's always better to absolutely. Prevention. You know, it's always better to absolutely. Prevention. You know, it's always better to prevent absolutely. Prevention. You know, it's always better to prevent these absolutely. Prevention. You know, it's always better to prevent these from absolutely. Prevention. You know, it's always better to prevent these from happening know, it's always better to prevent these from happening know, it's always better to prevent these from happening instead know, it's always better to prevent these from happening instead of know, it's always better to prevent these from happening instead of taking know, it's always better to prevent these from happening instead of taking care know, it's always better to prevent these from happening instead of taking care of know, it's always better to prevent these from happening instead of taking care of it prevent these from happening instead of taking care of it prevent these from happening instead of taking care of it after prevent these from happening instead of taking care of it after the prevent these from happening instead of taking care of it after the fat.2 minutes, 2 seconds
prevent these from happening instead of taking care of it after the fat. You prevent these from happening instead of taking care of it after the fat. You know,2 minutes, 2 seconds
prevent these from happening instead of taking care of it after the fat. You know, the instead of taking care of it after the fat. You know, the instead of taking care of it after the fat. You know, the food instead of taking care of it after the fat. You know, the food here instead of taking care of it after the fat. You know, the food here in instead of taking care of it after the fat. You know, the food here in Hawaiʻi instead of taking care of it after the fat. You know, the food here in Hawaiʻi is instead of taking care of it after the fat. You know, the food here in Hawaiʻi is great. after the fat. You know, the food here in Hawaiʻi is great.2 minutes, 4 seconds
after the fat. You know, the food here in Hawaiʻi is great. And after the fat. You know, the food here in Hawaiʻi is great. And she after the fat. You know, the food here in Hawaiʻi is great. And she fried after the fat. You know, the food here in Hawaiʻi is great. And she fried rice,2 minutes, 5 seconds
after the fat. You know, the food here in Hawaiʻi is great. And she fried rice, loco after the fat. You know, the food here in Hawaiʻi is great. And she fried rice, loco moco, food here in Hawaiʻi is great. And she fried rice, loco moco,2 minutes, 5 seconds
food here in Hawaiʻi is great. And she fried rice, loco moco, you food here in Hawaiʻi is great. And she fried rice, loco moco, you know,2 minutes, 6 seconds
food here in Hawaiʻi is great. And she fried rice, loco moco, you know, these food here in Hawaiʻi is great. And she fried rice, loco moco, you know, these things food here in Hawaiʻi is great. And she fried rice, loco moco, you know, these things are And she fried rice, loco moco, you know, these things are And she fried rice, loco moco, you know, these things are absolutely And she fried rice, loco moco, you know, these things are absolutely delicious,2 minutes, 8 seconds
And she fried rice, loco moco, you know, these things are absolutely delicious, but you know, these things are absolutely delicious, but you know, these things are absolutely delicious, but absolutely you know, these things are absolutely delicious, but absolutely horrible you know, these things are absolutely delicious, but absolutely horrible for you know, these things are absolutely delicious, but absolutely horrible for your absolutely delicious, but absolutely horrible for your absolutely delicious, but absolutely horrible for your heart.2 minutes, 9 seconds
absolutely delicious, but absolutely horrible for your heart. So absolutely delicious, but absolutely horrible for your heart. So you absolutely delicious, but absolutely horrible for your heart. So you want absolutely delicious, but absolutely horrible for your heart. So you want to absolutely delicious, but absolutely horrible for your heart. So you want to target absolutely horrible for your heart. So you want to target absolutely horrible for your heart. So you want to target healthier absolutely horrible for your heart. So you want to target healthier foods, absolutely horrible for your heart. So you want to target healthier foods, fish, heart. So you want to target healthier foods, fish, heart. So you want to target healthier foods, fish, chicken,2 minutes, 13 seconds
heart. So you want to target healthier foods, fish, chicken, fresh heart. So you want to target healthier foods, fish, chicken, fresh fruits heart. So you want to target healthier foods, fish, chicken, fresh fruits and healthier foods, fish, chicken, fresh fruits and healthier foods, fish, chicken, fresh fruits and vegetables,2 minutes, 15 seconds
healthier foods, fish, chicken, fresh fruits and vegetables, whole healthier foods, fish, chicken, fresh fruits and vegetables, whole grains,2 minutes, 17 seconds
healthier foods, fish, chicken, fresh fruits and vegetables, whole grains, stay chicken, fresh fruits and vegetables, whole grains, stay chicken, fresh fruits and vegetables, whole grains, stay away chicken, fresh fruits and vegetables, whole grains, stay away from chicken, fresh fruits and vegetables, whole grains, stay away from you chicken, fresh fruits and vegetables, whole grains, stay away from you know,2 minutes, 18 seconds
chicken, fresh fruits and vegetables, whole grains, stay away from you know, high vegetables, whole grains, stay away from you know, high vegetables, whole grains, stay away from you know, high sodium,2 minutes, 18 seconds
vegetables, whole grains, stay away from you know, high sodium, highly vegetables, whole grains, stay away from you know, high sodium, highly processed away from you know, high sodium, highly processed away from you know, high sodium, highly processed foods,2 minutes, 19 seconds
away from you know, high sodium, highly processed foods, and away from you know, high sodium, highly processed foods, and then away from you know, high sodium, highly processed foods, and then get away from you know, high sodium, highly processed foods, and then get out away from you know, high sodium, highly processed foods, and then get out and away from you know, high sodium, highly processed foods, and then get out and be sodium, highly processed foods, and then get out and be sodium, highly processed foods, and then get out and be active.2 minutes, 23 seconds
sodium, highly processed foods, and then get out and be active. The sodium, highly processed foods, and then get out and be active. The recommendation sodium, highly processed foods, and then get out and be active. The recommendation is foods, and then get out and be active. The recommendation is foods, and then get out and be active. The recommendation is 30 foods, and then get out and be active. The recommendation is 30 minutes,2 minutes, 27 seconds
foods, and then get out and be active. The recommendation is 30 minutes, five foods, and then get out and be active. The recommendation is 30 minutes, five days foods, and then get out and be active. The recommendation is 30 minutes, five days a foods, and then get out and be active. The recommendation is 30 minutes, five days a week active. The recommendation is 30 minutes, five days a week active. The recommendation is 30 minutes, five days a week of active. The recommendation is 30 minutes, five days a week of moderate active. The recommendation is 30 minutes, five days a week of moderate exercise,2 minutes, 28 seconds
active. The recommendation is 30 minutes, five days a week of moderate exercise, but active. The recommendation is 30 minutes, five days a week of moderate exercise, but if 30 minutes, five days a week of moderate exercise, but if 30 minutes, five days a week of moderate exercise, but if you're 30 minutes, five days a week of moderate exercise, but if you're not 30 minutes, five days a week of moderate exercise, but if you're not there 30 minutes, five days a week of moderate exercise, but if you're not there yet,2 minutes, 30 seconds
30 minutes, five days a week of moderate exercise, but if you're not there yet, you of moderate exercise, but if you're not there yet, you of moderate exercise, but if you're not there yet, you know,2 minutes, 31 seconds
of moderate exercise, but if you're not there yet, you know, just of moderate exercise, but if you're not there yet, you know, just get of moderate exercise, but if you're not there yet, you know, just get out of moderate exercise, but if you're not there yet, you know, just get out and of moderate exercise, but if you're not there yet, you know, just get out and start you're not there yet, you know, just get out and start you're not there yet, you know, just get out and start walking. you're not there yet, you know, just get out and start walking. Yeah,2 minutes, 32 seconds
you're not there yet, you know, just get out and start walking. Yeah, we'll you're not there yet, you know, just get out and start walking. Yeah, we'll give you're not there yet, you know, just get out and start walking. Yeah, we'll give it you're not there yet, you know, just get out and start walking. Yeah, we'll give it a know, just get out and start walking. Yeah, we'll give it a know, just get out and start walking. Yeah, we'll give it a shot. know, just get out and start walking. Yeah, we'll give it a shot. Dr. know, just get out and start walking. Yeah, we'll give it a shot. Dr. Gao,2 minutes, 33 seconds
know, just get out and start walking. Yeah, we'll give it a shot. Dr. Gao, thank know, just get out and start walking. Yeah, we'll give it a shot. Dr. Gao, thank you know, just get out and start walking. Yeah, we'll give it a shot. Dr. Gao, thank you for walking. Yeah, we'll give it a shot. Dr. Gao, thank you for walking. Yeah, we'll give it a shot. Dr. Gao, thank you for your walking. Yeah, we'll give it a shot. Dr. Gao, thank you for your time.2 minutes, 35 seconds
walking. Yeah, we'll give it a shot. Dr. Gao, thank you for your time. Thank walking. Yeah, we'll give it a shot. Dr. Gao, thank you for your time. Thank you walking. Yeah, we'll give it a shot. Dr. Gao, thank you for your time. Thank you very walking. Yeah, we'll give it a shot. Dr. Gao, thank you for your time. Thank you very much shot. Dr. Gao, thank you for your time. Thank you very much shot. Dr. Gao, thank you for your time. Thank you very much for shot. Dr. Gao, thank you for your time. Thank you very much for having shot. Dr. Gao, thank you for your time. Thank you very much for having me.2 minutes, 38 seconds
shot. Dr. Gao, thank you for your time. Thank you very much for having me. Thank shot. Dr. Gao, thank you for your time. Thank you very much for having me. Thank you shot. Dr. Gao, thank you for your time. Thank you very much for having me. Thank you and your time. Thank you very much for having me. Thank you and your time. Thank you very much for having me. Thank you and thank your time. Thank you very much for having me. Thank you and thank you your time. Thank you very much for having me. Thank you and thank you for your time. Thank you very much for having me. Thank you and thank you for helping your time. Thank you very much for having me. Thank you and thank you for helping to your time. Thank you very much for having me. Thank you and thank you for helping to make for having me. Thank you and thank you for helping to make for having me. Thank you and thank you for helping to make this for having me. Thank you and thank you for helping to make this a for having me. Thank you and thank you for helping to make this a healthier for having me. Thank you and thank you for helping to make this a healthier Hawaiʻi.2 minutes, 46 seconds
thank you for helping to make this a healthier Hawaiʻi.Dr. John Kao, the Section Chief of Cardiology at Pali Momi Medical Center, talks about some of the risk factors for heart disease plus signs to look out for.
