Chest pain primary prevention

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aisha Adigun, B.Sc., M.D.[2] ,Nuha Al-Howthi, MD[3],


Chest pain from heart disease can be prevented by maintain normal weight, control high blood pressure, high cholesterol, and diabetes, avoid smoking and exercise.

Primary Prevention

Make healthy lifestyle choices to prevent chest pain from heart disease:[1]

  • Achieve and maintain normal weight (BMI < 25 kg/m2) by eating healthy diet focusing on adequate nutrient intake and energy balance recommendations from the American Heart Association (AHA).[2]
  • Control high blood pressure, high cholesterol, and diabetes.[3]
  • Maintain LDL < 100 mg/dl, HDL > 50 mg/dl, and triglyceride levels < 150 mg/dl through diet and exercise. Pharmacologic agents can be used as necessary.[3]
  • Avoid cigarette smoking and secondhand smoke.[3]
  • Eat a diet low in saturated and hydrogenated fats and cholesterol, and high in starches, fiber, fruits, and vegetables.
  • Get at least 30 minutes of moderate intensity exercise on most days of the week, fitness and increasing exercise capacity, one can decrease risk that may result in up to a 35% reduction in CHD.[4][3]
  • Reduce stress.


  1. Turk MW, Tuite PK, Burke LE (2009). "Cardiac health: primary prevention of heart disease in women". Nurs Clin North Am. 44 (3): 315–25. doi:10.1016/j.cnur.2009.06.001. PMC 3459312. PMID 19683093.
  2. American Heart Association Nutrition Committee. Lichtenstein AH, Appel LJ, Brands M, Carnethon M, Daniels S; et al. (2006). "Diet and lifestyle recommendations revision 2006: a scientific statement from the American Heart Association Nutrition Committee". Circulation. 114 (1): 82–96. doi:10.1161/CIRCULATIONAHA.106.176158. PMID 16785338.
  3. 3.0 3.1 3.2 3.3 Mosca L, Banka CL, Benjamin EJ, Berra K, Bushnell C, Dolor RJ; et al. (2007). "Evidence-based guidelines for cardiovascular disease prevention in women: 2007 update". Circulation. 115 (11): 1481–501. doi:10.1161/CIRCULATIONAHA.107.181546. PMID 17309915.
  4. Thompson PD, Buchner D, Pina IL, Balady GJ, Williams MA, Marcus BH; et al. (2003). "Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease: a statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity)". Circulation. 107 (24): 3109–16. doi:10.1161/01.CIR.0000075572.40158.77. PMID 12821592.