p Eb H nu ecl SeÉ abé (in Bengali) wkfv e nv U i hzœ bqv hvq Looking after your heart ph C j m q VÑl Ap M fê aqa Ll h

p Eb H nu ecl SeÉ abé (in Bengali) wkfv e nv U i hzœ bqv hvq Looking after your heart ph C j m q VÑl Ap M fê aqa Ll h

HC f Ù¹L pçf LÑ LR Lb RxebhvÎv cöbjx Z mvaviy wkqz cwiez b G b wk fv e Avcwb Avcbvi nv U i hzœ wb Z cv ib Ges nv U i wkqz mgm v, hgb K ivbvix nv U i AmyL (G vbrvbbv I nvu G vuvk), ªvK BZ vw`i SuywK Kgv Z cv ib, GB cyw Kvq Zv Av jvpbv Kiv n q Q nv U i GB me mgm v K ejv nq nv U i AmyL hy³iv R g Zy i me P q eo GKUv KviY n jv nv U i AmyL GwU cöwz wzbwu Z GKwUiI ewk g Zy i KviY hy³iv R emevmiz `w b Gkxq es kv ~Z jvk `i we kl K i GB ivm niqvi AvksKv ekx GB cyw KvwU Zv `i Rb hv `i GL bv nv U i mgm v nqwb Avcbvi hw` BwZg a nv U i mgm v n q _v K Z e nv U i ivmmö jvk `i Rb we kl K i jlv 46 c ôvq ZvwjKvf~³ eb jv cov Avcbvi Rb AwaKZi Dc hvmx HC f Ù¹L u B m Qa hou m nv U i AmyL wk Kvb Kvb welq nv U i Amy Li SzuwK evovq Avcbvi Wv³vi hw` Avcbvi nv U i Amy Li SzuwK wby qi cix v K ib Z e cix vi djvdj _ K wk eysv hv e, Ges wk fv e Avcwb Avcbvi nv U i hzœ b eb Ges nv U i Amy Li SzuwK Kgv eb HC f Ù¹L l abé hm Bfe l X š² l k e Bfe l AhØq pð å S ee a yl Ef c nl hlòf euz HC f Ù¹L Cw l S, Sl a, q ¾c, f ¾S h J Ec Ñ i o u f Ju k u z k ph ivmxi BaÈ u-üse, ph c el l h ü ØqÉ- fn S h Iph i o fs a S ee e a y cl SeÉ HC f Ù¹L fël na q u R h wm i o u z 2 Looking after your heart

p Q fœ nv U i AmyL wk? 4 nv U i AmyL Kb nq? 8 Avgvi nv U i Amy Li SzuwK Av Q wk bv wkfv e eys ev? 10 Avwg wkfv e SuywK Kgv Z cvwi? 13 a~gcvqx n j a~gcvb Z vm Ki b 14 ^v wewa m Z IRb I `nvk wz ervq ivlyb 21 AwaK kvixwik cwikªgx nvb 25 ^v m Z Lvevi Lvb 28 cöwzw`b Kgc cuvp fvm dj I mewr Lvb 31 Pwe, we kl K i m ú ³ Pwe Kg Lvb 33 mßv n GK fvm ˆZjv³ gvq Lvb 37 Kg jeb Lvb 38 g` 39 Avcbvi e vw cömvi wbqš b ivlyb 41 Avcbvi Wvq ewum wbqš b ivlyb 43 cvwievwik BwZnvm 44 gvbwmk Pvc wk nv U i Amy Li Kvib n Z cv i? 44 AwaK Z _ i Rb 46 Z_ m~î 48 cwifvlv 49 wbn U 51

nv U i AmyL wk? nv U i AmyL ej Z K ivbvix nv U i AmyL (G vbrvbbv I nvu G vuvk), ªvK mn me ai Yi nvu I i³ mâj bi AmyL K evsvq hy³iv R cöwz PviR b GKRb cyi l I cöwz QqR b GKRb gwnjv K ivbvix nv U i Amy L gviv hvb fvizxq, evsjv `kx, cvwk vbx Ges kªxjskvb, hy³iv R emevmiz GBme `w b Gkxq jvk `i nv U i Amy Li SzuwKi cwigvb AwaKZi ekx 1 nvu wkfv e KvR K i nvu n Q gywóe nv Zi mgvb GKwU gvsm ckx Bnv wgwb U 70 evi úw `Z n q mviv kix i cv ú K i i³ mâvwjz K i i³ Aw Rb msmön Kivi Rb nvu _ K dzmdz m hvq Aw Rb mg n q i³ nv U wd i Av m Ges agbxz š i gva g mâvwjz n q kix ii me A ½ mâvwjz nq Aw Rb mieivn K i i³ wkivi gva g Avevi nv U wd i Av m Ges AveviI dzmdz m mâvwjz nq GB cöwµqv K i³ mâvjb e j agyx nvu agyx 4 Looking after your heart

nvu Wvb K ivbvix AvU vix ev agbx evg K ivbvix AvU vix ev agbx K ivbvix AvU vix ev agbxi gva g nv U i gvsm ckx wb Ri Rb i³ mieivn c q _v K K ivbvix AvU vix n Q nv U i c ó Aew Z i³ bvwjkv K ivbvix nv U i AmyL ax i ax i G v _ ivgv bvgk Pwe RvZxq c`v_ Øviv agbxi `qvj Av Qvw`Z n q h Z cv i Gi d j agbx mi n q nv U i³ mieiv n evav m wó n j K ivbvix nv U i AmyL nq G Z G vbrvbbv (ey K e v_v) n Z cv i A_ev hw` Kvb K ivbvix agbx cy ivcywi eü n q hvq Z e nvu G vuvk n Z cv i agbx Z Pwe RvZxq c`v_ Rg j wk N U agbxi `qvj G v _ ivgv Rgv n Q G v _ ivgv Rgv n Q G v _ ivgv agbxi fzi i³ cöev n evauv m wó Ki Q hlb Pwe RvZxq c`v_ agbx Z mwâz nq, ZLb agbx mi n q hvq Ges agbxi ga w` q i³ cöevwnz niqv AZ š KwVb n q c o Looking after your heart 5

óªvk i³ gw i Rb cö qvrbxq cywó I Aw R bi RvMvb `q Nv oi fz i agbx Z G v _ ivgv mwâz n j gw i³ mieiv n evavi m wó nq hlb gw Ki Kvb As k i³ mieivn eü n q hvq, hgb- i³ RgvU eu a hw` gw i³ mievivnkvix agbx K eü K i `q, ZLb ªvK nq i³ mieivn bv n j gw i Kvl jv wzmö ev aÿsm n q h Z cv i gw kix ii me Kg KvÛ wbqš b K i, Kv RB ªv Ki Kvi Y Avgv `i kixwik ev gvbwmk gzv e vnz n Z cv i ªv Ki m ú K AwZwi³ Z _ i Rb hvmv hvm Ki b The Stroke Association Stroke Helpline 0845 3033 100 www.stroke.org.uk 6 Looking after your heart

nv U i AmyL Kb nq? Avcbvi Kvb Kvb Ae v Ges Rxeb hvcb c wz Avcbvi nv U i Amy Li SzuwK evov Z cv i G jv K ejv nq SuywKc~Y Dcv`vb wkqz wkqz SuywKc~Y Dcv`v bi e vcv i Avcwb wkqz Ki Z cv ib, wkš wkqz SuywKc~Y Dcv`vb Av Q Zv K Avcwb e`jv Z cvi eb bv hme SzuwKc~Y Dcv`vb m ú K Avcwb wkqz Ki Z cv ib - Zvn jv: a~gcvb D P gvîvi i ³i Kv j v ivj nvb e vw cömvi AwZwi³ IRb Wvq ewum h _ô kvixwik cwikªg bv Kiv 13-43 c ôvq G m ú K Av iv e L v `Iqv n q Q 8 Looking after your heart

hme SuywKc~Y Dcv`vb Avcwb cwiez b Ki Z cv eb bv wkqz wkqz SuywKc~Y Dcv`vb Avcbvi wbqš bi evb i, m jv n PQ: nv U i Amy Li cvwievwik BwZnvm cvwievwik BwZnvm ej Z eysvq 55 ermi eq mi c~ e hw` Avcbvi evev ev fvb qi wksev 65 eqi eq mi c~ e hw` Avcbvi gv ev ev bi nv U i AmyL aiv c o Avcbvi G_wbK (RvwZMZ cwipq) e vkmövd W hy³iv R emevmkvix Ab vb Rb Mvwôi P q `w b Gkxq jvkr bi 69 ermi eq mi c~ e g Zz i cwigvb wø b ch š n q _v K 2 cvwk vbx cyi l I gwnjv Ges evsjv `kx cyi l `i SzuwK Ab vb `w b Gkxq `i P q ekx 2 Avcbvi eqm eqm hz evo Z _vk e nvu wwwr Ri AvksKvI ZZ cöej n e Avcbvi nvu K myiw Z ivlyb SuywKc~Y Dcv`vb Avcbvi hz ekx _vk e, nvu wwwrr niqvi AvksKvI ZZ cöej n e nv U i Amy Li AvksKv ˆkke _ KB ïi nq GKUv wkï wk Lvq, wk cwigvb ˆ`wnK kªg K i, Ges Ab vb Dcv`vb, me wkqzi Dci nv U i AmyL n e wkbv Zv wbf i K i Kv RB wkï _ K cövß eq I cwiev ii mevib nv U i myi vi Rb Rxeb hvcb cöbvjx cwiez b Kiv i Z c~y Looking after your heart 9

Avgvi nv U i AmyL nevi SuywK Av Q wkbv wk fv e eys ev? Avcbvi Wv³vi ev bvm Avcbvi nv U i AmyL niqvi SuywK Av Q wkbv wby q Kivi Rb GKwU cix v Ki Z cv ib nv U i Amy Li SuywK cwigvck G cix v _ K Avcwb nvu K my ivlvi Rb wk Ki Z cv ib m e vcv i g~j evb Z_ c Z cv ib Gi _ K Avcbvi nv U i myi vi e vcv i wpwkrmv, hgb- Jla `ikvi wkbv ZvI w i Ki Z cv ib Avcbvi Rxeb hvcb cöyvjx, hgb-avcwb a~gcvb K ib wkbv, Avcwb wk cwigvb kvixwik kªg K ib Ges wk ai Yi Lv` MÖnb K ib, Gme e vcv i cökœ Ki eb Avcbvi IRb, `N I Kvg ii gvc b eb Avcbvi e vw cömvi gvc eb Avcbvi Kv j ivj gvîv gvcvi Rb cix v Ki eb Avcbvi G_wbK (RvwZMZ cwipq) e vkmövd W m ^ Ü Rvb Z PvB eb Avcbvi nv U i Amy Li cvwievwik BwZnvm m ú K Rvb Z PvB eb GB cix vi mgq Wv³vi I bvm hv Ki ebnv U i Amy Li SyuwK wby q KejgvÎ GKUv welq, hgb- Avcbvi Kv j ivj gvîvi Dci i Z bv w` q me jv Dcv`vb KB Avg j Avb Z n e KviY, Avcbvi SuywKc~Y Dcv`vb hz ekx _vk e, Avcbvi nv U i Amy Li m vebv ZZ ekx n e (nv U i AmyL n q Q e j ZLbB aiv n e hlb Avcbvi K ivbvix nv U i AmyL kbv³ n e, nvu G vuvk ev ªvK n e ) 10 Looking after your heart

nv U i Amy Li SuywK wby qi Rb AvRKvj ek wkqy Kw úduvi cövmövg cviqv hvq Avcbvi nv U i Amy Li SuywK wby qi cix v Kivi mgq Wv³vi ev bvm Avcbvi KvQ _ K cövß me Z_ Kw úduvi cövmöv g XyKv eb cövmövgwu ZLb AvMvgx 10 erm ii g a Avcbvi nv U i Amy Li AvksKv Av Q wkbv wby q K i ` e hw` `Lv hvq AvMvgx 10 erm ii g a Avcbvi nv U i Amy Li AvksKv Av Q ZLb Wv³vi SuywK Kgv bv Ges nv U i myi vi Rb Jla, hgb- ó vwub (hv Kv j ivj gvîv Kgv Z mvnvh K i) w` Z cv ib Avcbvi SuywK gvsvix ev Kg n ji hw` Kv jv ivj gvîv ekx nq ev e vw cömvi hw` ekx _v K Z e Wv³vi Avcbv K Kv j ivj gvîv Kgv bvi Rb ó vwub ev e vw cömvi Kgv bvi Jla w` Z cv ib GB Jla jv SzuwK Kgvq Ges nv U i myi v K i Avcbvi Ilya ïi i Av M Avcbvi Wv³vi ev bvm Ab Kvb w`b AveviI Avcbvi e vw cömvi gvc Z cv ib ev Avev iv GKUv Kv j ivj cix v Kiv Z cv ib Wv³vi ev bvm Avcbvi SuywKc~Y Dcv`v bi cwigv bi Dci wfwë K i SzuwK Kgv bvi Rb Avcbvi RxebgvÎvq wkqz ^v m Z cwiez b Avb Z civgk w` Z cv ib Rxebhvcb cöyvjxi cwiez bi ci- Avcbvi SuywK K g Q wkbv wby qi Rb Av ikuv nv U i Amy Li SuywK wba viy cix v Kiv Z ej Z cv ib hw` Avcbvi nv U i Amy Li SuywK KgI nq ZeyI Rxeb hvcb cöyvjxi Dci bri w` j GUzKz DcK Z n eb h Avcwb wb R K Ges Avcbvi nvu K my ivl Z cvi eb Looking after your heart 11

Avwg wkfv e SuywK Kgv Z cvwi? nv U i Amy Li SuywK Kgv Z Avcwb ek wkqz Ki Z cv ib aygcvqx n j a~gcvb Z vm Ki b ^v m Z IRb I `nvk wz ervq ivlyb AwaK kvixwik kªg Ki b ^v m Z Lv` MÖnb Ki b Avgiv Gme welq wb q Av iv Av jvpbv KiwQ Looking after your heart 13

a~gcvqx n j aygcvb Z vm Ki b m ezt Avcwb Rv bb h a~gcvb Ki j dymdy mi K vývi n Z cv i Ges ZvgvK wpev bv _ K gyl Mne ii K vývi n Z cv i aygcvb Avcbvi nv U i Amy LiI SuywK evovq aygcvb nv U i Amy Li GKUv cöavb KviY 1 hviv K Lv bv aygcvb K iwb Zuv `i _ K aygcvqx `i nvu G vuvk niqvi AvksKv wø b nvu G vuv Ki SzuwK Kgv bvi Rb Ges `xn Rxeb jv fi Rb aygcvb Z vm Kiv GKgvÎ i Z c~y c` c a~gcvb wkfv e nv U i wzk i? aygcvb agbxi fz ii `qvj K wzmö K i, hvi d j G v _ ivgv bvgk Pwe RvZxq c`v_ Rgv mnr nq (5 c ôvq `Lyb ) i³ nvu I kix ii Rb As M Aw Rb enb K i wb q hvq, wkš wmmv i Ui a~uqvi Kve b g bv vb Wi Kvi Y GB Aw R bi NvUwZ N U wmmv i Ui wb KvwUb kix i G v Wª bbwjb Drcv` b mnvqzv K i G Z nv U i ú `b `ª Z nq Ges e vw cömvi e o hvq Gi d j nvu K ekx cwikªg Ki Z nq aygcv bi Kvi Y i³ RgvU evavii m vebv _v K G me wkqzb K ivbvix nv U i AmyL, nvu G vuvk ev ªv Ki SuywK evovq c iv a~gcvb wk? c iv ev wbw Œq aygcvb ej Z eysvq, Aa~gcvqx e w³ A b i aygcvb _ K m ó auvqv wbtk v mi ms M MÖnb Kiv c iv aygcvbi wzki M elyvq `Lv M Q, aygcvqx `i ms M evm K i Ggb Aa~gcvqx e w³ `i nv U i AmyL niqvi AvksKv, hviv a~gcvqx `i ms M evm K i bv Zv `i P q A bk ekx 1 14 Looking after your heart

a~gcvb Z v M mnvqzv hw` a~gcvb Z v Mi Póv K i AveviI a~gcvb ïi K ib Z e Avcbvi Wv³vi ev dvg vwm i KvQ _ K a~gcvb Z v M mnvqk `ªe vw` m ú K R b wb Z cv ib G jvi g a Av Q wb KvwUb wfwëk wrwbl hgb, wb KvwUb PzwqsMvg, gvb µvu vem, j RÝ Ges Z Ki c vp A_ev wb KvwUb wenxb `ªe hgb wed cövwcib Ges f v iwb K vbb (ez gv b hvbevb Ges P vw úm bv g wewµ n PQ) Wv³v ii cömk ckb wb q G jv c Z cv ib Avcbvi Wv³vi ev dvg vwm K a~gcvb e Ü mnvqk `ªe vw` m ú K wr M m Ki b

a~gcvb e Üi Rb ev e m Z wucm aygcvb e Üi Rb GKUv w`b wvk Ki b Ges GUv Z AUj _vkz b Avcbvi jvbuvi, G v ª Qz o d j w`b Kv Ri GKUv cwikíbv Ki b wk wk Avcbv K aygcvb _ K weiz ivl Z cvi e Zv wb q fveyb, hgb- wb KvwU bi wekí `ªe e envi hw`b aygcvb Z vm Ki eb Zvi Av MB G jv cö Z ivlyb gb _ K wmmv i Ui fvebv `yi Kivi Rb e _vkzb Avcbvi i wub e`jv Z Póv Ki b Ges h `vkvb _ K mvavibz wmmv iu wk bb Zv K Gwo q Pjyb mn hvwmzv wbb cwievi I eüz `i Rvbvb h, Avcwb a~gcvb Q o w` Qb KD KD ` L Qb hme AvZœxq I eüz a~gcvb Q o Qb Zv `i ms M K_v ejv mnvqk nq wb R K Avc vwqz Ki b hw` cv ib Z e aygcvb Z v Mi d j e up hviqv UvKv w` q wb Ri Rb we kl wkqz wkbyb 16 Looking after your heart

hw` a~gcvb Z v Mi Rb AwaKZi mvnv h i cö qvrb nq hw` Avcbvi evowz mvnv h i `ikvi nq Z e KzBU jvbb (Quitline ) A_ev Gb GBP Gm a~gcvb msµvš Ô ní jvbbõ (NHS Smoking Helpline) G Kj Ki b KzBU jvbb (Quitline ) Bs iwr: 0800 00 22 00 evsjv: 0800 00 22 44. mvgevi Acivý 1 _ K 9 ch š Lvjv _v K ÔKzBU jvbbõ n jv a~gcvb Z vm Ki Z B QyK e w³ `i Rb Uwj dv b mnvqzv`vbkvix jvbb Kj jv webv cqmvi Avcwb GKRb cöwk Y cªvß civgk Ki ms M K_v ej Z cvi eb whwb mvnvh Ki Z cvi eb: hw` Avcwb a~gcvb Z v Mi cö wz wb Z Pvb, hw` Avcwb a~gcv b Z v M mnvqk we kl Kvb `ªe m ú K Rvb Z Pvb ev a~gcv b Z v Mi m ú K Kvb wkq~ Rvb Z Pvb, Ges hw` Avcbvi KwVb mgq jv Z mvnvh I Aby cöiyv Pvb Gb GBP Gm a~gcvb msµvš Ô ní jvbbõ (NHS Smoking Helpline) Bs iwr: 0800 169 0 169 wb gœv³ ' ní jvbbõ jv g½jevi Acivý 1 _ K 9 ch š Lvjv _v K evsjv: 0800 169 0885 Ô ní jvbbõ a~gcvb Z vm m úwk Z Z_ w` Z cv i Ges hvuiv a~gcvb Z vm KwVb g b K ib Zv `i mvnvh Ki Z cv i 18 Looking after your heart

kxkv meb wk wzki? n vu, Bnv wzki mv cöwzk M elyvq `Lv M Q, kxkvi auvqvq Ggb me ivmvqwbk `ªe eûj cwigv b i q Q hv _ K nv U i AmyL, K vývi n Z cv i Ges wmmv iu mebkvix `i Avmw³ evov Z cv i 3 wmmv iu cv bi P q kxkv me bi wzbwu evowz wzki w`k i q Q GK N Uv kxkv me bi Avm i kxkv mebkvixiv wmmv i Ui P q 200 b ekx a~quv wbk v mi ms M MÖnb K ib mymwühy³ ZvgvK Kqjvi Dci i L meb Kiv nq wzki a~qvi ms ½ Kqjvi auvqv hy³ K i bzzb Uw b ev wel KD KD Kqjv e envi bv K i ˆe`y wzk kxkv meb K ib wkš ˆe`y wzk kxkvi ^v i c wzki hme e w³ kxkvi Avm i e m _v Kb, Zuviv kxkv meb bv Ki ji D P gvîvi wzki c iv a~gcvb K ib Kv RB kxkv mebkvix I Av kcv ki jvkrb AZ š SuywKi gy L _v Kb 4 hw` Avcwb eüz `i mv _ `Lv Ki Z kxkvi Avm i hvb Z e Zv `i wb q evb i nuvu Z hvb bv Kb? Looking after your heart 19

^v m Z IRb I `nvk wz ervq ivlyb Avcbvi IRb Avcbvi IRb hz ekx n e, e vw cömvi I Wvq ewum niqvi AvksKv I ZZ ekx n e `yb-b nv U i Amy Li SyuwK evovq hw` Avcwb h _ó cwigvy Pwe hy³ Lvevi, wgwó Lvevi I wpwbhy³ cvbxq Lvb, Avcbvi IRb evovi m vebv ekx n e KviY Gme Lv ` K v jvixi cwigvb ekx _v K hw` Avcbvi kix ii MÖnb Kivi gz K v jvixi P q ekx MÖnb K ib Z e evowz K v jvix Pwe wn m e mwâz n e Ges AwZwi³ Pwe i Kvi Y IRb e o hv e hw` Avcwb kvixwik kªg Kg K ib Z e Avcbvi IRb AwaKZi ekx niqvi m vebv Avcbvi `nvk wz Avcbvi `nvk wz I i Z c~y hme jv Ki kix ii ga fv Mi IRb ekx Zv `i K ivbvix nv U i AmyL, nvb e vw cömvi I Wvq ewum niqvi AvksKv ekx hy³iv R i Ab vb RbM bi P q `w Y Gkxq jvk `i gvsm ckx Abycv Z Pwe i cwigvy ekx Ges Zv `i GB Pwe kix ii ga fv M ekx Kv RB hy³iv R i Ab vb jvk `i P q `w Y Gkxq `i K ivbvix nv U i AmyL niqvi AvksKv ekx Looking after your heart 21

Avcbvi wk IRb Kgv bv cö qvrb? IRb Kgv bvi `ikvi wkbv Zv ei Kivi Rb mnrzg Dcvq n jv wdzvi mvnv h Avcbvi Kvg ii gvc biqv wkfv e Kvg ii gvc b eb: 1. Avcbvi wn ci nv oi DcwifvM Ges cuvr ii nv oi wb Pi Ask wpwýz Ki b 2. ^vfvwek fv e wbtk vm djyb 3. GB wpwýz vb `ybwui wvk gvsvgvws v b wdzv a i kixi c uvwp q Avbyb 4. gvcwu Uz K ivlyb GUvB Avcbvi Kvg ii gvc bx Pi Q K cö`ë wb ` ki Av jv K Avcbvi gvc m ^ Ü avibv wbb 5, 6 `w b Gkxq cyi l Avcbvi Kvg ii gvc hw` 90 mw UwgUvi (35½ BwÂ)-i ekx nq Z e Avcbvi ^v AZ š SuzwKi g a i q Q `w Y Gkxq gwnjv Avcbvi Kvg ii gvc hw` 80 mw UwgUvi (31½ BwÂ)-i ekx nq Z e Avcbvi ^v AZ š SzuwKi g a i q Q 22 Looking after your heart

Avcwb wk Ki Z cv ib hw` Avcbvi `nvk wz Ges Kvg ii gvc _ K eysv hvq h, Avcbvi IRb ekx, Z e Avcbvi `ikvi IRb Kgv bv IRb Kgv bvi m e vëg cš v n jv: Avcbvi Lv ` i Pwe Kgv bv (33 c ôvq `Lyb) wpwb, wgwó Lvevi Ges wpwbhy³ cvbxq MÖnb Kgv bv Ges kvixwik fv e AwaK mwµq niqv (25 c ôvq `Lyb) Lye ZvovZvwo IRb Kgv bvi Póv Ki eb bv ax i ax i Ges wbqg K i mßv n 1 ev 2 cvdû (0.5 _ K 1 wk jv) IRb Kgv bv AwaKZi ^v m Z Ges G Z wpiw` bi Rb IRb Kgv bvi m vebv ekx w` b GKevi bv wb q mßv n GKevi IRb wbb cöwzevi w` bi GKB mg q GKB IRb gvcvi hš w` q h_vm e Kg Kvco c i IRb wbb GUv GKwU mymsev` h, M elyvq `Lv M Q, mvgvb IRb Kgv bvi ^v i Rb DcKvix 7 Looking after your heart 23

AwaK kvixwik kªg Ki b hy³iv R huviv wbqwgz ˆ`wnK kªg K ib Zv `i P q huviv ˆ`wnK kªg K ib bv Zuv `i nvu G vuvk niqvi m vebv wø b 8 kvixwik kªg wkfv e nv U i DcKvi Ki e wbqwgz kvixwik kªg Avcbvi nv U i DcKvi Qvov ^v ii DcKvi Ki e 8 GwU: Avcbvi nv U i KvR AwaKZi ` Zvi m ½ m úb Ki Z mvnvh Ki Z cv i Avcbvi Kv j ó ivj gvîv wbqš b Ki Z mvnvh K i i³ RgvU euvav cöwz iva K i nvb e vw cömvi Kgvq IRb ^v m Z ch v q iv L Wvqv ewum ivmx `i e vw mymv ii gvîv wbqš Y iv L Kvb Kvb ai bi K výv ii SzuwK n«vm K i kvixwik kªg Avcbv K AwaKZi Kg kw³ `q Ges gvbwmk Pvc _ K gy³ iv L Bnv Avcbv K ms e`bkxj, mej K i Ges Aw I cv ivwmm (f½yi nvo) _ K i v K i Looking after your heart 25

ÒAvwg wk ai Yi KvR Ki ev?ó Avcbvi nvu K my ivlvi Rb Avcbvi DwPZ mßv n Aš Z: cuvpw`b ˆ`wbK 30 wgwbu K i gvsvwi ai Yi kvixwik kªg Kiv gvsvwi ai Yi kªg ej Z ÔGgb kªg evsvq hvi d j Avcbvi Mig eva n e Ges wkqyuv `g eü fve n e hw` Avcwb G ai Yi kª g Af bv nb Z e wkqy mgq wb q Avcwb G ch v q cušqvi Af vm Ki b Avcwb 30 wgwb Ui kªg GKUvbv Ki Z cv ib A_ev 10 wgwbu K i f ½ f ½ Ki Z cv ib nuvuv DËg kvixwik kªg GUv Kiv mnr Gi Rb we kl Kvb cvkvk `ikvi nq bv Ges `bw `b i wub Kvh µ gi m ½ GUv K mgwš^z Kiv hvq Ab vb DËg kixipp v n jv muvzvi KvUv, mvb Kj Pvjv bv, N ii fvix KvR Kiv, bvpv Ges Ljvayjv Kiv `wnk kªg evov bv ^v i Rb DcKvix Avcbvi ^v ev eqm h Kvb ch v qib nvk bv Kb Avcwb AwaK kªg Ki j DcKvi cv eb ïi Kivi e vcv i Ò `ix n q M QÓ e j Kvb K_v bb ÒAvgvi nv oi wmu U, nuvuz Ges Mvovjx Z mgm v Av Q, Avgvi Rb wk ai Yi ˆ`wnK kªg DËg? Avcbvi Ab vb kvixwik mgm v m ^ Ü R b Avcbvi Wv³vi Avcbvi wk ai Yi ˆ`wnK kªg Kiv `ikvi G e vcv i civgk w` Z cv ib Aw mwüi mgm vmö A bk jv Ki Rb muvzvi KvUv, Rjµxov DËg kixipp v cvwb Z Avcbvi nvuz I Mvovjxi IRb K g hv e A_P Avcbvi nvu DcK Z n e A bk mybwgs cy j gwnjv `i Rb Avjv`v mkb _v K Avcbvi vbxq mybwgs cy j G e vcv i AbymÜvb Ki b 26 Looking after your heart

kixipp v m ú K hyw³m Z Dc `k Avcbvi hw` Kvb ai Yi Amy Zv _v K Z e kixipp v ïi i Av M Avcbvi wrwci civgk wbb hlb Kvb kixipp v ev Ljvayjv Ki eb ZLb cög K qk wgwbu ax i ax i ïi Ki eb Ges ax i ax i MwZ evov eb, kl I Ki eb ax i ax i hw` Kvb e _v nq, gv_v Ny i, Amy ev K vwš eva nq Z e kixipp v _vwg q ` eb ax i ax i Avcbvi kixipp vi gvîv evovb fi cu Lvev ii ci kixipp v Ki eb bv Amy Ae vq kixipp v Ki eb bv Avb ` cviqvi Rb wewfbœ ai Yi kixipp v Ki b Ges Ggb kixipp v e Q wbb hv Avcwb Dc fvm K ib Looking after your heart 27

^v m Z Lvevi Lvb ^v m Z Lvevi MÖnb Avcbvi nv U i Amy Li SzuwK A bkvs k Kwg q Avb Z cv i Avcbvi IRb, e vw mymvi I Kv j ó ivj Kgv ZI mvnvh K i Avcwb hv Ki Z cv ib- cöwzw`b cuvpfvm dj I mewr Lvb Pwe, we kl K i m ú ³ Pwe Kg Lvb mßv n GK ev `yb fvm gvq Lv eb, Gi GK fvm niqv DwPZ ˆZjv³ gvq jeb Kg Lvb Gme welq ciez x Z Av jvpbv Kiv n q Q Aek Avcwb Avcbvi wcöq Lvevi jv L Z cvi eb Avcbvi cö qvrb ax i ax i Aí Aí K i Lvev i cwiez b Avbv Avcwb Ò njw` wgj&m, njw` nvu Ó (46 c ôvq `Lyb) GB Gkxq iüb eb q wkqy ^v m Z iüb cöyvjx cv ebó 28 Looking after your heart

Òwbivwgl Lv` wk Avwg li P q fvj?ó mylg n j Avwgl wbivwgl DfqB ^v i c fvj wbivwgl fvrx `i `L Z n e Zuv `i Lvev i hb h _ó cwigvy cövwub, hgb- exbm, Wvj _v K G jv Z Pwe Kg _v K Ges Avuk _v K Gme Lvev ii m ½ mylg Lv ` i Aš M Z djg~j I mewr Lv eb G Z me ai Yi cywó MÖnb wbwðz nq Ges nvu I fvj _v K wbivwgl fvrx `i Kg Pwe hy³, we kl K i m ú ³ Pwe hy³ Lvevi, Kg wpwb I jeb (33-38 c ôvq `Lyb) LvIqvi wb ` k gvb Z n e A bk wbivwgl fvrx Zuv `i ivbœvq A bk gvlb I wn e envi K ib hv _ K A bk m ú ³ Pwe hvm nq Gi cwie Z mvgvb Awjf A qj, ibc mxw A qj e envi Ki b Zj mivmwi cv Î bv X j PvgP w` q g c w`b A bk wbivwgl fvrx Lv` ^v` MÜhy³ Kivi Rb jeb e envi K ib je bi cwie Z Lv ` i ^v` MÜ evov bvi Rb jeyi im, gwip, flr`ªe ev gkjv e envi Ki Z cv ib

`wbk cuvp fvm dj I mewr Lvb dj I mewr mg Lv` nv U i Amy Li SuywK Kgvq ˆ`wbK Kgc cuvp fvm dj I mewr Lvb wewfbœ ai Yi dj I mewr L Z Póv Ki b G jv UvUKv, wngvwqz ev wubrvz n Z cv i ïkbv I Rym Kiv dj Pj Z cv i, Z e GUv n e w` b GKevi GK fvm ej Z eysvq? GLv b dj I mewri cwigvy `Iqv n jv: 1 fvm = mewr - DuPz K i fiv wzb Uwej PvgP mvjv` - GKwU WRvU evwu fwz MÖBc d«zu ev G v f Kv Wv - A a K dj Av cj, Kjv, wcqvr, Kgjv Ges mgvb AvKv ii Ab vb dj - 2 c vg ev Gai Yi dj - 2 Av½yi, Pwi Ges Rvg - 1 Kvc ev 1 gy Vv UvUKv d ji mvjv` - DuPz K i fiv 3 Uwej PvgP ïkbv dj - DuPz K i fiv 1 Uwej PvgP d ji Ry m -1 M vm (150 wg.wj) Looking after your heart 31

Pwe, we kl K i m ú ³ Pwe Kg Lvb Lvev ii Pwe mvaviyz: `yb ai Yi- m ú ³ I Am ú ³ Lvev i m ú ³ Pwe Kg _vk j Avcbvi i ³i Kv j ó ivj gvîv Kgv Z, IRb e w iva Ki Z Ges nv U i Amy Li SuywK Kgv Z mnvqk n e m ú ³ I Am ú ³ Pwe cöv_ xrvz Lvevi, hgb- Pwe `vi gvsm Ges `y»rvz Lvevi, hgb- gvlb, wn, cwbi, bbx Ges c~y bbxhy³ `ya Gme _ KB mvaviyzt m ú ³ Pwe cviqv hvq cvg A qj, bvi Kj Zj, bvi K ji µxg I `y ai ekx gvîvq m ú ³ Pwe _v K Am ú ³ Pwe mvaviyz : Dw R ˆZ j, hgb- Kb A qj, m~h gylx Zj I ibcmxw A q j cviqv hvq ÒwN m ^ Ü wk e jb?ó wn `yb cökv ii- gvlb _ K ˆZix Ges LuvwU fwr Uej A qj `yõwu ZB m ú ³ Pwe _v K Avcbvi K ivbvix nv U i Amy Li SzuwK Kgv Z mvgvb cwigvy Awjf A qj ev ibc mxw A qj e envi Ki b Looking after your heart 33

Avcbvi KiYxq: h cökvi ZjB e envi Ki b bv Kb, Kg e envi Ki Z Póv Ki b Zj mivmwi cv Î bv X j Pvg Pi mvnv h g c w`b ax i ax i cwigvy Kgvb m ú ³ Pwe hy³ Z ji P q h Z j D P gvîvi Am ú ³ Pwe Av Q Zv e envi Ki b (33 c ôvq `Lyb) fvrvi P q MÖxj, óxg ev cvp Ki b mgypv I cv Kvov fvrvi P q ek Ki Z Póv Ki b Pwe wenxb gvsm Lvb Ges gvs m j M _vkv Pwe Qu U djyb gyimxi Pvgov wq j wbb ZiKvix I evwu _ K evowz Zj PvgP w` q Zz j djyb gvlb I gvr vwi bi cwie Z Kg Pwe hy³ cöw e envi Ki b Ges cvzjv K i Qwo q w`b c~y bbxhy³ `y ai cwie Z Aa bbxhy³ ev bbxwenxb `ya e envi Kib A` k Pwe A bk Lvev i Pwe A` k Ae vq _v K hgb- mgypv, ev ^ wg, cv Kvov, wµmc RvZxq cöwµqvrvz ev c~ e iübk Z Lvev i Ges wgwó Lvevi, hgb- nvjyqv, jve Rvgyb Ges eiwd Z Pwe hvm Kiv nq Kv RB G jv Lvevi gv S g a Lv eb 34 Looking after your heart

Kv j ó ivj wk? m ú ³ Pwe hy³ Lvevi LvIqv gv b Avcbvi i ³ wzki Kv j ó iv ji gvîv e o hviqv Gi d j Avcbvi nv U i AmyL niqvi AvksKv e o hv e Kv j ó ivj n jv GKwU Pwe RvZxq c`v_ hv Avcbvi kix ib Zix nq cövwub Øviv GB Kv j ó ivj kix ii cwievwnz nq cövwub Avi Kv j ó iv ji GB mgš^q K e j wj cv cövwub G jv `yõai Yi nq- Gj ww Gj (Kg Nb Z i wj cv cövwub) n Q wzki Kv j ó ivj G K Gj ww Gj Kv j ó ivji ejv nq GBP ww Gj (AwaK Nb Z i wj cv cövwub) n Q myi vkvix wj cv cövwub G K GBP ww Gj Kv j ó ivj ejv nq Avgv `i kix ii Kg Kv Û Kv j ó ivj GKwU i Z c~b f~wgkv iv L wkš i ³ Kv j ó iv ji gvîv AwaK n j nv U i Amy Li SuywK e o hv e SzuwK we kl K i e o hv e hw` Avcbvi D P gvîvi Gj ww Gj Kv j ó ivj Ges wbægvîvi GBP ww Gj Kv j ó ivj _v K Lv ` D P gvîvi m ú ³ Pwe MÖnb Kivi d j A b Ki D P gvîvi Kv j ó ivj _v K, G Kvi b m ú ³ Pwe LvIqv Kgv bv i Z c~y A b Ki Rb MZfv eb Kv j ó iv ji gvîv ekx _v K G Ae v K ejv nq d vwgwjq vj nvbcviwjwc Wwgqv (Gd GBP) GUv eskrwbz Ae v (Rb MZ) Ges Gi gv b ^vfvwek Dcv q GB Kv j ó ivj _ K invb cviqv hv e bv Gd GBP nv U i AmyL niqvi SuywK evwo q `q hw` Lv` ev Gd GBP Gi Kvi Y Avcbvi Kv j ó iv ji gvîv ekx nq Z e Avcbvi Wv³vi GUv K Kgv bvi Rb U ve ju w` Z cv ib Avcbvi U ve ju L Z n e Ges m ú ³ Pwe MÖnb Kgv Z n e kvixwik kªgi Kv j ó ivj Kgv Z mvnvh K i (25 c ôvq `Lyb). Looking after your heart 35

UªvB wm mvivbw&m: UªvB wm mvivbw&m i ³i g a Kvi Av ikwu Pwe RvZxq c`v_ hme jv Ki IRb AZ wak ekx, hviv eûj cwigvy Pwe hy³ I wpwbhy³ Lvevi Lvb Ges AZ wak g` cvb K ib Zuv `i UªvB wm mvivbw mi gvîv ekx niqvi m vebv D P gvîvi UªvB wm mvivbw&m hv `i Av Q Zuv `i nv U i AmyL niqvi m vebv wbgœgvîv m úbœ jvk `i P q AwaKZi ekx ÒAvgvi wk Kv j ó ivj gvîv Kgv bvi Rb Jla MÖnb Kiv `ikvi?ó Avcwb Kv j ó ivj gvîv Kgv bvi Rb Jla Lv eb wkbv Zv Kej Kv j ó ivj gvîvi Dci wbf i K i bv, eis Avcbvi nv U i AmyL niqvi mvwe K SzuwKi Dci wbf i K i Avcbvi hw` Kv j ó ivj gvîv ekx bvi nq, wkš Avcbvi hw` nv U i AmyL niqvi mvwe K SzuwK _v K Z e Avcbvi nv U i myi vi Rb Kv j ó ivj gvîv Kgv bvi Jla, hgb- ó vwub _ K DcKvi c Z cv ib ÒHwZn evnx Lvevi wk ^v m Z?Ó HwZn evnx Gkxq Lvev i _v K bvbvikg mewr, Wvj hv fvz I PvcvwZi m ½ LvIqv nq GUv Avuk, cövwub, wfuvwgb Ges wgbv ij mg ^v m Z Lvevi wkš Lv ` AwZwi³ Pwe gkv bv ev MÖxj bv K i fvrvi Rb Lvevi Kg ^v cö` n q D V Kvb Kvb HwZn evnx Lvev i cöpzi m ú ³ Pwe _v K ZiKvix I Wvj ivbœvi mgq Lye Aí Zj e envi Ki eb Ges mivmwi cv Î Zj bv X j PvgP w` q g c ` eb A_ev ïkbv Kveve Ges Z `yix Lvevi e Q b eb mgypv, cv Kvov, cyix, c ivuv I Kvg vq AwZwi³ Zj e envi Kiv nq mgypv I cv Kvov fvrvi cwie Z ek Kivi Póv Ki b c ivuv Wy ev Z j bv f R Aí Z j fvryb c ivuv wbqwgz bv L q gv S gv S Lvb 36 Looking after your heart

mßv n GKevi GKfvM gvq Lvb wbqwgz ˆZjv³ gvq L j K ivbvix nv U i Amy Li AvksKv K g gv Qi Z ji h we kl `ªe wu DcKvix, Zv K I gmv-3 e j GUv cöavbz- UªvDU, m vjgb, nwis, g vk ij A_ev ZvRv Uzbv gv Q cviqv hvq mßv n Aš Z: GKw`b ˆZjv³ gvq L Z Póv Ki b hw` ˆZjv³ gvq bv L Z Pvb Z e I gmv-3 Av Q Ggb wkqy mewr Avcbvi Lvev ii Aš f~³ Ki b wzwmi Zj, ibcmxw A qj, wzwm, ibcmxw Ges AvL iv U GUv Av Q Z e GUv wbwðz bv h GB I gmv-3 gv Qi I gmv-3 Gi mgvb

Kg jeb Lvb AwZwi³ jeb LvIqvi m ½ nvb e vw cömvi, nv U i AmyL I ªv Ki m úk i q Q AwaKvsk jebb Avgiv MÖnb Kwi cöwµqvrvz Ges c~ e iübk Z Lv ` A` k Ae vq Ges G jv gv S gv S AZ š jebv³ _v K evqvb Kivi mgq Ggb Lvevi e Q b eb hv Z Kg jey ev n«vmk Z jeb Av Q Ges cök ZB Bnv Z Kg jeb ev n«vmk Z jeb Av Q wkbv j ej ` L hvpvb K i b eb ivbœvq ev Uwe j jeb e envi Gwo q Pjyb gkjv, flr `ªe ev jeyi im e envi K i Lv` mynövyhy³ Ki b ekx jey I Kg jeb wk? ekx jey (cöwz 100 MÖvg Lv ` ) : 1.5 MÖvg A_ev Zvi ekx jey A_ev 0.6 MÖvg ev Z ZvwaK mvwwqvg Kg jey (cöwz 100 MÖvg Lv ` ): 0.3 MÖvg jey ev Zvi P q Kg A_ev 0.1 MÖvg mvwwqvg ev Zvi P q Kg mvwwqvg Kg jey 38 Looking after your heart

g` AZ wak g` cvb _ K nv U i AmyL n Z cv i GUv nvb e vw cömvi, ªvK ev wjfv ii Amy Li I SzuwK evov Z cv i hyw³m½z gvîvq g` cvb Kiv hyw³m½z gvîvq g` cvb Kiv cyi l `i ˆ`wbK 3 _ K 4 gvîvi AwaK Ges mßv n 21 gvîvi AwaK g` cvb Kiv DwPZ bq gwnjv `i ˆ`wbK 2 _ K 3 gvîvi AwaK Ges mßv n 14 gvîvi AwaK g` cvb Kiv DwPZ bq 1 x unit Gj Kvnj = cyi l ˆ`wbK 3 _ K 4 gvîvi g `i AwaK bq GKwU QvU NÔ p (100 Gg Gj) IqvBb (10% Gj Kvnj) A_ev Aa cvb U (300 Gg Gj) exqvi, exuvi, j vmvi ev mvbwvi (AvqZ bi 3% _ K 5% g`) gwnjv ˆ`wbK 2 _ K 3 gvîvi g `i AwaK bq A_ev cv ei GK gvîv (25 Gg Gj) g`, hgb-rxb, f`kv, ûbw, ivg gvsvix ai Yi g` cvb, hgb- ˆ`wbK 1 gvîv _ K 2 gvîv Pwj kva cyi l Ges gv bv cvr niqv gwnjv `i nv U i AmyL niqv _ K i v Ki Z cv i wkš ZvB e j nv U i AmyL _ K i v cviqv hv e GUv g b K i Kv ivib g` cvb ïi Kiv DwPZ bq Looking after your heart 39

e vw cömvi wbqš Y ivlyb e vw cömvi n jv agbx Z i ³i Pvc nvu cömvwiz I mskzwpz n q agbxi gva g kix ii me Î i³ cwievwnz K i hlb nvu mskzwpz nq ZLb i³ agyxi w` K avwez nq GBmgq i ³i Pvc _ K D P Zg gvîvq Ges GUv K wm vwjk cömvi e j ür ú ` bi gvslv b nvu hlb wkw_j Ae vq _v K ZLb i ³i Pvc _v K me wbgœ gvîvq GB `ybuv cömvi K `ybwu msl v w` q jlv nq, hgb- 120/80mmHg ( mmhg ) ej Z cvi `i wgwjwguvi eysvq cö_g msl vwu wm vwjk cömvi Ges wøzxqwu Wvqv vwjk cömvi nvb e vw cömv i gvbyl K`vwPr Amy eva K i, wkš GUv nvu G vuvk ev ªv Ki SuywK evovq Ges Kvjµ g Bnv nv U i gvsm ckx K Kg Kvh g K i w` Z cv i Avcbvi nvb e vw cömvi n j GUv K wbqš b Kiv DwPZ Avcbvi j niqv DwPZ e vw cömvi 140/85mmHg Gi bx P ivlv hw` Avcbvi Wv q ewum _v K ev K ivbvix nv U i AmyL aiv c o, Z e j gvîv niqv DwPZ 130/80mmHg 9 Looking after your heart 41

jv Ki Kb nvb e vw cömvi nq? cöwz `kr bi g a bqr bib nvb e vw cömv ii Kvb mywbw` wó KviY _v K bv Aek wb gœv³ welq jv wkqz f~wgkv ivl Z cv i h _ó cwikªg bv Kiv IRb AwZwi³ niqv Lv ` AwZwi³ jeb MÖnb Kiv AwZwi³ g` cvb Kiv h _ó dj I mewr bv LvIqv eskmwzi Ab Zg KviY hw` Avcbvi wczv gvzvi GKR bi ev Df qi nvb e vw cömvi wqj ev _v K Z e AvcbviI Zv nevi m vebv i q Q Avcbvi KiYxq: KD KD IRb Kwg q, AwaKZi ˆ`wnK kªg K i, jey LvIqv Kwg q, e vw cömvi wbqš b ivl Z cv ib (21-27 I 38-39 c ôvq `Lyb) Aek A b KiB Jla MÖn Yi cö qvrb nq e vw cömv ii Jla m ^ Ü AwaK Z _ i Rb Avgv `i cyw Kv Ò UBwKs gwwwmb di B qvi nvu Ó (46 c ôvq `Lyb) 42 Looking after your heart

Wvq ewum wbqš Y ivlyb huv `i Wv qwewum bvb Zuv `i P q Wv q ewum ivmx `i nv U i AmyL niqvi SuywK ekx hy³iv R emevmiz `w b Gkxq jvk `i g a GUv GKUv mvaviy ivm Avcbvi Wvq ewum niqvi AvksKv Kg _vk e hw`- Avcwb kvixwik kªg K ib, Avcbvi IRb I `nvk wz wbqš Y iv L, Ges Avcbvi e vw cömvi wbqš Y _v K Wv q ewum wk? mvaviyz: Lvevi nrg Kivi mgq Avgv `i kixi M y KvR ˆZwi K i _v K kw³ msmö ni Rb Avgv `i kixi GB M y KvR MÖnb K i Bbmywjb bvgk GKwU ni gvb GB M y KvR K `n Kv l cšqv Z mvnvh K i Ges i ³i M y KvR gvîv K wbqš b Ki Z mvnvh K i hlb kixi h _ô cwigvb Bbmy wjb ˆZix Ki Z e _ nq ev Bbmywjb ` Zvi ms M KvR Ki Z bv cv i ZLb Wv q ewum nq Gi d j i ³ M y Kv Ri gvîv A ^vfvwek fv e e o hvq hy³iv R emevmkvix Ab vb jvk `i P q `w b Gkxq `i Wvq ewum niqvi AvksKv ekx `w b Gkxq `i g a I Avevi Kvb Kvb Rb Mvwô, hgb- fvizxq `i Wvq ewum niqvi SuywK MocoZv hy³iv R evmx `i P q wø b Ges cvwk vbx gwnjv `i AvovB b ekx 1 Wv q ewum m ú K AwaKZi Z _ i Rb - ÒWv qwewum G vû nvd BU G v d±m B qvi nvu Ó cyw KvwU `Lyb (46 c ôvq) Looking after your heart 43

cvwievwik BwZnvm hw` Avcbvi nv U i Amy Li cvwievwik BwZnvm _v K Z e AvcbviI GB AmyL niqvi SuywK e o hv e cvwievwik BwZnvm ej Z eysvq 55 ermi eq mi c~ e hw` Avcbvi evev ev fvb qi wksev 65 eqi eq mi c~ e hw` Avcbvi gv ev ev bi nv U i AmyL aiv c o wkqz SuywKc~Y welq, hgb- IRb ekx niqv, Rxebhvcb cöyvjxi ms M m úwk Z nq, hgb- ^v wewa ewnf~ Z LvIqv `viqv aygcvb Kiv G jv GK cyi l _ K ciez x cyi l AwZµvš nq Aek nv U i AmyL eskvbyµwgki n Z c i eskmwzi Kvi Y nvb e vw cömvi Ges Ab b mgm v, hgb- DPygvÎvi Kv j ivj n Z cv i Ges Dfq welqb nv U i Amy Li SuywK evovq cvwievwik BwZnv mi Kvi Y nv U i Amy Li SuywK cwiez b Kiv hvq bv Z e G Amy Li cvwievwik BwZnvm _vkv m Ë I Avcwb Ab vb SuywKc~Y welq jv wbqš b K i DcKvi c Z cv ib Ges h_vm e SuywK n«vm Ki Z cv ib gvbwmk Pvc wk nv U i Amy Li KviY n Z cv i? gvbwmk Pvc D ØM, Aemv` nv U i AmyL evauv Z cv i Ggb wkqz cögvb Av Q Av emrwbz Pv ci Kvi Y gvby li a~gcvb evov, e vw cömvi niqv, IRb e o hviqv, AwZwi³ g` cvb Kiv Gme NU Z c i Gi me jvb nv U i Amy Li SuywK evovq 44 Looking after your heart

wkqz cwigvb gvbwmk Pvc ˆ`wbK Rxe bi GKUv Ask wkš D ØM ev Pvc hw` A bk gvm ev ermi a i Pj Z _v K Z e Avcbvi nvu wzmö n Z cv i cvwievwik mgm v ev Avw_ K mgm vi mgvavb mnr bq; Z e wb gœv³ welq jv gvbwmk Pv ci gvîv Kgv Z mvnvh Ki e kvixwik kªg Kiv, hgb- nvuuv, mvuzvi KvUv ev mvb Kj Pvjv bv e vqvg Kiv D M _ K gyw³i GKUv Dcvq hvm e vqvg Kiv a vb Kiv cªv_ bv Kiv kixi gb wkw_j ivlv Mfxi k vm cök vm bqv AwZwi³ Pvc MÖnb bv Kiv Ges ÒbvÕ ej Z klv nv U i Amy Li SuywKi cwigvb wbav iy Kiv- Avcbvi Wv³vi K Avcbvi nv U i Amy Li SzuwKi cwigvb wbav ib Ki Z ejyb: hw` Avcbvi eqm 40 Gi Dci nq, A_ev hw` 8 c óvq ewb Z g Z Avcbvi nv U i SzuwKcyb wkqz welq _vkvi Kvi Y hw` Avcbvi g b nq Avcbvi nv U i Amy Li AvksKv ekx Av Q hw` Avcbvi Gd GBP (35 c ôvq `Lyb) _v K Avcbvi cwiev ii mk ji hv Z cix v Kiv nq Zv wbwðz Ki b 10 c ôvq nv U i Amy Li SzuwK cix vi e vcv i Av iv Av jvpbv Kiv n q Q Looking after your heart 45

A dlal a bél SeÉ hª Vn q VÑ g E äne J uhp CV bhf.org.uk L l e l q VÑl Ap M, h HCQ Hg Hhw Hl ph pçf LÑ p ÇfÐ al a bél SeÉ z q VÑ qmf m Ce 0300 330 3311 q VÑl ü ØqÉ pwœ² ¹ ho u SeNZ Hhw ü ØqÉ fn S h cl abé plhl ql p iñp z HC ph Lhm Cw ls i o u cju qu z f Ù¹L pj q e jál f Ù¹L m h wm, Sl a, q ¾c, f ¾S h J Ec Ñ a f Ju k uz hô X fëp l - HÉ ä q J V Le VÊ m CV L m ØV l m - HÉ ä q u V LÉ e CE X Hh EV CV X u h Vp - q J CV HÉ gƒp q~ u l q VÑ q VÑ gc mjl m iw ECb HÉ es Ce HÉ ä q VÑ X SS m Lw A gv l C u l q VÑ V Lw j X pe gl C u l q VÑ e já š² f Ù¹L m Lhm Cw ls i o u f Ju k uz C Vw gl C u l q VÑ qm b jmp, qm b q VÑ g SLÉ m HÉ L V i V HÉ ä C u l q VÑ Øj Lw HÉ ä C u l q VÑ p CE Ju ¾V V m S J uv... gl X 46 Looking after your heart

X i X X i X m Ec Ñ, q ¾c, Sl a, f h J h wm i o u f Ju k uz H m heé j mé cju qu L º fð a X i X l SeÉ 5 f Eä c e p c l NËqZ Ll q hz jé N Se m iw V fð i¾v q XÑ X SS NV gv, Lf gv - fð i¾v q VÑ X SS L XÑu L p SÑ l L XÑu L l q h m Vne HÉ gu pñ Ag c q VÑ q VÑ HÉ ä pem p Eb H nu e cl SeÉ HL V jé N Se z HC jé N S e l u R ü ÙÛÉ pçja S he k fe pçf LÑ e e abé hm, e S cl ü ÙÛÉ e u p m hë V cl B m Qe, js c l M h l l æ Ll l fëz m Hhw paé L qe z he j mé HC jé N S el L f f a q m 0870 600 6566 V m g e L l k N k N Ll e z ÔnvU g vuvimõ hv `i nv U i mgm v Av Q ev mgm v niqvi AvksKv Av Q ev hviv nv U i mgm vmö jv Ki `Lv kvbv K ib Ggb h Kvb e w³i Rb GKwU webv g~ j i cwi lev m`m iv e w³mz fv e Z_ cv eb Ges dvb ev B- gd ji gva g KvwW q vk bvm ev nvu nj_ G vwfvbrv ii Kv Q _ K we kl Ái mnvqzv cv eb GQvov Zviv wbqwgz nvu nj_ g vmvwrb cv eb hv Z AwZ mv cöwzk wpwkrmv M elyv Ges nv U i ^v msµvš Z_ _v K nvu g vuvim G hvm w` Z n j Avgv `i I qemvbu bhf.org.uk/heartmatters G iwr óªkb Ki b A_ev 0300 330 3300 (GKwU vbxq ib Ui b ^i) G Kj Ki b GB cwi lev KejmgvÎ Bs iwr Z cviqv hv e Li h AXÑ l Ll he hª Vn q VÑ g E äne e e llj nr p jnë fël n L l b L z H m pçf LÑ S e a h q VÑ qmb LÉ V mn f a h h iæ fël ne AXÑ l Ll a h HCQ Hg Hl AXÑ l m Ce 0870 600 6566 eð l V m g e Ll e z HR s Bf e HSeÉ J uhp CV bhf.org.uk/publications k a f le Abh orderline@bhf.org.uk WL e u jcm Ll a f le z Bf e Bj cl J uhp CV bhf.org.uk/publications b L h iæ fël ne X Ee m X Ll a f l e z Bj cl fël na plm LR C he j mé halz Ll qu a h k L e c e p c l NËqe Ll q h z Looking after your heart 47

Z_ m~î 1 Allender S, Peto V et al. 2007. Coronary Heart Disease Statistics. London: British Heart Foundation. 2 Harding S, Rosato M, Teyhan A. 2008. Trends for coronary heart disease and stroke mortality among migrants in England and Wales, 1979-2003: slow declines notable for some groups. Heart; 94: 463-70. 3 WHO Study Group on Tobacco Product Regulation. 2005. Waterpipe Tobacco Smoking: Health Effects, Research Needs and Recommended Actions by Regulators. Geneva: WHO. 4 American Lung Association. 2007. An Emerging Deadly Trend: Waterpipe Tobacco Use. American Lung Association. http://slati.lungusa.org/alerts/trend%20alert_waterpipes.pdf 5 International Diabetes Federation. 2005. The IDF Consensus Worldwide Definition of the Metabolic Syndrome. Brussels, Belgium: International Diabetes Federation. 6 National Institute for Health and Clinical Excellence (NICE). 2006. Obesity: The Prevention, Identification, Assessment and Management of Overweight and Obesity in Adults and Children. London: NICE. 7 Miller WC, Koceja DM, Hamilton EJ. 1997. A meta-analysis of the past 25 years of weight loss research using diet, exercise or diet plus exercise intervention. International Journal of Obesity; 21: 941-47. 8 Department of Health. 2004. At Least Five a Week. Evidence on the Impact of Physical Activity and Its Relationship to Health. A Report from the Chief Medical Officer. London: Department of Health. 9 British Cardiac Society, British Hypertension Society et al. 2005. Joint British Societies guidelines on prevention of cardiovascular disease in clinical practice. Heart; 91: 1-52. 48 Looking after your heart

f li o G vbrvbbv - ey Ki gvslv b fvi ev Pvc eva Kiv ev evû, Nvo, Pvqvj, wcv hv cvk jx Z Qwo q co Z cv i AvU vix ev agbx - nvu _ K kix ii Ab vb A ½ i³evnk bvwjkv G v _ ivgv - Pwe RvZxq c`v_ hv agbxi `qv j mwâz nq e vw cömvi - agbx Z i ³i Pvc Kve b g bv vbw - Zvgv Ki au~qvq cövß GK ai bi ivmvqwbk `ªe Kv j ó ivj - cöavbz kix i wjfvi Øviv ˆZwi GK ai Yi Pwe RvZxq c`v_ K ivbvix agbx - nv U i gvsm ckx Z i³evnx bvwjkv K ivbvix nv U i AmyL - G v _ ivgv bvgk Pwe RvZxq c`v_ agbxi `qv j R g hlb Bnv mi n q hvq Wvq ewum - Bbmy wj bi Afv e ev Bbmy wj bi cöwz kix ii cöwz iv ai Kvi Y m ó ivm nvu G vuvk - hlb Kvb agbx RgvU evuav i ³i Kvi Y eü n q hvq Ges gw i Kvb As k Aw R bi NvUwZ nq nvb e vw cömvi - hlb agbx Z i ³i Pvc AZ vwak nq nvbcvi Ubmb - nvb e vw cmvi wb KvwUb - Zvgv Ki au~qvi g a GK ai bi ivmvqwbk `ªe I gmv-3 - Kvb Kvb ai Yi gv Q cövß myi vkvix Zj Looking after your heart 49

m ú ³ Pwe - GK ai Yi Pwe hv cöavbzt cövbxrvz Lv` _ K Av m, we kl K i `y»rvz Ges gvsm RvZxq Lv` ªvK - hlb gw i Kvb AvUv ix Z G v _ ivgvi Rgvi Kvi Y ev Gme AvU vixi Kvb GKUv Z i³cvz niqvi Rb gw i³cvz n q gw i i³ mieivn eü n q hvq fbb ev wkiv - hme bvwjkv kix ii wwewfbœ AsM _ K nv U i³ wdwi q wb q Av m A fe l A ija S e e A fe l SeÉ p hñ šj abé al l hé f l A fe l j ¹hÉ c u p q ké Ll m A jl p c l NËqZ Ll h z A f e k i he a A j cl S e he e Le? A j cl J uh p C Vl bhf.org.uk/contact Hl j dé j A j cl pw N k N k N Ll e Abh mg m Vl fr el Li l cju WL e u A j cl L R mm ez 50 Looking after your heart

eoñ¾v AwZwi³ IRb 21 Am ú ³ Pwe 33 AvU vix ev agbx 4, 5 Bbmywjb 43 G vbrvbbv 5 G v _ ivgv 5 Gd GBP 35 IRb 21 I gmv-3 37 Jla 11, 36, 42 KvR 25 Kv j ivj 35 K ivbvix nv U i AmyL 5 Kvgi 22 LvIqv 28 M y KvR 43 wn 35 Pwe 33 Zj 33, 34 Zjv³ gvq 37 wbivwgk Lv` 30 cix v 10 dj 31 d wgwjq vj nvbcviwjwc Wwgqv 35 e vw cömvi 41 g` 39 gvq 37 kixipp v 25 kvixwik kªg 25 SuywKc~Y Dcv`vb 8 kxkv meb 19 jeb 38 m ú ³ Pwe 33 aygcvb 14 gvbwmk Pvc 44 ªvK 6 mewr 31 nv U i AmyL 4, 8, 10 nv U i Amy Li cvwievwik BwZnvm 44 nvu G UvK 5 nvbcvi Ubmb 41 nvb e vw cªmvi 41 Wv q ewum 43 Looking after your heart 51

hª Vn q VÑ g E äne HL V S a u q VÑ pwœ² ¹ c ahé fð aù e, k N hoz, l N l ph Hhw abé plhl q à l S he hy Q u z A j cl l aæf ZÑ L S Q m u k h l SeÉ A jl c el Efl eiñl L lz k c A f e hª Vn q XÑ g E än e LR c e Ll a Q e a h A j cl œ² XV L XÑ qv m C e 0300 330 3322 eð l Lm Ll e Abh A j cl J uhp CV bhf.org.uk/donate Hl j dé j k N k N Ll e Abh A j cl WL e u fðlz Ll e z GB cyw Kv Bs iwr, RivwZ, wnw `, cvävex I D`y Z cviqv hvq hme AvZœxq ^Rb, mev`vbkvix ev ^v - ckvrxwe G me fvlv co Z cv ib bv Zv `i Rb cyw KvwU evsjv fvlvq cökvwkz n q Q AXÑ l Ll l SeÉ hª Vn q XÑ g E än el AXÑ l m Ce 0870 600 6566 eð l k N k N Ll ez This service is available in English only. British Heart Foundation Greater London House 180 Hampstead Road London NW1 7AW Phone: 020 7554 0000 Fax: 020 7554 0100 Website: bhf.org.uk G223b 0809 British Heart Foundation 2009, a registered charity in England and Wales (225971) and Scotland (SC039426)