Nearly half of US adults have high blood pressure, but only 25% control it. The ABCS framework offers evidence-based steps to prevent heart attacks.
Heart disease kills one in every five Americans, making it the leading cause of death across all demographics. But a simple four-letter framework called the ABCS could dramatically reduce your risk of heart attack and stroke, according to health officials promoting American Heart Month awareness.
What Are the ABCS of Heart Health?
The ABCS framework represents four evidence-based actions that can significantly impact cardiovascular health. This approach is part of Million Hearts®, a national initiative focused on preventing 1 million heart attacks and strokes.
- Aspirin: Take aspirin as directed by your healthcare professional to potentially reduce heart attack and stroke risk
- Blood Pressure: Monitor and manage high blood pressure, which affects nearly half of US adults
- Cholesterol: Control cholesterol levels through testing and treatment when necessary
- Smoking Cessation: Quit all forms of tobacco, including e-cigarettes and vaping products
Why Blood Pressure Control Matters Most
High blood pressure stands out as one of the strongest risk factors for heart attack and stroke. The statistics are sobering: nearly half of US adults have high blood pressure, but only one in four individuals with the condition has it under control. Blood pressure measures the force of blood pushing against artery walls, and uncontrolled high blood pressure can damage the heart and blood vessels over time.
How Does Cholesterol Fit Into Heart Health?
Cholesterol is a waxy substance made by the liver and found in some foods. While your body needs cholesterol to function, too much can build up in your arteries, increasing heart disease risk. The key lies in understanding the difference between "good" and "bad" cholesterol - high levels of "bad" cholesterol can increase your risk of heart attack and stroke.
For those struggling with tobacco cessation, support is available through the Ohio Tobacco Quitline, a free service for all Ohio residents regardless of insurance status or income. Many people try to quit 8 to 11 times before succeeding, but trained coaches can provide encouragement, resources, and guidance. The service supports individuals trying to quit all forms of tobacco and can help connect participants with cessation medications.
"Making small changes today, like monitoring blood pressure, improving diet and activity, and quitting tobacco, can lead to a healthier heart and a longer life," said Ashley Mount, BSN, RN, a public health nurse and accreditation coordinator for the Hocking County Health Department. The message is clear: prevention matters, and it's never too late to take steps toward better cardiovascular health.
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