900 likes | 1.15k Views
Heart Health 101 and ProArginine Plus. Janice Heasty RN BSN. Dan Austin RN, High Desert Heart Institute, Nurse Clinical Coordinator and Directory of the CHF (Congestive Heart Failure) Unit. “When you know what you know, you have the responsibility to pay it forward.”.
E N D
Heart Health 101and ProArginine Plus Janice Heasty RN BSN
Dan Austin RN, High Desert Heart Institute, Nurse Clinical Coordinator and Directory of the CHF (Congestive Heart Failure) Unit “When you know what you know, you have the responsibility to pay it forward.”
Assess Your Risk For a Heart Attack 1. How old are you? A. 25-35 (1 point) B. 36-45 (2 points) C. 46-55 (3 points) D. 56-65 (4 points) E. >66 ( 5points)
Assess Your Risk For a Heart Attack 2. Do you have a family history of early coronary artery disease (a mother or sister who was younger than 60 years old or a father or brother younger than 50 years old when he/she had a first heart attack or symptoms of a heart attack? A. No (0 points) B. Yes (2 points)
Assess Your Risk For a Heart Attack 3. Do you have high Blood Pressure (BP ≥ 140/90)? A. No (0 points) B. Yes (1 point) C. Don’t know (1 point) 4. Do you have Diabetes or elevated blood sugar? A. No (0 points) B. Yes (3 points)
Assess Your Risk For a Heart Attack 5. Are you physically active? A. I accumulate approx. 30” of moderate aerobic activity (walking, going up stairs, vacuuming, dancing, gardening, aerobics, swimming, cycling, spinning, or jogging almost every day. (0 points) B. I exercise only occasionally: I accumulate thirty minutes of aerobic activity one or two days per week. (1 point) C. I rarely engage in regular moderate aerobic physical activity. (2 points) D. I never engage in moderate physical activity. (3 points)
Assess Your Risk For a Heart Attack 6. Which of the following best describes your Cholesterol? A. <200mg/dL (0 points) B. 201-239 mg/dL (1 point) C. >240mg/dL (2 points) D. Don’t know (2 points)
Assess Your Risk For a Heart Attack 7. Which of the following best describes your HDL (good) cholesterol? A. <45 mg/dL (2 points) B. 45-59 mg/dL (1 point) C. 50-59 mg/dL (0 points) D. >60 mg/dL (-1 point) E. Don’t know (1 point)
Assess Your Risk For a Heart Attack 8. Which of the following best describes you LDL (bad) cholesterol? A. <100 mg/dL (0 point) B. <130 mg/dL (1 point) C. >160 mg/dL (1 point) D. Don’t know (1 point)
Assess Your Risk For a Heart Attack • Which of the following best describes your triglyceride level? A. 150-199 mg/dL (0 points) B. 200-250 mg/dl (1 point) C. >250 mg/dL (2 points) D. Don’t know (1 point)
Assess Your Risk For a Heart Attack 10. Do you smoke? A. Yes (3 points) B. Smoked previously, stopped within the last year. (2 points) C. Smoked previously, stopped 5 years ago (1 point) D. Smoked previously, stopped 10 years or more ago (0 points) E. No (0 points)
Assess Your Risk For a Heart Attack 11. Flossing and Heart Disease: medical research has found a correlation between any level of periodontal disease (including gingivitis) and atherosclerosis, or hardening of the arteries. A. I floss almost every day and see my hygienist at least once/year, if not 2x’s/year. (0 points) B. I don’t floss, and maybe see my hygienist once/year. (1 point) C. I have no idea what you are talking about (1 point)
Assess Your Risk For a Heart Attack 12. Look at a BMI (body mass index) chart. Determine your personal BMI which is considered a better indicator of “fatness” than weight alone. What is your BMI? A. 18-22 (0 points) B. 22-24 (1 point) C. 25-30 (2 points) D. 31-35 (3 points) E. >35 (4 points)
Assess Your Risk For a Heart Attack 13. How would you describe the way you handle anger? A. I avoid getting to the breaking point. (0 points) B. I yell or slam doors. (1 point) C. I always hold my anger in. (2 points)
Assess Your Risk For a Heart Attack 0: Great!You are presently healthy, and following the suggestions of the presentation should make you even healthier. 1-10: Low Risk!It pays to investigate the areas where you amassed points and modify your lifestyle accordingly. You should find this presentation particularly motivating and helpful. 11-20: Moderate Risk!This presentation will help you understand why it’s important to begin changing your lifestyle NOW! >20: HIGH RISK FOR HEART DISEASE!Though you may feel well now, get a complete physical ASAP. In the meantime, understand more about your heart and how it works. And you’ll learn what changes you need to make to begin reducing your risk.
Assess Your Risk For a Heart Attack My goal is to help you recognize your personal risk factors for heart disease and motivate you to make the necessary lifestyle changes to keep your heart healthy. YOUR goal is to change the risk factors you can control, so that YOU can greatly reduce the chance of having a heart attack.
What is Cardiovascular Disease? CHD: Coronary Heart Disease MI: Myocardial infarction (Heart Attack) CAD: Coronary Artery Disease Atherosclerosis: plaque in the arteries HTN: Hypertension (High Blood Pressure) CHF: Congestive Heart Failure CVA: Cerebral Vascular Accident (stroke)
Coronary Heart Disease Disorder of the blood vessels in the heart that can lead to a heart attack. A heart attack happens when an artery becomes blocked, preventing blood flow from getting to the heart muscle.
Coronary Heart Disease (cont.) The arteries become narrowed by fatty deposits which develop into plaque. The blood supply (that is carrying oxygen, sugar and nutrients) cannot get to the heart muscle. The heart muscle cannot keep up with increased demands (exercise, stress, surgery, illness) with these blockages.
How Critical is the Problem? • C-Shop: Cardiac School age Health Opportunities Program • Western Nebraska: Bridgeport, NE • 1 out of 3 students tested: Elevated Cholesterol, Triglycerides, or BP • Shocking fact: 5th graders • Education to both students and parents about curbing heart disease through healthy lifestyle choices. • Retest will be when they reach 10th grade.
How critical is the problem? • #1 Killer of both men and women (more than the next 7 causes of death combined including cancer). • 50% of all Americans will die of some form of Cardiovascular Disease. • 1 in 3 will die from Coronary Heart Disease.
How Critical is the Problem? (cont.) • One woman in America dies from heart disease every minute. (African-American women are 30% more likely to die from CHD). • If you combine Heart Disease and Stroke, there is one death every 33 seconds. • Heart Disease begins before age 20, many years before anyone has symptoms.
How Critical is the Problem? (cont) • 62% of women believe that cancer is a woman’s greatest threat. • Only 13% of American women consider heart disease a health risk themselves. • 9,000 U.S. women younger than 45 years old have had a heart attack each year. • In women younger than 65 years who have a heart attack; their death rate is twice that of men.
Classic Symptoms of Heart Disease “It’s the Big One” Chest discomfort: pain, pressure, tightness Pain radiating to the left arm or shoulder Cold Sweats Nausea Does everyone experience these symptoms?
Vague symptoms of heart attack Unusual or sudden extreme fatigue Shortness of Breath Flu-like symptoms: nausea or vomiting, cold sweats, weakness Feelings of anxiety “Something is wrong” Pain in one or both arms, shoulders, elbows, neck, jaw, stomach or back.
Only 30% of people experience classic signs and symptoms before having a heart attack. • Women, diabetics, and older men do not experience the classic symptoms of having a heart attack! • 64% of women who died from coronary heart disease had no previous symptoms. • Symptoms can often be vague so they are difficult to diagnose. Sometimes, treatment is delayed because their heart attack presents as something else.
Women Have Poor Outcomes • The entire artery is lined with diffuse disease rather than one area. • Women start off with smaller vessels, so a small amount of disease is much more significant. • The collaterals (small connecting blood vessels, nature’s little bypasses) are gone. • More complications with angioplasty (ballooning the artery open) and stenting. • More go for Coronary Artery Bypass Graft surgery (CABG), which is more invasive, carries more risks and has more complications.
What Can We Do? • Education is the Key…. • Know the facts. • Seek the information • Make the necessary lifestyle changes • TLC (therapeutic lifestyle changes) • Prevention is the Best Medicine!!! • Research shows you can lower your risk for CHD enormously (82%) simply by leading a healthy lifestyle.
Risks Factors That Cannot Be Controlled • Gender • Increasing Age: the average age of our population is changing so CHD will remain a MAJOR health issue. • Family History, Genetics • 1st degree relatives • Father, Brother: < 55 years old with CVD Mother, Sister: < 65 years old with CVD • Race
“With the many risk factors for heart disease, a woman’s greatest Risk is Ignorance”.former 1st lady, Laura Bush
Risk Factors That Can Be Controlled • Hypertension, High Blood Pressure • High cholesterol, Elevated Blood Lipids • Smoking, Tobacco Use • Diabetes • Obesity, Excessive Body Fat • Physical Inactivity • Stress • Other: Inflammation: CRP (c-reactive protein) Homocysteine
High Blood Pressure “The Silent Killer” • GOOD < 120/80 • BAD • Mild HTN 140/80 – 159/91 • Moderate HTN 160/100 – 179/109 • Severe HTN 180/100 – 209/109