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Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem. The Heart Truth and Red Dress are trademarks of DHHS. A National Campaign. To help women understand their risk of heart disease and take action Especially women ages 40 to 60 Partnership of many groups - PowerPoint PPT Presentation
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WelcomeLisa Marzoli, BS, MBA
Wellness Coordinator, Anthem
The Heart Truth and Red Dress are trademarks of DHHS.
A National Campaign
To help women understand their risk of heart disease and take action
Especially women ages 40 to 60 Partnership of many groups Red Dress—the national symbol for women
and heart disease awareness
Today’s Session Will Cover
Why women need to know about heart disease
What heart disease is Risk factors Talking to your doctor Taking action Surviving a heart attack Resources Getting on the road to heart health
The Heart Truth Heart disease is the #1 killer of American
women—no matter what their race or ethnicity
Heart disease kills 1 of every 4 American women
Heart disease can permanently damage your heart—and your life
Every 39 seconds an adult dies of heart attack, stroke, or other cardiovascular disease in the U.S. (CDC Vital Signs, February 2011)(http://www.cdc.gov/vitalsigns)
Prevalance
Worldwide 8.6 million women die from heart disease each year, accounting for a third of all deaths in women.
8 million women in the US are currently living with heart disease; 35,000 are under the age of 65
435,000 American women have heart attacks annually; 83,000 are under the age of 65 with the average age of 70.4 years
Prevalance continued42% of women who have heart attacks die
within one year, compared to 24% of menUnder age 50, women’s heart attacks are
twice as likely as men’s to be fatal267,000 women die each year from heart
attacks, which kill six times as many women as breast cancer. Another 31,887 women die each year of congestive heart failure, representing 62.6% of all heart failure deaths
Resource: www.womensheart.org Women’s Heart Foundation
Compared to Men…. 46% of women and 22% of men heart
attack survivors will be disabled with heart failure within 6 years
Women are 2-3 times as likely to die following heart bypass surgery. Younger aged women between the ages of 40-59 years are up to 4 times more likely to die from heart bypass surgery than men the same age
Compared to men…
Women are twice as likely as men to die within the first few weeks after suffering a heart attack; 38% of women and 25% of men will die within one year of a first recognized heart attack
Since 1984, more women than men have died each year from heart disease, and the gap between men and women’s survival continues to widen
The Heart Truth
Heart disease is a “now” problem “Later” may be too late
What Is Heart Disease?
Heart doesn’t get enough nutrient-rich blood Chronic—develops over years Atherosclerosis—arteries harden as
cholesterol, fat, and other substances build up in artery walls
Blockage can result in heart attack
The cardiovascular system comprises the heart, with its four chambers; arteries, in which blood moves away from the heart; veins, in which blood returns to the heart; and a system of capillaries, which transport blood between small arteries and small veins. In this diagram, the heart has been split into two halves to illustrate better the functions of the right and left sides. Source: Chung, M.K., and Rich, M.W. Introduction to the cardiovascular system. Alcohol Health and Research World
14(4):269–276, 1990.
Coronary Circulation: It's All in the Heart
While the circulatory system is busy providing oxygen and nourishment to every cell of the body, let's not forget that the heart, which works hardest of all, needs nourishment, too. Coronary circulation refers to the movement of blood through the tissues of the heart. The circulation of blood through the heart is just one part of the overall circulatory system.
http://www.fi.edu/learn/heart/systems/coronary.html
The illustration shows a normal artery with normal blood flow (figure A) and an artery containing plaque buildup (figure B).
Source=http://www.nhlbi.nih.gov/health/dci/Diseases/Hbc/HBC_WhatIs.html
No Quick Fix
Not “fixed” by surgery or procedures, such as bypass and angioplasty
Worsens if not treated—leads to disability or death
Good News
Heart disease can be prevented or controlled
Treatment includes lifestyle changes and, if needed, medication
Why Me? Why Now? Risk rises ages 40–60
Estrogen level drops during menopause Risk factors
Smoking High blood pressure High blood cholesterol Overweight/obesity Physical inactivity Diabetes Family history of early heart disease Age (55 and older for women)
Heart Disease Risk Factors Multiply their effects Women who smoke risk having a heart attack 19 years
earlier than non-smoking women Women with hypertension experience a risk of developing
CAD 3.5 times that of females with normal blood pressure; high blood pressure is more common in women taking oral contraceptives, especially in obese women
Women with diabetes have more than double the risk of heart attack than non-diabetic women. Diabetes doubles the risk of a second heart attack in women but not in men.
Same lifestyle steps prevent/control many of the risk factors
Have a Heart-to-Heart
Ask your doctor about your risk of heart disease
Draw up a list of questions before your visit (do the research ahead of time)
Write down or tape record what the doctor says (or bring a family member or friend)
Tell your doctor your lifestyle behaviors, such as smoking or being physically inactive
Key Tests for Heart Disease Risk Blood pressure
Less than 120/80 mm Hg Blood cholesterol
Total: Less than 200 mg/dLHDL: Women 50 mg/dL or higher
Men 40 mg/dL or higherLDL: varies according to heart risk
for low risk less than 160 mg/dLTriglycerides: Less than 150 mg/dL
Key Tests for Heart Disease Risk Fasting plasma glucose (diabetes or blood
sugar test)Less than 100 mg/dL
Body mass index (BMI) and waist circumferenceBMI: Less than 25 kg/m2Waist: 35 inches or less for women
40 inches or less for men
Key Tests for Heart Disease Risk Electrocardiogram
EKG or ECG is a record of heart’s electrical activity as it contracts and relaxesCan detect various problems such as abnormal heartbeats, muscle damage, and poor blood flow
Stress testRecords heart’s electrical activity while exercising
Why Women Don’t Take Action Against Heart Disease
They don’t put their health as a top priority They think they’re not old enough to be at
risk They feel too busy to make changes in their
lives They’re already feeling stressed They’re tired
How To Lower Heart Disease Risk Begin today it’s never too late to make changes Stop smoking Follow a healthy eating plan
Low in saturated fat, trans fat, and cholesterol and moderate in total fat
Check out Dietary Guidelines for Americans, 2010(http://www.cnpp.usda.gov/dietaryguidelines.htm)
Limit salt and sodium If you drink alcoholic beverages, have no more than one
a day
How To Lower Heart Disease Risk
Be physically active—30 minutes of moderate-intensity activity on most days of the week
Maintain a healthy weight Balance calories taken in with those used up in
physical activity
Manage diabetes Take medication, if prescribed STRESS CHECK!!
Heart Attack Warning Signs Chest discomfort
Usually in the center of the chest Lasts for more than a few minutes, or goes away
and comes back Can feel like uncomfortable pressure, squeezing,
fullness, or pain
Discomfort in other areas of the upper body, including pain or discomfort in one or both arms, the back, neck, jaw, or stomach
Heart Attack Warning Signs
Shortness of breath, with or without chest discomfort
Other symptoms, such as breaking out in a cold sweat, nausea, or light-headedness
To Survive a Heart Attack
Call 9-1-1 within minutes—5 minutes at most Emergency medical personnel will begin
treatment at once Don’t drive yourself to the hospital Uncertainty is normal—don’t be embarrassed
by a false alarm Plan ahead Learn the warning signs
Resources for a Healthy Heart
National Heart, Lung, and Blood Institutewww.hearttruth.gov
American Heart AssociationGo Red for Womenwww.americanheart.org
Office on Women’s Health, DHHSNational Women’s Health Information Centerwww.womenshealth.gov
WomenHeart: the National Coalition for Women with Heart Diseasewww.womenheart.org
It All Begins With You
Take one step at a time Replace unhealthy habits with healthier ones Eat for heart health Remember that calories count Start walking—try 10 minutes and add time
gradually to get 30 minutes a day
How To Keep Going View changes as new lifestyle, not quick
fixes Set realistic goals Buddy up Don’t worry about a slip Reward your success Be your own advocate—ask questions and
seek information
The Heart Truth
It’s up to you to protect your heart health—start today!