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Learn and Live: Tips for a Healthy Lifestyle

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... coronary heart disease, heart failure, stroke and hypertension. ... Increased risk for developing type 2 DM, heart disease & stroke. One of these conditions: ... – PowerPoint PPT presentation

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Title: Learn and Live: Tips for a Healthy Lifestyle


1
Learn and LiveTips for a Healthy Lifestyle
  • On behalf of the Creighton Cardiac Center and the
    American Heart Association
  • February 2007

2
Prevalence of cardiovascular diseases in adults
age 20 and older by age and sex (NHANES
1999-2004). Source NCHS and NHLBI. These data
include coronary heart disease, heart failure,
stroke and hypertension.
3
Deaths from diseases of the heart (United States
19002004.) Source NCHS and NHLBI.
4
Hospital discharges for cardiovascular diseases.
(United States 1970-2004). Note Hospital
discharges include people discharged alive, dead
and status unknown. Source NCHS and NHLBI.
5
Symptoms of a Heart Attack
  • Some heart attacks are sudden and intense, but
    most heart attacks start slowly, with mild
    discomfort.
  • Chest discomfort 
  • Most heart attacks involve discomfort in the
    center of the chest that lasts more than a few
    minutes or that goes away and comes back.
  • It can feel like uncomfortable pressure,
    squeezing, fullness or pain.   
  • Discomfort in other areas of the upper body 
  • Symptoms can include pain or discomfort in one or
    both arms, the back, neck, jaw or stomach.   
  • Shortness of breath
  • May occur with or without chest discomfort.  

6
Symptoms of a Heart Attack
  • Other signs These may include breaking out in a
    cold sweat, nausea or lightheadedness.       
  • As with men, women's most common heart attack
    symptom is chest pain or discomfort.
  • But women are somewhat more likely than men to
    experience some of the other common symptoms,
    particularly shortness of breath, nausea/vomiting
    and back or jaw pain.

7
What do you do???
  • Don't wait longer than a few minutes (no more
    than 5) before calling for help.
  • Call 9-1-1... Get to a hospital right away.
  • If you can't access the emergency medical
    services (EMS), have someone drive you to the
    hospital right away.
  • If you're the one having symptoms, don't drive
    yourself unless you have absolutely no other
    option. 

8
Warning Signs of Stroke
  • Sudden numbness or weakness of the face, arm or
    leg, especially on one side of the body   
  • Sudden confusion, trouble speaking or
    understanding   
  • Sudden trouble seeing in one or both eyes   
  • Sudden trouble walking, dizziness, loss of
    balance or coordination   
  • Sudden, severe headache with no known cause

9
Warning Signs of Stroke
  • Immediately call 9-1-1 or the emergency medical
    services (EMS) number so an ambulance can be sent
    for you.
  • Also, check the time so you'll know when the
    first symptoms appeared.

10
Prevention Pays Off Know Your Numbers!!
  • Systolic diastolic blood pressure
  • Less than 140/90 in everyone
  • Less than 130/80 for diabetics
  • Whole blood glucose
  • Less than 126 mg/dl
  • Cholesterol
  • Total lt 200 mg/dl, LDL depends on your risk
    factors
  • HDL is happy higher is better
  • Height weight BMI lt 25

11
Cholesterol
  • It's fairly easy to lower your cholesterol
  • Eat more foods low in saturated fat cholesterol
  • Cut down on high-fat foods, especially those high
    in saturated fats
  • Watch your caloric intake

12
Tips for Healthy Living
  • Eat at least 5 servings of fruits vegetables
    every day
  • Eat 6 or more servings of cereals, breads, pasta
    other whole-grain products
  • Eat fish, poultry (without skin) leaner cuts of
    meat instead of fatty ones
  • Eat fat-free or 1 milk dairy products rather
    than whole-milk dairy products

13
Tips for Healthy Living
  • Enjoy 3060 minutes of vigorous activities on
    most (or all) days of the week
  • Maintain a healthy weight

14
Blood Pressure (BP)
  • High BP (HBP) usually has no symptoms
  • The only way to find out if you have HBP is to
    have your BP checked
  • If your BP is ok, get it checked at least every 2
    years
  • If you have prehypertension or if you have a
    family history of HBP, you're at higher risk
  • Children adults with smaller or larger than
    average-sized arms may need special-sized cuffs

15
What's normal blood pressure?
16
10 Ways to Control Your BP
  • Know your BP. Have it checked regularly.
  • Know what your weight should be. Keep it at or
    below that level.

17
10 Ways to Control Your BP
  • Don't use too much salt in cooking or at meals.
    Avoid salty foods.
  • Eat a diet low in saturated fat according to AHA
    recommendations.
  • Control alcohol intake. Don't have more than one
    drink a day if you're a woman or two a day if
    you're a man.

18
10 Ways to Control Your BP
  • Take your medicine exactly as prescribed. Don't
    run out of pills even for a single day.
  • Keep appointments with your doctor.
  • Follow your doctor's advice about physical
    activity.
  • Make certain your relatives have their BP checked
    regularly.
  • Live a normal life in every other way.

19
Diabetes (DM) Not so Sweet
  • DM fasting blood glucose of gt 126 mg/dL
  • "Pre-diabetes glucose levels are higher than
    normal but not yet diabetic
  • Increased risk for developing type 2 DM, heart
    disease stroke
  • One of these conditions
  • Impaired fasting glucose
  • Impaired glucose tolerance

20
Not so Sweet
  • Type 2 DM is the most common form
  • DM is a major risk factor for stroke coronary
    heart disease, including heart attack (MI)
  • Unfortunately, most diabetics are not aware of
    these risks

21
DM
  • It's critical for diabetics to have regular exams
  • Work closely with your doctor to manage your DM
    control any other risk factors
  • If excess weight is an issue, a doctor may
    prescribe changes in eating habits, exercise
    programs and medications to help keep weight in
    check.

22
DM
  • Diabetics may avoid or delay cardiovascular
    disease by controlling their blood sugar other
    risk factors
  • Control weight cholesterol with a low-fat,
    low-cholesterol diet regular exercise
  • It's also important to lower high blood pressure
  • Do not to smoke
  • BP should be lower than 130/80 mm Hg

23
Cigarette smoking Bad News
  • Cigarette smoking the most important
    preventable cause of premature death in the
    United States
  • Smokers have a higher risk of developing a number
    of chronic disorders
  • Cardiovascular disease MIs
  • Several types of cancer
  • Chronic obstructive lung disease

24
Bad News
  • Smoking increases the risk of coronary heart
    disease by itself
  • when it acts with other factors, it greatly
    increases risk
  • Smoking increases BP, decreases exercise
    tolerance increases the tendency for blood to
    clot

25
Bad News
  • Smoking also increases the risk of recurrent
    heart disease after bypass surgery
  • Smoking is the most important risk factor for
    young men women
  • It produces a greater relative risk in persons
    under age 50 than in those over 50
  • Women who smoke use birth control pills greatly
    increase their risk of MI stroke
  • compared with nonsmoking women who use birth
    control pills

26
Second-hand Smoke
  • The link between second-hand smoke disease is
    well known
  • About 37,000 to 40,000 people die from heart
    blood vessel disease caused by other people's
    smoke each year
  • Of these, about 35,000 nonsmokers die from heart
    disease, which includes MI

27
The Good News
  • About 48 million Americans smoke cigarettes, but
    most smokers are either actively trying to quit
    or want to quit
  • Since 1965, more than 40 of all adults who have
    ever smoked have quit

28
The Good News
  • After 1 year off cigarettes, the excess risk of
    heart disease caused by smoking is reduced by 50
  • After 15 years of abstinence, the risk is similar
    to that for people who've never smoked
  • In 5 to 15 years, the risk of stroke for
    ex-smokers returns to the level of those who've
    never smoked

29
The Good News
  • Male smokers who quit between ages 35 to 39 add
    an average of 5 years to their lives
  • Female quitters in this age group add 3 years
  • Men women who quit at ages 65 to 69 increase
    their life expectancy by 1 year

30
(No Transcript)
31
Benefits of Exercise
  • Improves self-image
  • Controls weight
  • Improves cholesterol
  • Prevents/manages BP
  • Prevents bone loss
  • Boosts energy level
  • Helps manage stress releases tension
  • Improves the ability to sleep well
  • Counters anxiety/depression
  • Increases strength/ability to do other physical
    activities
  • Provides a way to share an activity with family
    friends
  • Establishes good heart-healthy habits in children
  • Helps prevent chronic illnesses associated with
    age
  • Maintains quality of life independence longer

32
Painless Ways to Increase Activity
  • Do housework yourself Garden or mow    
  • Go out for a walk before or after meals
  • Walk or bike to the store instead of driving    
  • If walking, pick up the pace or choose a hilly
    route
  • Pedal your stationary bicycle while watching TV
      
  • Stand up while talking on the telephone
  • Walk the dog
  • Park farther in the lot walk the extra distance
  • Keep exercise equipment in good working order
    use it

33
Painless Ways to Increase Activity
  • Plan outings that include physical activity
  • See the sights in new cities by walking
  • Make a date with a friend to enjoy physical
    activities
  • Play music while exercising or doing housework 
      
  • Dance with someone or by yourself
  • Join a club that emphasizes physical activity  
  • When golfing, walk instead of using a cart    
  • Play singles tennis instead of doubles    
  • At a picnic, join in on badminton instead of
    croquet

34
Painless Ways to Increase Activity
  • Walk in the American Heart Associations Heart
    Walk

35
Learn More Live
  • Know your numbers
  • Get active
  • Work with your doctor
  • http//www.americanheart.org

36
The Cardiac Centerat 3006 Webster Street
37
Mission
  • Quality patient care through
  • education research
  • SERVICE, SERVICE, SERVICE
  • We strive to exceed your expectations

38
Division of Cardiology
  • 18 Faculty Cardiologists
  • 11 Non-invasive
  • 4 Interventional
  • 3 Electrophysiology
  • 12 Cardiology Fellows
  • 3 NPs/PAs
  • 200 Staff
  • Registered Nurses
  • PharmDs
  • Exercise Science Specialists
  • Nutritionists
  • Tobacco Treatment Specialist
  • Cardiac Sonographers
  • Technicians
  • Clerical Staff
  • Administrative Professionals

39
Outpatient Sites
  • 3006 Webster (West of CUMC hospital)
  • Lakeside
  • Bergan
  • NW Radial Highway
  • Columbus, NE
  • Onawa, IA
  • 9 Outreach Sites in NE IA

40
Outpatient Prevention Services
  • Partners in Cardiology
  • Club Exercise Membership
  • Individualized Exercise Program
  • Nutrition Education
  • Private
  • Group Classes
  • Cooking Schools
  • Stress Management
  • Tobacco Treatment
  • Group
  • Individual

41
Outpatient CV Services
  • Patient Eval Mgmt
  • EKG
  • Laboratory Studies
  • Chest X-ray
  • Stress Testing
  • Diagnostic Cardiac Cath
  • Cardiovascular Ultrasound
  • Carotid, peripheral, renal, abdominal
  • EECP
  • Cardiac Rehabilitation
  • Arrhythmia Mgmt Services
  • Event Recorders
  • Holter Monitors
  • Heart-Lite
  • Therapeutic Monitoring
  • Anticoagulation medications
  • Arrhythmia medications
  • HIT (Heart Failure Mgmt)
  • Device Mgmt
  • Pacemaker
  • ICD

42
Support Groups
  • The Cardiac Upbeats
  • The Jump Starters
  • Mended Hearts

43
Collaborative Approach
  • With Primary Care Provider
  • Patient
  • Family
  • Among faculty
  • Built in second opinion

44
Call Us With Questions
  • If you or a loved one have questions regarding
    Heart Health, talk to your primary care physician
    or contact The Cardiac Center of Creighton
    University Medical Center at 280-5920 to learn
    more about the programs available through
    Creighton's healthcare services. 
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