The Cardiac Center of Creighton University

1
The Cardiac Center of Creighton University

• Risk Reduction Programs

Rita Frickel, MS, RD, LMNT Teri Erickson, MA,
ACSM, Registered Clinical Exercise Physiologist
2
Myth The CCC is only for patients who have
heart disease.

• Fact
• The CCC offers many programs to the general
  public in addition to programs for cardiac
  patients.

3
The Cardiac Center Programs

• Cooking classes
• Smoking cessation program
• Personalized exercise programs (PIC)
• Weight loss/Risk reduction programs
• Individualized Heart Lite Program
• Group Take Weight Management to Heart Program

4
PIC (Partners In Cardiology)

• Goal of the program is to prevent heart disease
  through the reduction of risk factors including
• High blood pressure
• Elevated cholesterol
• Smoking
• Physical inactivity
• Obesity

5
Facility Includes

• Indoor track
• Treadmills
• Arm and leg stationary cycles
• Rowing machines
• Stair climbers
• Elliptical machine
• Weight equipment
• Complete locker room facilities

6
Exercise Program

• PIC staff members will develop a personalized
  exercise program designed around your current
  fitness level and personal exercise goals.
• Staff are available for ongoing exercise consults
  as needed for no additional fee.
• Fitness tests are available, upon request, for an
  additional fee, assessing
• Cardiovascular fitness, muscular endurance and
  strength, body composition and flexibility.

7
Staff Training

• All PIC staff are BLS certified.
• Current staff is certified by The American
  College of Sports Medicine.
• Current full-time staff members hold Masters
  Degrees in Exercise Science.

8
Dietary Counseling

• Members have the opportunity to meet with a
  registered dietitian to review dietary habits and
  establish new eating goals.

9
Hours of Operation/Fee

• The facility is open to members Monday through
  Friday 600 a.m. to 530 p.m.
• The fee is 25 a month.
• There is no initiation fee.
• There is no minimum sign up required.

10
The Heart Lite Program

• A personalized program designed to facilitate
  both weight loss AND heart healthy lifestyle
  changes
• Individuals must have at least one cardiac risk
  factor in addition to being overweight
• Diabetes
• High blood pressure
• High blood cholesterol levels
• Nicotine dependence

11
What Happens During a Heart Lite Visit?

• Initial health assessment with a Board Certified
  Cardiologist
• Meet with the Dietitian and the Physician
  Assistant at each visit
• Ongoing review food records, recipes, and
  behavior modification techniques

12
What Happens During a Heart Lite Visit?

• Review medications and symptoms, and take
  appropriate action
• Recommend specialists if needed
• Adjust medications as necessary
• Order appropriate labs/tests on site (EKG, Holter
  monitor, electrolytes, etc.)
• Admit to hospital when necessary
• Design exercise program to patients abilities
  and interests

13
Case Study 46 y/o African American male with a
history of CHF, HTN, and obesity

• Presented for a routine follow up for our Heart
  Lite visit
• Weight loss of 8 pounds in 2 weeks
• Noted fast pulse
• c/o blurred vision, chest tightness, and light
  headedness
• Ran stat labs EKG at CCC

14
Case Study

• Potassium was low (2.3), fast heart rate
• Contacted Cardiologist and PCP
• Admitted to CUMC for potassium supplementation

15
Take Weight Management to Heart Program

• Group weight management program aimed at
  enhancing the current health status of
  individuals or preventing the development of
  disease states
• Evolved over 7 years to include AHA and ADA
  evidence based research to show what is most
  effective in managing weight
• 8 weeks (45)
• Directed by a registered dietitian

16
Take Weight Management to Heart Program

• Classes include
• Private weigh ins
• Individualized dietary analysis to customize
  dietary prescription to meet individual needs
• Behavior modification techniques
• Intuitive eating strategies
• Heart healthy recipe modification tips
• Heart healthy tips for eating away from home

17
Individual Dietary Analysis
18
Individual Dietary Analysis
19
One-On-One Option For Weight Control

• For individuals who dont have any cardiac risk
  factors
• For individuals who prefer not to join a group
  weight management program
• Call Rita at 280-5940 for an appointment
• Fee 45 for an hour consult

20
To teach you how to incorporate healthy
lifestyle changes that you can live with for the
rest of your life!!
Goal