CArdiovAsCulAr heAlth - HeartSine · CArdiovAsCulAr heAlth Heart and soul Kim Burrell, three-time...

CArdiovAsCulAr heAlth

Heart and soulKim Burrell, three-time Grammy Nominee and heart attack survivor, divulges the secret to her dramatic weight loss and what motivates her to stay on track.

When it comes to breakfast, one good bite deserves another. Smart Start® Strong Heart cereal is a great tasting way to get the vitamins and nutrients your heart needs to stay strong.

An Independent supplement by medIAplAnet to usA todAy

lifesaving legislationAn untimely death results in change

A family affairImplement a heart-healthy diet

on the runmaking fitness fit into your life

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charanjit rihal, mDChair, division of Cardiovascular diseases, mayo Clinic, rochester, mn

ChAlleNGesFebruary is american heart month, and we hope that you will take a few moments to focus on your heart and its health.

Change of heartC

arol Hyman Allan was born during the 1950s with “Blue Baby Syndrome,” a heart defect which caused a

lack of oxygen in her blood. When she was a young girl, she remem-bers that her heart felt like it would pound out of her chest. She gasped for air when walking and her hands and feet would turn blue.

More than 50 years ago, when she was 15, Carol traveled from Canada to the U.S. with the strong desire to be able to do things that others took for granted. The innovative heart surgery by Mayo Clinic’s legendary Dr. John Kirtland was a success. Carol has not needed any further surgeries and has thrived.

Carol is happy to share her story with others. Recently it gave comfort to a 7-year-old girl, Alli, with the same condition who was facing similar struggles. A pen pal friend-ship formed between Alli and Carol. The two helped each other—Carol offering Alli advice and hope; and

Alli reminding Carol of what it’s like to be young and how some things change while others seem to stay the same.

a promising new eraPatients today continue to display courage and face uncertainty, but the boundaries of heart care have changed dramatically in the past and are poised to expand even more in the future. A promising new area is regenerative medicine—growing new heart muscle from a patient’s own cells. In the new field of indivi-dualized medicine, treatments are tailored to a patient’s specific body chemistry and genetics. New mini-mally invasive surgical techniques have patients back to their normal routines sooner and they expe-rience less pain. Integrated preven-tion programs are enabling people to proactively identify and modify their risks. We continue to develop novel approaches to the treatment of chest pain and atrial fibrilla-tion. New treatment options are giving patients with heart failure new hope.

In spite of these advancements, we still face big challenges. The population is becoming older and the risk of heart disease becomes greater as we age. Rates of heart disease and stroke increase sharply after age 65. Further, while smoking rates have diminished, there has been a dramatic increase in obesity in the U.S. Obesity increases the risk of heart disease, stroke, high blood pressure, and diabetes.

Heart disease is the number one killer in the U.S., and one in three adults have one or more types of cardiovascular disease. Unlike Carol’s case, most heart disease is preventable. February is American Heart Month, and we hope that you will take a few moments to focus on your heart and its health.

The content in this special section was not reviewed by Dr. Rihal or Mayo Clinic. Dr. Rihal and Mayo Clinic do not endorse any of the advertisers appearing within this special section or the companies mentioned in the editorial sections. Dr. Rihal received no compensation for writing this introduction.

When I had heart valve surgery at Mayo Clinic, I was treated like an individual, not a number. My answer was Mayo Clinic.

Katherine Sperlik, Illinois

Thousands travel to Mayo Clinic each year for treatment, diagnosis, or a second opinion. Mayo Clinic is an in-network pro-vider for millions, and a physician’s referral is typically not required. To request an appointment, visit mayoclinic.org.

PHOENIX/SCOTTSdalE, arIzONa

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jaCkSONvIllE, flOrIda

cArdiovAscuLAr heALth 4th edition, FebruAry 2011

managing Director: Jon [email protected] manager: Jackie [email protected]

responsible for this issue:publisher: megan [email protected] Developer: luciana [email protected] Designer: missy [email protected]: American College of Cardiology, Kathy berra, Cardiovascular research Foundation, michelle demeule-Hayes, Karen donato, Jeff Galloway, suzanne Hughes, Avery Hurt, michael m. Koehler, national Heart lung and blood Institute, nHlbI/We Can!, dr. Gary s. mintz, Charanjit rihal, md; dr. mary n. Walsh, WomenHeart, preventive Cardiovascular nurses Association; special thanks: Ken, Jerri, and Khrissi miller; Kim burrell, Krishnar lewis, Ann Hulett

Distributed within: usA todAy, February 2011this section was created by mediaplanet and did not involve usA todAy or its editorial departments.

Keeping kids activeCreative ways to get kids moving

we recommend

pAGe 4

mediaplanet’s business is to create new customers for our advertisers by providing readers with high-quality editorial content that motivates them to act.

Survivor spotlight p. 10WomenHeart Champion Ann Hulett readjusts to life after an attack.

“patients today continue to display courage and face uncertainty, but the boundaries of heart care have changed dramatically in the past and are poised to expand even more in the future. ”

http://mayoclinic.org

Cardiac research that gets to theheart of world-class care.

At UPMC, our physicians aren’t just utilizing the latest treatments for heart failure – they’re working to find newer and better ones. We have a rich tradition of clinical research and innovation as one of the first heart transplant centers in the country and as developers of one of the first heart-assist devices.

Whether researching gene therapy for coronaryartery disease or novel noninvasive therapies for heart failure, UPMC physicians consistently are at the cutting edge, exploring and employing new tech-nologies and treatments for the benefit of patients. To learn more, visit UPMC.com/PatientCare.

Affiliated with the University of Pittsburgh School of Medicine, UPMC is ranked among the nation’s best hospitals by U.S. News & World Report.

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PHOTO: AmericAn HeArT AssOciATiOn

iNsiGht

■■ Why is it so crucial to implement a heart-healthy diet for children?It is important for children to have a heart-healthy diet for many reasons. Eating heart-healthy foods in appropriate portions provides children with the nutrients they need to grow up healthy without gaining excess weight. This kind of eating plan also helps children maintain a healthy weight while controlling blood pressure and cholesterol levels, which is espe-cially important since the build-up of plaque in arteries begins in childhood. Children also learn to choose these foods when they are away from home and in environ-ments where all kinds of options are available to them.

■■ What are the risks for obese children?Obesity in childhood can add up to health problems, often for life. Research has shown that obese children are at a high risk of beco-ming overweight or obese adults, meaning that they are also at greater risk for developing adult-associated health problems, such as heart disease, type 2 diabetes, high blood pressure, certain cancers, and other chronic conditions. Heart-healthy lifestyle habits, such as eating healthy, being physically active, and reducing screen time, can help children maintain a healthy weight, and lower their risk of developing these conditions later in life.

■■ What are the components of a heart healthy-diet for children?The components of a heart-healthy diet for children are similar to those for adults, and include a variety of fruits and vegetables, whole-grain

breads and cereals, low-fat milk and milk products, and beans, fish, and lean meats. To keep heart-healthy, children should also avoid foods that are high in saturated fat, trans fat, and cholesterol, such as French fries, cookies, sweet rolls, and hamburgers.

■■ What can parents do to make a heart-healthy diet fun for their kids?Getting children on board with healthy eating can be a bit of a chal-lenge, especially if your child is a picky eater; however, there are ways to make healthy eating fun for kids. Children are more likely to eat food that they help prepare themselves, so involving kids in the preparation of food (from making the shopping list, to going to the grocery store, and even slicing, mixing, baking, or cooking the

food) is a great way to entertain and educate them on healthy eating.

Another thing parents can do to make healthy eating fun is to constantly introduce new foods. Instead of cutting up an everyday apple, try serving sliced avocado or sliced kiwi; and in place of carrot sticks, try sliced bell peppers or cucumbers for a diffe-rent type of color and crunch.

Finally, another great way to make healthy food fun is to make it active and visually appealing. Cut food into bite size pieces–like baked chicken–and let kids “dip” these pieces into a variety of dunking sauces (hummus, low-fat ranch dressing, mustard, etc.); cut sand-wiches into fun shapes; or supply your kids with ingredients to “build” their own taco or pizza.

■■ What are some creative ways to get children to be active? The 2008 Physical Activity Guide-lines for Americans recom-mend that children and teens be physically active for at least 60 minutes on most, if not all, days.

For many youth and parents, 60 minutes of daily physical activity may seem daunting, if not impos-sible. However, not all physical acti-vity has to be time spent in the gym or on a sports team.

There are plenty of fun and crea-tive ways to be active throug-hout the day. One of the best ways to get children active is to lead by example. Instead of settling in on the sofa after dinner, encourage your family to play tag, kick-ball, or even a pick-up game of basketball in the backyard or at a local park.

If the weather is not cooperating, play hide-and-go-seek in the house, turn up the stereo and have a “dance party” to your kids’ favorite tunes, or introduce your family to a new activity—set up towels in the living room and try a family yoga night.

We Can! is a program of the National Institutes of Health. It is adminis-trated by the National Heart, Lung, and Blood Institute, in collaboration with the National Institute of Diabetes and Diges-tive and Kidney Diseases, the Eunice Kennedy Shriver National Institute of Child Health and Human Development, and the National Cancer Institute.

Karen Donato, S.m.Coordinator of overweight and obesity research Applicationsnational Heart, lung, and blood Institute

the american heart association notes that more vigorous exercises, like running, are best for improving fitness of the heart and lungs, lowering blood pressure and incre-asing hDl cholesterol (the good type), with improve-ments in heart capacity and circulation.

Many experts believe that marathon training may

provide increased protection from heart attacks and control over diabetes. Emory Cardiolo-gist Lawrence Sperling notes a significant pulmonary capa-city increase among maratho-ners over, say, 10K runners.

Post-cardiac patients or those diagnosed with heart disease used to be told not to move around very much. Today many are running mara-thons. Mentally, they are no longer patients but athletes.

Olympian Jeff Galloway has coached over 300,000 runners to their goals. He is the official training consultant for runDisney and a monthly columnist for Runner’s World Magazine.

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Creative ways to keep your kids healthy and active

We Can!, and its logo are trademarks of HHS. We Can!® is a national awareness campaign about maintaining a healthy weight for children sponsored by the National Heart, Lung, and Blood Institute, part of the National Institutes of Health, U.S. Department of Health and Human Services. Participation by HHS/NIH/NHLBI and its spokespeople does not imply endorsement of any commercial sponsors of this supplement.

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home is where the heart is, and implementing a heart-healthy diet for your kids starts at home.

Obesity rates in children have risen steadily over the past few decades and have leveled off only recently. Nearly one in three U.S. children is overweight or obese, and many of them face heart disease later in life. A key to preventing cardiovascular

disease is controlling modifiable risk factors. Children develop their food preferences early in life; good nutrition beginning in childhood can set the stage for lifelong healthy eating.

A diet designed for kids should follow the same principles as a heart-healthy diet for adults, but in age-appropriate portions. It is rich in fruits, vegetables, low-fat dairy and lean protein with only moderate fat intake. Fruits and vegetables provide abundant amounts of vitamins, especially vitamins A and C, both important antioxidants that can stave off cell damage responsible for dangerous fatty build-up and

inflammation of the arteries. Low-fat dairy should be offered

to promote adequate amounts of calcium and vitamin D. Lean proteins such as legumes, fish, and chicken should be offered. Fish should be included; its Omega 3 fatty acids are believed to promote the formation of good cholesterol, while reducing the levels of bad cholesterol.

Children mirror parental behaviors so parental adhe-

rence to a heart-healthy diet is essential in establishing lifelong healthy eating habits in their children. Following these simple dietary rules can help pave the way toward a healthy heart for everyone in the family.

Demeule-Hayes manages the Center for Pediatric Weight Management and Healthy Living at Mt. Washington Pediatric Hospital, owned and operated by Johns Hopkins and the University of Maryland.

michelle Demeule -hayes, mS, rD, lDNmanager, Center for pediatric Weight management and Healthy living, mt.Washington pediatric Hospital, Inc.

start heart-healthy eating early to stay healthy later in life

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implementing a healthy-heart diet is a family affair.

As you are planning meals for your family, it’s important to keep in mind that making healthy food choices is just as much about what you don’t eat as what you do eat!

The connection between diet and heart disease is related to the impact of the foods we eat on blood pressure, cholesterol, diabetes risk, and weight—all proven risk factors for heart disease.

tips to make meals count:■■ consume nutritionally dense

foods.

■■ Fill half your plate with fruits and vegetables, ¼ with lean protein, and the remaining ¼ with whole grain carbohydrates. Fruits and veggies are not only satis-fying and low in calories; they contain powerful disease-fighting nutrients.

■■ avoid empty calories. Substituting skim milk or water for sugary soft drinks and juices is an easy way to cut calories.

■■ Balance your calories with your energy expended to achieve and maintain an ideal weight. Physically inactive adults require 200-300 calories less per day than active adults. When you splurge a little, ramp up the exercise!

a quick mid-morning or afternoon snack is a great way to boost your energy level and to curb those “super-munchies” that can result in over-eating and bing-ing at mealtime. but choose those snacks (and portion sizes) care-fully. it is easy to eat mindlessly, especially in front of a tv or com-puter screen! Aim for a nutritio-

nally dense snack of 100 calories or less:

■■ 2 tablespoons of (unsalted) nuts

■■ reduced-fat yogurt or low-fat cheese (two 1inch cubes)

■■ A cup of sliced bananas and fresh raspberries

■■ 2 cups of carrots

tiPs For smArt snAcking

eat your heart out“balance your calories with your energy expended to achieve and maintain an ideal weight.”

Suzanne hughes mSN rNpreventive Cardiovascular nurses Association

■■ Give the nutty flavor of whole wheat pasta a try! When choosing breads, pasta, or cereal, choose whole grain rather than refined grain products.

■■ in combination with other elements of a heart-healthy diet, dairy products (2-3 servings daily) can help to lower blood pressure. Opt for the low-fat, or no-fat choices, as higher fat products pack on the calories.

■■ the american heart asso-ciation recommends at least 2 servings weekly of fish- ideally oily fish that is high in omega-3 fatty acids, like salmon or trout.

■■ tomatoes and tomato products have a protective effect against cardiovascular disease. They are rich in lycopene, a powerful antioxidant, and are also a significant source of potassium

■■ cut the salt! Nearly 70 percent of our salt intake is hidden in prepared foods. Be a label reader. Most adults should have less than 1500 mg of sodium per day.

■■ limit portion sizes and second helpings. Above all, mode-ration in all things.

Kathy Berra, mSN, NpPreventive cardiovascular nurses Association

Fitting exercise into a busy scheduleFinding the time to fit exercise into your daily routine can be a challenge. There is a long list of excuses to skip the gym: Your children demand all of your atten-tion, your career is all-consuming, you have too little time, or not enough energy. And the list goes on…

While there are a million reasons not to exercise, there is one reason that you should: Your heart. The American Heart Associ-ation has determined that regular exercise can help prevent heart attack and stroke—the number one killer of both men and women worldwide.

So what are you waiting for? It’s time to get up and move. Incor-porate exercise into your daily activities—take a brisk walk around your office, be an “aerobic shopper,” take the stairs instead of the elevator, park just a little further away from the bank or the hairdresser and “take a walk.”

Quick tips to stay on track:■ Wearing a pedometer—work up to 10,000 steps a day

■■ Keeping a calendar of your “bouts of exercise.” Ten minutes, three times a day equals 30 minutes a day.

■■ Walking with a family member or a neighborhood friend

■■ Listening to your favorite music while you do your chores

■■ Rewarding yourself when you accomplish your goals

■■ Exercising when it works best for you.

Start slowly (check with your doctor if you have heart disease or any other health concerns), choose an activity that you like, and have FUN.

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iNspirAtioN

the power of love: A heart-to-heart with Kim Burrell

■■ Question: When it comes down to it, what motivates a person to stay healthy?

■■ answer: sometimes, it is love.

Kim Burrell has long inspired others with her gospel/jazz singing. Now she is also inspiring us with the story of how she survived three heart attacks and changed her life for the better.

Burrell’s first thought when she was told that she had had three heart attacks, was, “It finally happened.” Her stressful lifestyle, unhealthy diet, and high weight may have made it inevitable that she would eventually have heart problems. She just didn’t expect it to happen so young— she was only 37.

undetected heart attacksWhen Burrell’s sister, who happens to be a nurse, insisted that Burrell see her family doctor before leaving for a seven-city tour, Burrell resisted. She felt fine; there was no reason to take time for a check-up. She did eventually agree to go and that’s when her doctor informed her that she’d already had three undetected heart attacks. A change in lifestyle, especially diet, was Burrell’s only hope of avoiding invasive procedures and possibly death. “My doctor told me, ‘Do this to save your life,’” says Burrell. Like everything else she does, Burrell approached her new lifestyle with commitment. Using a combina-tion of portion control (she now eats only a cup of nutritious food at any one sitting) and self-discipline techniques, such as putting her fork

down between bites, she has lost 106 pounds so far.

”it became about him”Staying motivated, especially while living such a busy life (Burrell typi-cally maintains a notoriously heavy touring schedule), is not always easy. When I asked how she stays motivated, Burrell paused for a moment and then her legendary voice became low and soft and serious. “I have one son, now eight-years-old. It occurred to me that it is not possible for him to love anyone more than he loves his mother. Another person could care for him, but no one could replace me in his life. At that point it stopped being about me and became about him.”

Of course you don’t have to have small children to find the motiva-tion necessary to change your life

to protect your health. Burrell is convinced that you can do it for your-self. “Life is worth meeting the entire you, finding out all that you are made of. When you debilitate yourself in any way, you disconnect from all that you could ever be,” she says. “Yet if you spend the energy you previously spent on unhealthy habits and put that same energy into healthy ones, you’ll be amazed at how everything in your life can change.”

How have things changed for Burrell? “I was extremely confident even at my biggest weight,” she explains, “but I didn’t know life as I know it now until this happened to me. Find a way to love yourself so that you can make the changes you need to take care of yourself.”

Avery Hurt

[email protected]

LeAder to LeAder

beFore

survivor sPotLight

high tech with heartAnn Hulett went in for what she thought was a routine

stress test. “Three minutes into the test, they pulled me off the machine,” Hulett recalls. A cathe-terization revealed six blockages and her surgeon discovered that she had already had four unde-tected heart attacks.

Hulett had no idea she had heart disease, but looking back she realizes that she should have. Like many women, she didn’t recognize her symptoms as signs of heart trouble. “I had been extremely tired,” she recalls, “and didn’t feel like going to visit my grandson. I was constantly out of breath.”

After her bypass surgery, Hulett went online to womenheart.org. It was there she learned about the Implantable Cardioverter Defibrillator (ICD), a device that continually monitors and adjusts heart rhythms. She printed the information and took it to her doctor, who agreed that Hulett was a good candidate for an ICD. Two weeks later, she had one implanted. The improvement was immediate. “When I woke up I said, ‘Oh my god, why didn’t they do this to me earlier? This is the best thing since peanut butter and jelly.’”

“I’m lucky to have been born in this time,” reflects Hulett. “Ten or 15 years ago the techno-logy wasn’t there to give me this quality of life.” Now that she has more energy and can manage the stairs to her third-floor apartment, she can walk to her mailbox each day and gets to visit her grandson more often.

Avery Hurt

[email protected]

heart attack survivor, ann hulett, volunteers her time to educate others.

committeD to chaNGe After three heart attacks by the age of 37, kim burrell knew it was time for a change. beFore: kim before a 106 lb. transformation.PHOTO: lewis Agency, (bOTTOm rigHT) geTTy imAges

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iNspirAtioN

Never again: legislation to stop needless deaths

■■ Question: What happens when a child’s death touches the entire community?

■■ answer: In Josh miller’s case, political action.

Josh Miller was a straight-A student taking advanced classes, an active 15-year old middle line-backer on the Barberton, Ohio football team who also loved wrestling. While walking off the field after the final game of the 2000 football season, Josh suddenly collapsed. By the time paramedics arrived, it was too late. He died at the stadium of sudden cardiac arrest. Josh’s dad, Ken Miller, recalls the feeling of helplessness as he and his family

and friends waited for the ambu-lance, unable to do anything to save his son.

But there is something that could have been done. This tragedy and all too many others like it could have been avoided had the school owned an auto-mated external defibrillator (AED). For victims of Sudden Cardiac Arrest, AEDs can greatly increase the odds of survival by restoring normal heart rhythm before emergency crews arrive —something Ken Miller discovered can take too long. “You lose a ten percent chance of survival for every ten minutes you wait for the ambulance,” says Miller. Accor-

ding to the American Heart Asso-ciation, only about 8 percent of victims of Sudden Cardiac Arrest survive, yet communities with comprehensive AED programs have achieved survival rates of 40 percent or higher.

Congressional representa-tive Betty Sutton, representative from Josh’s district and a native of Josh’s hometown, has introduced the Josh Miller HEARTS Act, legis-

lation that would provide schools with grants to purchase AEDs and provide AED/CPR training to make sure people know how to use them. Similar legislation was passed in Ohio a few years after Josh’s death. Sutton would like to offer the program to all schools across the country. The legislation passed unanimously in both the 110th and 111th Congress, but has so far failed to get any action in the senate, explains Sutton. But she doesn’t plan to give up. She will soon reintroduce the popular bill. “Every year that passes [without passage of this bill] more kids will not have help available when they need it,” Sutton says.

“Josh’s death didn’t just break the hearts of his family, it broke the hearts of his community as well,” says Sutton. The AED program is a one-time expense that can save lives and prevent more broken hearts. To get involved and support this legis-lation, contact Representative Sutton’s office at 866-317-9980.

Avery Hurt

[email protected]

chAnge

how has the standard of care changed for people having a heart attack?

■■ I remember during my training that when patients came in having a heart attack, the best that we could do was pres-cribe bed rest (for three weeks!), morphine, and oxygen. Then came the remarkable develop-ment of balloon angioplasty, in which a balloon is inserted into a narrowed artery to open it and clear the blockage. That techno-logy emerged into the use of tiny metal stents, which prop open the vessel and allow blood to flow into the heart. The next gene-ration of stents will be made of materials that are broken down and absorbed into the body once they have fully performed their function.Intervening in heart attacks in this way, along with enhanced public awareness of heart disease, has unquestionably saved lives. In 1975, the rate of death from a heart attack was almost 25 percent. By 2005, it had been reduced to five percent.

What is aortic valve stenosis and how has the treatment for it advanced?

■■ With age, heart valves (which allow blood to travel in and out of the heart) deteriorate or other-wise fail to perform. Once symp-tomatic, patients with aortic stenosis (narrowing of the aortic valve) have a predictable morta-lity rate and are referred for valve replacement if they are surgical candidates. Researchers recently revealed that a replacement heart valve that is inserted for patients who could not undergo open heart surgery resulted in a 20 percent lower rate of death compared to the standard medical therapies. That translates to survival of one in five patients who otherwise

Dr. Gary S. mintzchief medical officer, cardio-vascular research Foundation

QuestionnAire

contact information:■■ readers who might like to

support the effort can contact:■■ parent heart Watch

tel: 800-717-5828 ext. 3fax: 888-669-4924 www.parentheartwatch.org

suPPort the eFFort

“Josh’s death didn’t just break the hearts of his family, it broke the hearts of his community.”congresswoman Betty Sutton

Josh miller straight-A stu-dent and athlete collapsed on the sports field. his death prompted sutton to take political action.

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Helping keep the flames alive of those we’ve lost and those we shouldn’t.

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www.heartsine.com1-866-478-7463

http://www.heartsine.com


iNsiGht

signs and symptoms: Follow your heart

Being an active parti-cipant in your own healthcare is the best way to be proactive in your fight against cardi-ovascular disease.

By taking a hands-on approach to monitoring your signs and symp-toms you will not only be more heart smart but also know what questions to ask your doctor. The American College of Cardiology has launched a patient-centered campaign called CardioSmart to engage people to play an active role in their own heart health and empower them to make better, healthier lifestyle choices. Knowing the signs of heart disease and your own symptoms are critical.

There is a subtle difference between signs and symptoms. Signs are what a doctor observes, while

symptoms are what you may expe-rience. The more you know and report about your symptoms, the more informed your doctor will be about your risks. Here are some examples:Signs of possible heart disease

■■ Swelling of the legs or abdomen ■■ Heart murmur ■■ Abnormal sounds over arteries ■■ Decreased pulses

Symptoms of possible heart disease

■■ Chest pain or pressure■■ Shortness of breath

■■ Palpitations or irregular pulse■■ Fainting or fatigue

it’s important to be honestYour doctor will ask you about symp-toms and examine you to look for signs. It’s important to be honest with your doctor about any changes in your ability to do regular activi-ties like yard work, vacuuming, or exercising. Any symptoms sugges-ting that you have slowed down and can’t keep up your usual pace are important to report.

Knowing your risks for heart disease is the best way to get the most out of your visit with your doctor. Some important risks include: family history of heart disease, high blood pressure, smoking, abnormal cholesterol, diabetes, and obesity. These risks can be monitored by you and your doctor. Knowing your numbers is a great way to stay heart healthy. Use CardioSmart’s online tools to measure BMI and blood pressure and to keep track of your diet and exercise routines between

visits with your doctor. Bring this information with you when you see your doctor. Armed with data on your progress, you and your doctor can make more informed decisions.

Being CardioSmart is about empo-wering you to work with your doctor in managing your care to assure the best possible outcome. The ultimate judgment regarding your care must be made by you and your doctor together, in light of the circum-stances and information that is specific to you.

A symptom of coronary artery disease is angina, which is chest pain or discomfort that occurs when the heart is not receiving enough oxygen. Angina may feel like pres-sure in the chest. It is classified into two types: stable and unstable.

Stable angina occurs when the heart is working harder than usual (i.e. during physical activity or emotional stress). This can be relieved with rest and medications. Unstable angina is not predictable, can occur at rest, and requires immediate medical

attention. Talk to your doctor if you have

angina. A variety of medications are available to treat angina. Other important steps to keeping angina at bay are smoking cessation, diet, and exercise.

AnginA

Dr. mary N. Walsh spokesperson for the American college of cardiology’s cardiosmart national care initiative

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†These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

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CONSUMIDOR: LÍMITE DE UN CUPÓN POR COMPRA de los productos y cantidades especifi cados. LÍMITE DE 4 CUPONES SIMILARES en la misma compra. No se autorizan los cupones si los productos se compran para reventa. Nulo si se transfi ere, vende, subasta, reproduce o altera antes de redimirlo en tienda. Cualquier otro uso constituye fraude. Puede que pague impuestos de venta. No lo envíe a Procter & Gamble.

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“Tell your cardiologist exactly how you’re feeling. Don’t hold anything back.”

Donnette, angina patient

www.SpeakFromTheHeart.com Tips, information, and more from real angina patients Donnette, Ralph, and Claudia.

Speak From the Heart is a trademark, and the Speak From the Heart logois a registered trademark, of Gilead Sciences, Inc.

© 2011 Gilead Sciences, Inc. All rights reserved. UN7952 1/11

Your cardiologistis listening

Speak from the heart aboutyour angina

If you have been limiting your work or your activities because of your chronic angina, be sure to talk about it with your cardiologist.

Ralph, angina patient

Claudia, angina patient

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To learn more about AED programs, go to: www.philips.com/communitiesTo learn more about AEDs, go to: www.heartstarthome.com or call 1-800-453-6860

Advertisement

The day my life changed foreverEmergency Response Team (ERT) uses Philips HeartStart AED to save co-worker’s life

hen Catherine Rochford, RN, a clinical research specialist for Philips Healthcare, heard her beeper go off. “I was sitting in

a product development meeting when I received a page notifying me that a colleague was in distress,” recalls Kate. A veteran member of the Philips Andover Emergency Response Team (ERT), Kate says the majority of the company’s medical calls are not life-threatening issues. “I saw that the victim was in another building so I took off running.”

As Kate approached the scene, she saw a man lying on the floor. “As I got closer I saw that the gentleman was blue, unconscious and not breathing. We started CPR and within seconds an ERT member arrived with a Philips HeartStart AED. We quickly applied the AED pads to the patient’s chest. At that point, the AED went into analyze mode and indicated ‘shock advised’.”

The AED shock button was pressed and a shock was delivered. “We then resumed CPR for two minutes. The AED went into analyze mode again and that’s when we could see a rhythm and feel a pulse,” says Kate. “The AED indicated ‘no shock advised’. Our patient was still unresponsive, but his heart was beating and he was breathing on his own. The paramedics arrived a few minutes later and loaded him into the ambulance.”

The victim was Joe Moscato, a technical writer with Philips Healthcare. “I had just finished my regular two-hour workout at our company’s onsite gym,” recalls Joe.

“I don’t remember anything between the time I toweled off in the locker room and when I woke up in a hospital bed 24 hours later.” Joe continues, “When the cardiologist came in and explained that I had suffered Sudden Cardiac Arrest (SCA) due to a plaque rupture in one of my arteries, I was shocked. I never imagined I’d be a candidate for something like this. Then he told me that I was one of the few who survive with virtually no heart or brain damage. At that point, I realized how fortunate I was to have had the Philips ERT team and AED by my side that day.”

Seth Bilazarian, MD., FACC, Clinical & Intervention Cardiologist, Pentucket Medical Center, Haverhill, Mass., met Joe at the ER that afternoon. “The fact that he was able to be resuscitated was thanks in large part to his prompt defibrillation. That was really the difference in this particular patient from most patients who have Sudden Cardiac Death.”

Kate agrees. “Joe was in great shape. To look at him you would never suspect that he had any cardiac issues. He’s walking proof that SCA can strike anyone at anytime, that AEDs save lives, and that ERT programs work.”

As for Joe, he just celebrated his first year anniversary as an SCA survivor. “I didn’t know how I’d feel when July 22 rolled around this year. As it turned out, it was just another ordinary day. I went through my normal routine, including my two-hour workout at the gym. And then I sent a one-year anniversary thank you note to the members of Philips ERT. It was a good day.”

Will you be prepared when sudden cardiac arrest strikes?

Know the facts.

Fact: Each year, approximately 300,000 people in the U.S. die from sudden cardiac arrest (SCA).

Fact: The risk of sudden death is highest soon after a heart attack, yet SCA is often the first sign of heart disease. In fact, 50% of males and 64% of females who experience SCA report no prior symptoms of heart disease.

Fact: With every minute that passes without a shock to the heart, an SCA victim’s chance of survival decreases by 7-10%. After 10 minutes, very few SCA victims survive.

Early Defibrillation Helps Save Lives.

1 American Heart Association. 2010 Heart and Stroke Statistical Update. Dallas, Texas: American Heart Association, 2010, pg e13.2 Occupational Safety and Health Association (OSHA). www.osha.gov/dts/tib/tib_data/tib20011217.pdf.3 Cummins R.O., et al. Improving survival from sudden cardiac arrest: The ‘Chain of Survival’ concept. A statement for health professionals from the Advanced

Cardiac Life Support Subcommittee and the Emergency Cardiac Care Committee, American Heart Association. Circulation 1991; 83:1832-1847.

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