Heart Disease in Men<br />Dr. BhavaniBalaravi, MD, FACC<br />Raleigh Cardiology<br />September 21, 2011<br />
A Case in the ER<br />57 year-old white male with chest pain at the mid sternal region.<br />
Which of the Following Could Be a Sign of Heart Attack?<br /><ul><li>Neck pain
Chest pain
Back pain
Shortness of breath
Sweating
Nausea
Dizziness
All of the above</li></li></ul><li>Which of the Following Could Be a Sign of Heart Attack?<br /><ul><li>Neck pain
Chest pain
Back pain
Shortness of breath
Sweating
Nausea
Dizziness
All of the above</li></li></ul><li>57 Year-Old Male with Chest Pain<br />No sweating<br />No shortness of breath<br />No d...
If You Think You Are Having a Heart Attack, You Should:<br /><ul><li>Take an Aspirin and see if you feel better
Dial 911 immediately and go to ER</li></li></ul><li>If You Think You Are Having a Heart Attack, You Should:<br /><ul><li>T...
Dial 911 immediately and go to ER</li></li></ul><li>57 Year-Old with Chest Pain<br /><ul><li>No prior history of any heart...
Negative Stress test ~ 8 years ago
Normal echocardiogram ~8 years ago</li></li></ul><li>If You Are Thin, Eat Right and Exercise, You Will Not Have Heart Dise...
False</li></li></ul><li>If You Are Thin, Eat Right and Exercise, You Will Not Have Heart Disease<br /><ul><li>True
False</li></li></ul><li>If You Are Thin, Eat Right and Exercise, You Will Not Have Heart Disease<br />A survey of U.S. adu...
57 Year-Old Male with Chest Pain<br />Went to Urgent Care, first, and subsequently sent to ER:<br />EKG:  normal<br />Ches...
57 Year-Old Male with Chest Pain<br />Chest pain got worse in the ER<br />
Men’s Health<br />Men Health Risks in the USA:<br />The top 7 threats according to CDC:<br /><ul><li>1. Heart Disease
2. Cancer
3. Accidents
4. Chronic Lower Respiratory Disease
5. Stroke
6. Type 2 Diabetes Mellitus
7. Suicide</li></li></ul><li>Men and Heart Disease<br />When talking about heart disease in men, many people usually think...
Cardiovascular Disease Includes:<br />Coronary artery Disease (Heart attack)<br />Heart Failure<br />Heart Valve Disease<b...
The Most Common Risk Factor for Heart Disease in the U.S. is:<br /><ul><li>Inactivity
Obesity
Smoking
High blood pressure </li></li></ul><li>The Most Common Risk Factor forHeart Disease in the U.S. is:<br /><ul><li>Inactivity
Obesity
Smoking
High blood pressure </li></li></ul><li>The Most Common Risk Factor for Heart Disease in U.S. is:<br />According to CDC, 39...
57 Year-Old Male with Chest Pain<br />Major Risk Factors for CAD:<br />Age<br />Sex<br />Family History<br />Hypertension<...
Heart Disease Kills More Men Than Women<br /><ul><li>True
False</li></li></ul><li>Heart Disease Kills More Men Than Women<br /><ul><li>True
False</li></li></ul><li>Heart Disease Kills More Men Than Women<br /><ul><li>Men develop heart disease earlier in life tha...
But, after menopause women catch up.
 According to CDC statistics, in 2006, about the same number of American women died from heart disease (315,930) as men (3...
Hypertension
High Cholesterol</li></li></ul><li>Facts on Men and Heart Disease<br />The leading cause of death for men in the USA.<br /...
Can You Reverse Heart Disease?<br />Is much more controversial<br />Slow the process down<br />Life-long effort<br />Signi...
How to Wreck Your Heart<br />Keep Smoking<br />
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Heart Disease in Men - Presented by Dr. Bhavani Balaravi, MD, FACC at WakeMed's Men's Health Event on 9/21/11

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Heart Disease in Men - Presented by Dr. Bhavani Balaravi, MD, FACC at WakeMed's Men's Health Event on 9/21/11

  1. 1. Heart Disease in Men<br />Dr. BhavaniBalaravi, MD, FACC<br />Raleigh Cardiology<br />September 21, 2011<br />
  2. 2. A Case in the ER<br />57 year-old white male with chest pain at the mid sternal region.<br />
  3. 3. Which of the Following Could Be a Sign of Heart Attack?<br /><ul><li>Neck pain
  4. 4. Chest pain
  5. 5. Back pain
  6. 6. Shortness of breath
  7. 7. Sweating
  8. 8. Nausea
  9. 9. Dizziness
  10. 10. All of the above</li></li></ul><li>Which of the Following Could Be a Sign of Heart Attack?<br /><ul><li>Neck pain
  11. 11. Chest pain
  12. 12. Back pain
  13. 13. Shortness of breath
  14. 14. Sweating
  15. 15. Nausea
  16. 16. Dizziness
  17. 17. All of the above</li></li></ul><li>57 Year-Old Male with Chest Pain<br />No sweating<br />No shortness of breath<br />No dizziness<br />No nausea<br />No back pain<br />No Neck pain<br />
  18. 18. If You Think You Are Having a Heart Attack, You Should:<br /><ul><li>Take an Aspirin and see if you feel better
  19. 19. Dial 911 immediately and go to ER</li></li></ul><li>If You Think You Are Having a Heart Attack, You Should:<br /><ul><li>Take an Aspirin and see if you feel better
  20. 20. Dial 911 immediately and go to ER</li></li></ul><li>57 Year-Old with Chest Pain<br /><ul><li>No prior history of any heart disease
  21. 21. Negative Stress test ~ 8 years ago
  22. 22. Normal echocardiogram ~8 years ago</li></li></ul><li>If You Are Thin, Eat Right and Exercise, You Will Not Have Heart Disease<br /><ul><li>True
  23. 23. False</li></li></ul><li>If You Are Thin, Eat Right and Exercise, You Will Not Have Heart Disease<br /><ul><li>True
  24. 24. False</li></li></ul><li>If You Are Thin, Eat Right and Exercise, You Will Not Have Heart Disease<br />A survey of U.S. adults, who had been told by a doctor they had heart disease, found that:<br /> 56.6% engaged in moderate-to-vigorous physical activity at least 3 times a week.<br /> 38.6% maintained a healthy body weight.<br /> While proper diet and exercise can lower your risk for heart disease, you may still be at risk. <br />
  25. 25. 57 Year-Old Male with Chest Pain<br />Went to Urgent Care, first, and subsequently sent to ER:<br />EKG: normal<br />Chest X-ray: normal<br />Blood work: normal<br />
  26. 26. 57 Year-Old Male with Chest Pain<br />Chest pain got worse in the ER<br />
  27. 27. Men’s Health<br />Men Health Risks in the USA:<br />The top 7 threats according to CDC:<br /><ul><li>1. Heart Disease
  28. 28. 2. Cancer
  29. 29. 3. Accidents
  30. 30. 4. Chronic Lower Respiratory Disease
  31. 31. 5. Stroke
  32. 32. 6. Type 2 Diabetes Mellitus
  33. 33. 7. Suicide</li></li></ul><li>Men and Heart Disease<br />When talking about heart disease in men, many people usually think of Coronary Artery Disease (CAD or CHD).<br />But, Coronary Artery Disease is just one type of heart disease.<br />Cardiovascular Disease (CVD) includes a number of conditions affecting the structures or function of the heart.<br />
  34. 34. Cardiovascular Disease Includes:<br />Coronary artery Disease (Heart attack)<br />Heart Failure<br />Heart Valve Disease<br />Heart Muscle Disease ( Cardiomyopathy)<br />Abnormal Heart Rhythms (Arrhythmias)<br />Pericardial disease<br />Aortic Disease<br />Vascular disease (blood vessel)<br />
  35. 35. The Most Common Risk Factor for Heart Disease in the U.S. is:<br /><ul><li>Inactivity
  36. 36. Obesity
  37. 37. Smoking
  38. 38. High blood pressure </li></li></ul><li>The Most Common Risk Factor forHeart Disease in the U.S. is:<br /><ul><li>Inactivity
  39. 39. Obesity
  40. 40. Smoking
  41. 41. High blood pressure </li></li></ul><li>The Most Common Risk Factor for Heart Disease in U.S. is:<br />According to CDC, 39.5% of Americans are at risk for heart disease because of inactivity. <br />Obesity= 33.9% <br />High blood pressure= 30.5%<br />Cigarette smoking= 20.8% <br />High cholesterol= 15.6% <br />Diabetes= 10.1%<br />
  42. 42. 57 Year-Old Male with Chest Pain<br />Major Risk Factors for CAD:<br />Age<br />Sex<br />Family History<br />Hypertension<br />High Cholesterol<br />Current Smoking<br />Diabetes<br />Obesity<br />Inactivity<br />Stress<br />
  43. 43. Heart Disease Kills More Men Than Women<br /><ul><li>True
  44. 44. False</li></li></ul><li>Heart Disease Kills More Men Than Women<br /><ul><li>True
  45. 45. False</li></li></ul><li>Heart Disease Kills More Men Than Women<br /><ul><li>Men develop heart disease earlier in life than women.
  46. 46. But, after menopause women catch up.
  47. 47. According to CDC statistics, in 2006, about the same number of American women died from heart disease (315,930) as men (315,706). </li></li></ul><li>57 Year-Old Male with Chest Pain<br />His risk factors for CAD:<br /><ul><li>Smoking
  48. 48. Hypertension
  49. 49. High Cholesterol</li></li></ul><li>Facts on Men and Heart Disease<br />The leading cause of death for men in the USA.<br />The average age of a first heart attack for men is 66 years.<br />Almost half of men who have heart attack under age 65 die within 8 years.<br />Between 70-89% of sudden cardiac events occur in men.<br />
  50. 50. Can You Reverse Heart Disease?<br />Is much more controversial<br />Slow the process down<br />Life-long effort<br />Significant life-style changes<br />It is a preventable condition<br />
  51. 51. How to Wreck Your Heart<br />Keep Smoking<br />
  52. 52. How to Wreck Your Heart<br />Eat with unhealthy food with abandon<br />
  53. 53. How to Wreck Your Heart<br />Be a couch potato<br />
  54. 54. How to Wreck Your Heart<br />Let you blood pressure run high<br />
  55. 55. How to Wreck Your Heart<br />Forget your growing waistline<br />
  56. 56. How to Wreck Your Heart<br />Stop taking your medication<br />
  57. 57. How to Wreck Your Heart<br />Skip your medical checkup<br />
  58. 58. How to Wreck Your Heart<br />Ignore the chest pain<br />
  59. 59. Strategies to Help to Prevent Heart Disease<br />Don’t smoke or use tobacco<br />
  60. 60. Strategies to Help to Prevent Heart Disease<br />Exercise for at least 30 min most days of the week.<br />
  61. 61. Strategies to Help to Prevent Heart Disease<br />Eat a Heart-healthy diet.<br />
  62. 62. Strategies to Help to Prevent Heart Disease<br />Maintain Healthy Weight.<br />
  63. 63. Strategies to Help to Prevent Heart Disease<br />Get Regular Health Screenings<br />Blood pressure<br />Cholesterol levels<br />Diabetes Screening<br />
  64. 64. Strategies to Help to Prevent Heart Disease<br />Limit Unhealthy Diet and Cholesterol<br />
  65. 65. Strategies to Help to Prevent Heart Disease<br />Choose low-fat high-protein sources<br />
  66. 66. Strategies to Help to Prevent Heart Disease<br />Eat more Vegetable and Fruits<br />
  67. 67. Strategies to Help to Prevent Heart Disease<br />Select Whole Grains<br />
  68. 68. Strategies to Help to Prevent Heart Disease<br />Reduce Salt in your diet<br />
  69. 69. Strategies to Help to Prevent Heart Disease<br />Control your portion size<br />
  70. 70. What is The Best Way You Can Reduce Your Risk of Heart Disease?<br /><ul><li>Reduce your sodium intake
  71. 71. Take vitamin E supplements
  72. 72. Take folic acid supplements
  73. 73. All of the above </li></li></ul><li>You Can Reduce Your Risk of Heart Disease By:<br /><ul><li>Reducing your sodium intake
  74. 74. Taking vitamin E supplements
  75. 75. Taking folic acid supplements
  76. 76. All of the above </li></li></ul><li>You Can Reduce Your Risk of Heart Disease By:<br />The American Heart Association recommends no more than 1,500 mg sodium per day<br />High-sodium diets have been tied to increased blood pressure, heart disease, and stroke.<br />
  77. 77. 57 Year-Old Male with Chest Pain<br />
  78. 78. THANK YOU <br />
  79. 79. Raleigh Cardiology - Cary Office200 Ashville Avenue, Suite 10Cary, NC 27511Appointments: (919) 350-2580<br />

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