The Importance of Cardiovascular Care
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February is American Heart Month, but cardiovascular care is important all year round. Although rates of obesity and diabetes have increased in American adults, early screening for heart disease can lead to treatments that alter the long-term outcome for patients.
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The Importance of Cardiovascular Care
- 1. First Coast Cardiovascular Institute In Transition To Jacksonville Clinic ! www.firstcoastcardio.com CARDIOVASCULAR UPDATES
- 2. CARDIOVASCULAR UPDATES Yazan khatib, MD FACC, FSCAI, FSVM ! President Director of Limb Salvage & Endovascular Interventions ! First Coast Cardiovascular Institute
- 3. First Coast Cardiovascular Institute Most our patients come from Florida, Yet many live all over The U.S. FCCI Zip Codes of > 50 patients
- 4. First Coast Cardiovascular Institute 4 Areas of Clinical Excellence Comprehensive Cardiovascular Care Limb Salvage & Amputation Prevention Institute Advanced Stroke Prevention Cardiovascular Research Endovascular Interventions Outreach Services
- 5. First Coast Cardiovascular Institute 5 Long Tradition of Achieving & Maintaining the Highest Levels of Accreditation
- 6. First Coast Cardiovascular Institute 6 History of being the First Carotid Stenting ➢ First to perform carotid stenting in North East Florida The First to Promote Endovascular Limb Salvage As a dedicated sub-specialty Endovascular Intervention Comprehensive Venous Clinic Research Department
- 7. First Coast Cardiovascular Institute 7 Carotid Stenting Outcomes
- 10. Patient Survival by Ankle-Brachial Index in Cardiovascular Health Study 0.6 0.7 0.8 0.9 1 0 1 2 3 4 5 6 YEARS PATIENTSURVIVAL ABI>1.0 ABI: 0.9-1.0 ABI: 0.8-0.9 ABI<0.8 Newman et al ATVB 1999;19; 538-545 . Even “Mild” PAD associated with increased mortality.
- 11. Five Year Mortality Rates PVD Versus Cancer Five Year Mortality Rates 0% 20% 40% 60% 80% 100% Breast cancer PAD Colon/Rectal Lung Cancer *Criqui M. Presentation: Vascular Medicine of the Lower Extremities at the American Diabetes Association’s Scientific Sessions June 1999 PAD all comers outcome
- 12. Five Year Mortality Rates PVD Versus Cancer Five Year Mortality Rates 0% 20% 40% 60% 80% 100% Breast cancer PAD Colon/Rectal Lung Cancer *Criqui M. Presentation: Vascular Medicine of the Lower Extremities at the American Diabetes Association’s Scientific Sessions June 1999 Patients with foot ulcers
- 18. Wt Gain Diabetes, High Cholesterol
- 20. Tobacco Cessation ANTI PLATELET RX (ASA, PLAVIX) “Blood Thinners” Cholesterol Control LDL<70 & TG <150 BP Control <140/90 (<130/80 IN DM) Weight Control Sugar Control It not all bad news Much of this is preventable/ reversible
- 21. Proud of our own achievement reducing amputations by half
- 22. Outcome Disparity in Duval County 2006 http://www.FloridaHealthFinder.gov/QueryTool/Default.aspx?DataType=Inpatient “Crude” Salvage Rates by hospital Duval county 2006 DOH data
- 23. SUMMARY • Cardiovascular disease remains under diagnosed • Early diagnosis is feasible with limited cost • Early prevention and treatment can alter the long term outcome and reverse the poor prognosis • Obesity & Diabetes Epidemic must be addressed • New Technological & Medical Advances are available and still largely under utilized.