Listen to your Heart
Noel Peterson, MD
Eastern Cardiology
Greenville, NC
Director of Women’s Cardiovascular
Services and P...
One in Three
Cardiovascular disease is the leading cause of
death in women.
It causes more deaths than all forms of cancer...
Myth #1
Heart disease only happens to men
Myth #1
Wrong. Coronary artery disease is leading
cause of death in women.
Women’s symptoms of heart attacks can be
less d...
Symptoms
Flu-like symptoms
Fatigue (difficult to pick up your laptop)
Discomfort in upper back, shoulder, neck
Sweating – ...
Symptoms
Women are often slower to seek medical
attention
Paying attention to early warning signs and
insisting on proper ...
Myth #2
Heart disease is just part of getting old
Myth #2
Wrong. The plaque narrowing a 50 year old
woman’s arteries probably started building
up in her 20’s. Many of the c...
Myth #3
There’s nothing I can do to prevent heart
disease
Myth #3
Wrong.
Many of the risk factors that lead to heart
disease are lifestyle related. You can make a
tremendous differ...
“Another supper from a sack – a 99 cent
heart attack”
Tim McGraw
An Ounce of Prevention
64% of women who die suddenly of coronary
heart disease have no previous symptoms.
Many of those wo...
Who’s at Risk
Risk Factors for Heart Disease
-Diabetes
-Vascular Disease
-Smoking
-Hypertension
-High Cholesterol
-Low HDL...
Who’s at Risk
Risk Factors for Heart Disease
-Obesity, esp abdominal
-Poor Diet (skinny/unhealthy)
-Physical Inactivity
-P...
Stress and Heart Disease
Stress has a major impact on heart disease.
Lack of sleep, diet, lack of physical activity
and st...
Are we there yet?
“The doctor of the future will give no medicine,
but will interest his patients in the care of the
human...
Knowledge is power
Form an active partnership with your doctor.
Be sure to know your numbers…
What is your blood pressure?...
Know Your
Numbers
BLOOD
PRESSURE
Awareness of High Blood
Pressure
• Approximately 39 million women age 20
and older have high blood pressure.
• 30% of peop...
Hypertension
Normal BP

<120/80 (125/85)

Pre-hypertension

Systolic 125-139
Diastolic 85-89

High BP

Systolic >140
Diast...
Cholesterol
Total Cholesterol Levels

• < 200 mg/dL
• 200 – 239 mg/dL
• > 240 mg/dL

Desirable

Borderline
high
Elevated
HDL Cholesterol
“Good Cholesterol”

• The higher the better
• > 60 mg/dL = Low risk
• 50-59 mg/dL
• < 50 = High Risk
LDL Cholesterol
“Bad” Cholesterol

• The lower the better
for CAD,
• <70 mg/dL = Goaldiabetics vascular disease
and
• <100...
Triglycerides
< 150 mg/dL

= Normal

150-199 mg/dL

= Borderline

200-499 mg/dL

= High

> 500 mg/dL

= Extremely Elevated
BLOOD SUGAR
Diabetes
Pre-diabetes

FSBS 100-125
HgBA1c 6-6.5

Diabetes

FSBS >125
HgBA1C >6.5
BODY
COMPOSITION
Body Mass Index
Normal
Overweight
Obese
Morbidly Obese
5’4” 145 lbs BMI is ?

<25
25-29.9
30-34.9
>35
Abdominal Circumference
Measured at level of belly button
Women

<35 inches

Men

<40 inches
Metabolic Syndrome
Group of risk factors that occur together and
increase your risk for CAD, stroke, and type
II diabetes.
Metabolic Syndrome
3 or more of the following characteristics:

•
•
•
•
•

Abdominal Obesity
Impaired fasting blood sugar
...
What can I do to prevent heart
disease
Know Your Numbers
Modify Your Risk Factors
Lifestyle Changes
“The only way to keep your health is to eat what
you don’t want, drink what you don’t like, and do
what you’d rather not.”...
Physical Activity
Only 16% of women meet physical activity
goal
Goal: 10,000 steps/day
Cardiovascular exercise goal
150 mi...
Physical Activity
Exercise Capacity
<5 METS (5 times increased risk of death)
5-8 METS
>8 METS (decreased risk of death)
F...
Lifestyle Golden Rules
Adequate sleep 7-8 hours/night
Exercise 30 minutes/5 days per week.
Drink adequate water 60-80oz/da...
Golden Rules
Know Your Numbers!
Blood Pressure
Cholesterol
Blood Sugar
BMI
Abdominal Circuference
February is Heart Month - Heart Truth Tour 2014
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February is Heart Month - Heart Truth Tour 2014

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Dr. Noel Peterson - Female Cardiologist - Preventative Cardiology

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February is Heart Month - Heart Truth Tour 2014

  1. 1. Listen to your Heart Noel Peterson, MD Eastern Cardiology Greenville, NC Director of Women’s Cardiovascular Services and Preventative Cardiology for East Carolina Heart Institute at VMC
  2. 2. One in Three Cardiovascular disease is the leading cause of death in women. It causes more deaths than all forms of cancer combined. One in every three women die of cardiovascular disease.. but you don’t have to be the one.
  3. 3. Myth #1 Heart disease only happens to men
  4. 4. Myth #1 Wrong. Coronary artery disease is leading cause of death in women. Women’s symptoms of heart attacks can be less dramatic but not less deadly. Sneak up on us slowly Can be subtle Often mistaken for something less serious
  5. 5. Symptoms Flu-like symptoms Fatigue (difficult to pick up your laptop) Discomfort in upper back, shoulder, neck Sweating – hot flash Nausea, dizziness – feel like going to pass out Breathlessness – panting, unable to carry on conversation Sleeplessness – in month before heart attack nearly ½ of females report trouble sleeping. Anxiety – many females experience a sense of impending doom.
  6. 6. Symptoms Women are often slower to seek medical attention Paying attention to early warning signs and insisting on proper medical care can save your life.
  7. 7. Myth #2 Heart disease is just part of getting old
  8. 8. Myth #2 Wrong. The plaque narrowing a 50 year old woman’s arteries probably started building up in her 20’s. Many of the conditions that escalate and compound to become heart disease can be prevented by making good lifestyle choices – eating healthy, being physically active on a regular basis, and not smoking.
  9. 9. Myth #3 There’s nothing I can do to prevent heart disease
  10. 10. Myth #3 Wrong. Many of the risk factors that lead to heart disease are lifestyle related. You can make a tremendous difference in your health by making good choices every day. Stay away from cigarettes. Don’t eat the Krispy Kremes. Choose the baked chicken instead of the fried. Take the stairs instead if the elevator.
  11. 11. “Another supper from a sack – a 99 cent heart attack” Tim McGraw
  12. 12. An Ounce of Prevention 64% of women who die suddenly of coronary heart disease have no previous symptoms. Many of those women had at least one risk factor that could have been treated.   Making health changes in your lives could reduce your risk for heart disease by as much as 80%.
  13. 13. Who’s at Risk Risk Factors for Heart Disease -Diabetes -Vascular Disease -Smoking -Hypertension -High Cholesterol -Low HDL -Family History (first degree male relatives <55, 1st degree female relatives <65)
  14. 14. Who’s at Risk Risk Factors for Heart Disease -Obesity, esp abdominal -Poor Diet (skinny/unhealthy) -Physical Inactivity -Poor exercise capacity on treadmill (<5 mets) and/or abnormal heart rate recovery. -Collagen Vascular Disease (lupus or RA) -History of preeclampsia, pregnancy induced hypertension, gestational diabetes.
  15. 15. Stress and Heart Disease Stress has a major impact on heart disease. Lack of sleep, diet, lack of physical activity and stress are all modifiable risk factors that are key to prevention.
  16. 16. Are we there yet? “The doctor of the future will give no medicine, but will interest his patients in the care of the human frame, in diet, and in the cause and prevention of disease.” Thomas Edison, 1903
  17. 17. Knowledge is power Form an active partnership with your doctor. Be sure to know your numbers… What is your blood pressure? What is a healthy blood pressure? What is your cholesterol, blood sugar? What should they be? What is your BMI and waist circumference?
  18. 18. Know Your Numbers
  19. 19. BLOOD PRESSURE
  20. 20. Awareness of High Blood Pressure • Approximately 39 million women age 20 and older have high blood pressure. • 30% of people with high blood pressure don’t know they have it.
  21. 21. Hypertension Normal BP <120/80 (125/85) Pre-hypertension Systolic 125-139 Diastolic 85-89 High BP Systolic >140 Diastolic >90 **Age >65 Goal <140/<90
  22. 22. Cholesterol
  23. 23. Total Cholesterol Levels • < 200 mg/dL • 200 – 239 mg/dL • > 240 mg/dL Desirable Borderline high Elevated
  24. 24. HDL Cholesterol “Good Cholesterol” • The higher the better • > 60 mg/dL = Low risk • 50-59 mg/dL • < 50 = High Risk
  25. 25. LDL Cholesterol “Bad” Cholesterol • The lower the better for CAD, • <70 mg/dL = Goaldiabetics vascular disease and • <100 mg/dL = Multiple risk factors
  26. 26. Triglycerides < 150 mg/dL = Normal 150-199 mg/dL = Borderline 200-499 mg/dL = High > 500 mg/dL = Extremely Elevated
  27. 27. BLOOD SUGAR
  28. 28. Diabetes Pre-diabetes FSBS 100-125 HgBA1c 6-6.5 Diabetes FSBS >125 HgBA1C >6.5
  29. 29. BODY COMPOSITION
  30. 30. Body Mass Index Normal Overweight Obese Morbidly Obese 5’4” 145 lbs BMI is ? <25 25-29.9 30-34.9 >35
  31. 31. Abdominal Circumference Measured at level of belly button Women <35 inches Men <40 inches
  32. 32. Metabolic Syndrome Group of risk factors that occur together and increase your risk for CAD, stroke, and type II diabetes.
  33. 33. Metabolic Syndrome 3 or more of the following characteristics: • • • • • Abdominal Obesity Impaired fasting blood sugar Increased blood pressure Increased fasting triglycerides Decreased fasting hdl
  34. 34. What can I do to prevent heart disease Know Your Numbers Modify Your Risk Factors Lifestyle Changes
  35. 35. “The only way to keep your health is to eat what you don’t want, drink what you don’t like, and do what you’d rather not.” Mark Twain
  36. 36. Physical Activity Only 16% of women meet physical activity goal Goal: 10,000 steps/day Cardiovascular exercise goal 150 min/week Resistance training Twice per week
  37. 37. Physical Activity Exercise Capacity <5 METS (5 times increased risk of death) 5-8 METS >8 METS (decreased risk of death) For each increase of 1 MET there was a 17% decreased risk of death from all causes Walking briskly 3 mph – 3.3 Mets, Stairs 4.0 Mets, Mowing yard with push mower 6-6.5 Mets.
  38. 38. Lifestyle Golden Rules Adequate sleep 7-8 hours/night Exercise 30 minutes/5 days per week. Drink adequate water 60-80oz/day. Never, ever skip breakfast Avoid processed foods If it doesn’t have a mama or come from the ground don’t eat it! Shop the perimeter of grocery store. Nothing artificial is good for you
  39. 39. Golden Rules Know Your Numbers! Blood Pressure Cholesterol Blood Sugar BMI Abdominal Circuference

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