Living a Heart Healthy Life - Liliana Cohen - West Orange Public Library - 2....Summit Health
Learn how to make healthy choices that impact heart health, the typical mistakes to avoid, and how to recognize the signs and symptoms of a heart attack.
Living a Heart Healthy Life - Liliana Cohen - West Orange Public Library - 2....Summit Health
Learn how to make healthy choices that impact heart health, the typical mistakes to avoid, and how to recognize the signs and symptoms of a heart attack.
Represents 30% of all deaths worldwide (15 million deaths/year)
Leading cause of death and disability
CVD burden in developing countries
Risk factors worldwide
Blueprint for Men's Health - Dr. Chavez & Dr Gallinson - Livingston Library -...Summit Health
Men and women are fundamentally different when it comes to health care needs. Come learn about the uniqueness of the male blueprint. Join us as we shine a light on male-specific health issues and risks and explain the importance of prevention through early detection, diagnosis and routine screenings.
We are facing lot of health issues daily . because Our new life style Food , Smoking , use of Alcohol , Stress etc , A heart attack happens when the flow of oxygen-rich blood to a section of heart muscle suddenly becomes blocked and the heart can't get oxygen. If blood flow isn't restored quickly, the section of heart muscle begins to die.
Heart attacks are a leading killer of both men and women . This Slides Explain How to Prevent Heart attack .
Learn why heart disease is a major issue and what you can do to prevent and reverse the number one killer of American's today. Review extensive science and studies demonstrating the effect of nutrient dense foods, exercise and mental health on heart health. Establish your own personal heart health program today.
CORONARY ARTERY DISEASE is a modern epidemic in india. due to changes in living conditions and habits its prevalence is increasing day by day . in this presentation i have explained the various risk factors and innovations in diagnosis of CAD. IT is very useful for primary health care physicians and community medicine specialist
Lowering your risk factors for coronary heart disease can help you prevent a heart attack. Even if you already have coronary heart disease
Making lifestyle changes is the most effective way to prevent having a heart attack.
http://www.srisriholistichospitals.com/
View the Power Point Presentation on diet-related health problems in the Caribbean. Think of additional ways in which these health problems can negatively impact Caribbean citizens.
Prof. DR. Dr. Rochmad Romdoni, SpJP(K), FINASIM, FIHA, FAsCC. 3rd Pekanbaru Cardiology Update, August 24th 2013. Pangeran Hotel Pekanbaru. Learn more at PerkiPekanbaru.com
Keep Your Heart Healthy: 5 Heart Health Tips for SeniorsGriswold Home Care
February is a great time to think about your heart. Not only is it the month in which we celebrate love and romance, it’s also American Heart Month. But sadly, many of us give the hearts in our Valentine’s Day cards more thought than we do the hearts in our bodies. Start making your most valuable organ your top priority with these five tips to keep your heart healthy for a lifetime.
Risk Assessment and Management of Cardiovascular Diseases - an English Approach. Lynam E. Conference on Cardiovascular Diseases (Madrid: Ministry of Health and Social Policy; 2010).
Heart of the Matter - Ali Ahmad, MD, FACC - Livingston Library - 1.6.2020Summit Health
Heart disease is the leading killer of adults nationwide and it carries a significant morbidity for the population at risk. Learn about traditional and non-traditional risk factors associated with coronary artery disease, and how to modify your risk and prevent heart disease. Also, learn about how heart disease affects different ethnic backgrounds, particularly the high-risk groups, such as South Asians.
Represents 30% of all deaths worldwide (15 million deaths/year)
Leading cause of death and disability
CVD burden in developing countries
Risk factors worldwide
Blueprint for Men's Health - Dr. Chavez & Dr Gallinson - Livingston Library -...Summit Health
Men and women are fundamentally different when it comes to health care needs. Come learn about the uniqueness of the male blueprint. Join us as we shine a light on male-specific health issues and risks and explain the importance of prevention through early detection, diagnosis and routine screenings.
We are facing lot of health issues daily . because Our new life style Food , Smoking , use of Alcohol , Stress etc , A heart attack happens when the flow of oxygen-rich blood to a section of heart muscle suddenly becomes blocked and the heart can't get oxygen. If blood flow isn't restored quickly, the section of heart muscle begins to die.
Heart attacks are a leading killer of both men and women . This Slides Explain How to Prevent Heart attack .
Learn why heart disease is a major issue and what you can do to prevent and reverse the number one killer of American's today. Review extensive science and studies demonstrating the effect of nutrient dense foods, exercise and mental health on heart health. Establish your own personal heart health program today.
CORONARY ARTERY DISEASE is a modern epidemic in india. due to changes in living conditions and habits its prevalence is increasing day by day . in this presentation i have explained the various risk factors and innovations in diagnosis of CAD. IT is very useful for primary health care physicians and community medicine specialist
Lowering your risk factors for coronary heart disease can help you prevent a heart attack. Even if you already have coronary heart disease
Making lifestyle changes is the most effective way to prevent having a heart attack.
http://www.srisriholistichospitals.com/
View the Power Point Presentation on diet-related health problems in the Caribbean. Think of additional ways in which these health problems can negatively impact Caribbean citizens.
Prof. DR. Dr. Rochmad Romdoni, SpJP(K), FINASIM, FIHA, FAsCC. 3rd Pekanbaru Cardiology Update, August 24th 2013. Pangeran Hotel Pekanbaru. Learn more at PerkiPekanbaru.com
Keep Your Heart Healthy: 5 Heart Health Tips for SeniorsGriswold Home Care
February is a great time to think about your heart. Not only is it the month in which we celebrate love and romance, it’s also American Heart Month. But sadly, many of us give the hearts in our Valentine’s Day cards more thought than we do the hearts in our bodies. Start making your most valuable organ your top priority with these five tips to keep your heart healthy for a lifetime.
Risk Assessment and Management of Cardiovascular Diseases - an English Approach. Lynam E. Conference on Cardiovascular Diseases (Madrid: Ministry of Health and Social Policy; 2010).
Heart of the Matter - Ali Ahmad, MD, FACC - Livingston Library - 1.6.2020Summit Health
Heart disease is the leading killer of adults nationwide and it carries a significant morbidity for the population at risk. Learn about traditional and non-traditional risk factors associated with coronary artery disease, and how to modify your risk and prevent heart disease. Also, learn about how heart disease affects different ethnic backgrounds, particularly the high-risk groups, such as South Asians.
Women and Heart Disease: New Concepts in Prevention and ManagementSummit Health
Coronary heart disease is the leading cause of
death for all women. Significant disparities
exist in the prevention, diagnosis, recognition,
management, and clinical outcomes of
cardiovascular disease in women.
Global Medical Cures™ | Diabetes, Heart Disease & Stroke
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Pediatric Talk: Managing Arthritis During the Holidays - Dr. Marla Guzman - ...Summit Health
While holiday celebrations and activities are great fun, it’s also a disruptor to the daily routine. Our expert will share tips to help you navigate holiday season stressors to minimize your child’s risk of a potential flare-up. This virtual event is hosted by the Arthritis Foundation.
Safety and Success in a Post-Pandemic Society - Daniela Accurso, MD, MPH - 7...Summit Health
The Covid-19 Pandemic has been a health crises that we have been fighting for the last year and a half. Dr. Accurso’s presentation is focused on reviewing how far we have come as a society and to address the questions, health concerns, and important precautions we need to take as we integrate ourselves back into a healthy community.
Melanoma: Prevention, Detection and Treatment - Stephanie Badalamenti, MD - L...Summit Health
Sun safety needs to start at an early age, and continue throughout life, in order to reduce the risk for skin cancer. Learn about prevention and ways to reduce your risk, screening for skin cancer and innovations in treatments.
Melanoma: Prevention, Detection and Treatment - Stephanie Badalamenti, MD - L...Summit Health
Sun safety needs to start at an early age, and continue throughout life, in order to reduce the risk for skin cancer. Learn about prevention and ways to reduce your risk, screening for skin cancer and innovations in treatments.
Shoulder Pain Relief: Common Rotator Cuff Injuries & Treatment Options - And...Summit Health
If you are experiencing shoulder pain, a rotator cuff tear could be the issue. Learn about how, and why, rotator cuff tears happen, how the condition and severity is diagnosed, and the non-surgical and surgical treatment options available.
My Knee Hurts! A Look at Joint Pain in Children - Marla Guzman, MD - 1.12.2021Summit Health
Is your child complaining of joint pain? Learn about concerning symptoms and when to seek medical advice. Our expert discusses the various causes of joint pains in children, how a pediatric rheumatologist evaluates musculoskeletal complaints, and available treatment options.
Mildred “Mitch” Bentler, MA, RD, CSP, CDE, presented a virtual lecture at on diabetes prevention. According to Ms. Bentler,
“A combination of small changes can really make an impact on lowering your blood sugar. Increasing physical activity and adopting healthier eating habits can go a long way to reducing your diabetes risk.”
Why Does My Stomach Ache? - Dennis Han, MD, Gastroenterologist - Morristown &...Summit Health
Do you have stomach issues which are bothering you and you can't figure out why? Learn about conditions that could be causing abdominal pain or discomfort at this virtual program. Our expert will discuss different conditions such as: Irritable Bowel Syndrome; Inflammatory Bowel Disease; Celiac Disease and other conditions that require a gluten-free diet; and GERD (Reflux). He will explain the differences between these various conditions, how they are diagnosed, and treatment options available. Hosted by Morristown & Morris Township Public Library.
Know Your Numbers and What They Mean for Your Overall Health - Madison Public...Summit Health
What does your blood pressure, BMI, cholesterol, blood sugar and vitamin levels tell you about your health? Our expert will discuss how these numbers tell a story, and why it’s important to understand what that story means to your overall health. Dr. Im-Imamura will also share tips for helping you get these numbers where they should be, and how increasing physical activity and improving nutrition are key factors that can impact those numbers in a good way.
Presented as part of the Madison Public Library Virtual Seminar Series.
Understanding Knee Arthritis and Cartilage Disorders - Maurice M. Pine Free P...Summit Health
Many people suffer from pain, swelling, stiffness, and loss of knee function as a result of knee arthritis. Our expert will discuss the causes, symptoms, and nonsurgical and surgical treatment options available. Hosted by Maurice M. Pine Free Public Library.
Pulmonologist, Jenny Kim, MD, FCCP of our Sleep Disorders Center partnered with the Livingston Health Department to present, Can’t Sleep? The ABCs of Your ZZZs to the community. During the session, Dr. Kim discussed tips for improving sleep and treatment options for common sleep disorders.
Christina Lavner, RDN, Nutrition Services, presented Healthy Eating for Cancer Survivorship, as the second session of our Now What? A Cancer Survivorship Speaker Series for patients wanting to learn more about nutrition that will benefit them during and after treatment. Be sure to check out upcoming presenters in this series and pass the word on to any patients you think would be interested in the information. The next presentation in this series is November 16, Coping with Treatment Side Effects, presented by Constance Gore, RN-APN
Guide to Eating an Anti-Inflammatory Diet Virtual Lecture - Christina Lavner,...Summit Health
An anti-inflammatory diet, along with exercise, can yield many health benefits, such as improved symptoms of many chronic conditions, reduced cancer risk, and a lower risk of obesity, heart disease, and diabetes. Learn more about this healthy way of eating and how to get started.
While most common in teens, the onset of acne can be troubling at any age. Depending on its severity, acne can cause emotional distress and scar the skin. The earlier you start treatment, the lower your risk of such problems. Learn about the causes of acne and effective treatment options for adolescents and adults.
My Feet Ache, Now What? - Dr. Ucciiferri - 12.9.19 - Bernardsville Library Summit Health
Foot, heel and arch pain can occur for a variety of reasons. The pain can be more severe with certain types of footwear, especially dress shoes. Don’t let foot pain stop you from dancing into the holiday season. Learn about some common foot pain conditions, such as plantar fasciitis (heel pain), Morton’s neuroma (feeling of a pebble or folding sock in foot) and other foot pain conditions, and the many treatment methods used to alleviate pain.
Strategies for Managing Menopause - Dr. Soma Mandal - 11.18.19Summit Health
Learn about menopause and associated symptoms, including hot flashes, sleeplessness, weight gain, and other changes - such as bone loss and cardiovascular risks. Our expert discussed treatment and management options to help you navigate this important life transition.
It's a Pain in the Neck (and Back too!)Summit Health
Thank you to the Montclair Public Library for hosting SMG's Joanne Owsiak, MD, Interventional Pain Management specialist, for a community lecture on Neck and Back Pain. Eighty-five percent of people experience low back pain during their lifetime, and back pain has become the fifth most common reason for all physician visits. Dr. Owsiak shared with the audience the many causes of neck and back pain and the pain management options available for treating all types.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Best Ayurvedic medicine for Gas and IndigestionSwastikAyurveda
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
NVBDCP.pptx Nation vector borne disease control program
Improve Your Heart Health lecture with Dr. Liana Spano-Brennan
1. Living a Heart Healthy Life
Liana Spano-Brennan, DO, FACC
April 9, 2018
Woodbridge Public Library
2. What is Cardiovascular Disease?
Cardiovascular disease (or CVD) includes
heart and blood vessel diseases — diseases
that affect the circulatory system
6. The Myth
• The myth that heart disease is a “man’s disease”
has been debunked
• The rate of public awareness of CVD as the
leading cause of death among U.S. women has
increased from 30% in 1997 to 54% in 2009
• The death rate from coronary artery disease in
females in 2007 had decreased to 1/3 of what it
was in 1980
10. Prevalence
• Greater than 1 in 3 Americans have one
or more types of cardiovascular disease
• Cardiovascular disease still causes
approximately one death per minute in
the United States
Roger et al. 123 (4): e18. (2011)
11. The Need for Prevention in Women
• Over 10,000 US women younger than 45
sustain a heart attack each year
• The priority for coronary prevention is
substantial for women of all ages
• Mortality associated with acute MI among
women younger than 65 y/o is almost twice
that of men
12. Symptoms of Heart Disease…
• Chest pressure/pain is the most common
symptom of heart disease
13. Women May Experience Different
Symptoms Than Men
• Women are more likely to experience:
Neck and shoulder pain
Abdominal pain
Nausea
Fatigue
Shortness of breath
• Women are more likely to experience silent heart
attacks
14. Risk Factors
Age
Family History of Early Heart Disease
Smoking
High Blood Pressure
High Blood Cholesterol
Diabetes
Physical Inactivity
Being Overweight or Obese
15. What is cholesterol?
• A fat-like substance in the blood
• Made in the liver and comes
from some foods we eat
• Too much cholesterol
can build up in arteries over time
• Can cause heart attacks and strokes
Cholesterol
Normal Artery
Clogged Artery
16. Types of Cholesterol
• LDL- Low density Lipoprotein
“bad” cholesterol
Contributes to Atherosclerosis
The lower your LDL, the lower your risk of heart
attack and stroke
• HDL- High density Lipoprotein
“good” cholesterol
Helps remove cholesterol from the arteries
17. The National Cholesterol Education Program
Recommends:
Total Cholesterol = Less than 200 mg/dl
LDL Cholesterol = Less than 100 mg/dl
HDL Cholesterol = Women: Greater than 50 mg/dl
Men: Greater than 40 mg/dl
Triglycerides = Less than 150 mg/dl
To determine how your levels affect your risk of heart disease,
your doctor will also take into account other risk factors.
21. Improving Fats
• Avoid Trans fats
Trans fatty acids raise LDL and lower HDL
Increase risk of heart disease/stroke/Type II
Diabetes
Found in fried foods, cookies,
cakes, crackers, snack foods
Replace trans fats with
mono/polyunsaturated fats (fish, seeds)
22. Limit Dietary Cholesterol
• Can raise blood cholesterol
• Limit foods high in cholesterol
Liver, organ meats, egg yolks,
full-fat dairy products
• The American Heart Association
recommends:
Less than 300 mg/day
Less than 200 mg/day (with diabetes or heart
disease)
23. Triglycerides
• Limit sugar and refined carbohydrates
• Limit alcohol consumption
• Substitute mono/polyunsaturated fats for
saturated fats
• Exercise/ weight loss
24.
25. Physical Activity
• Important even as we get older!
HDL Cholesterol
LDL Cholesterol
Lower triglycerides
• 30 minutes or more on most days
Moderate intensity (150 minutes/week)
High intensity (75 minutes/week)
26. Weight Management
• Weight loss can…
LDL
Triglycerides
HDL
• Just 5 to 10 pounds will help show
improvements!!!
27. High Blood Pressure
• Systolic pressure — pressure in arteries when
the heart beats
• Diastolic pressure — pressure when the heart
rests between beats
• Goal: below 120/80 mm Hg
28. Hypertension
• 65% of all hypertension remains either
undetected or inadequately treated
• People who are normotensive at 55
have a 90% lifetime risk of developing
HTN
• Prevalence increases with age
• HTN is more common with OCP and
obesity
29. Lifestyle Approaches to
Hypertension
Source: JNC 7 2004, Sacks 2001
• Maintain ideal body weight
Weight loss of as little as 10 lbs reduces blood pressure
• Heart healthy diet
Even without weight loss, a diet rich in fruits, vegetables, and low
fat dairy products can help to reduce blood pressure
• Sodium restriction to 1500 mg/d
• Increase physical activity
• Limit alcohol to one drink per day
Alcohol raises blood pressure
One drink = 12 oz beer, 4 oz wine, or 1 oz liquor
30. What Is Diabetes?
• A progressive disease in which your body
doesn’t make enough insulin / doesn’t respond
properly to it
• Goal: fasting glucose below 100 mg/dl
31. Why Is Diabetes Bad?
• At least 65% of people with diabetes die of
some form of CVD
• Diabetes lowers “good” cholesterol, and raises
“bad” cholesterol and triglyceride levels
• Many people with diabetes also have high
blood pressure and are overweight
32. Risk Factors: Diabetes
• Diabetes increases the risk of CHD 3-
7 times in women and 2-3 times in
men
• Those who smoke have a 84% higher
risk of developing stroke than
nonsmokers
• 2 of 3 people with diabetes die from
CHD or stroke
33. Smoking
• Smoking is the single most
preventable cause of death in the US
• Cigarette smoking accounts for nearly 440,000
deaths per year in men and women
34. The #1 Preventable Risk
Smoking
• 50% of heart attacks are due to
smoking. Smokers tend to have their first
heart attack 10 years earlier than
nonsmokers
• If you smoke, you are 4-6x’s more likely
to suffer a heart attack and increase your
risk of a stroke
• Women who smoke and take OCP’s
increase their risk of heart disease 30x’s
35. Relative Risk of Coronary Events for
Smokers Compared to Non-Smokers
3.12
5.48
1
0
1
2
3
4
5
6
Never Smoked 1-14 Cigarettes per
day
15 Cigarettes per
day
Relative
Risk
Source: Adapted from Stampfer 2000
36. Physical Inactivity
• Increases heart disease and stroke risk
• 30 minutes or more of activity on most or all
days of the week helps
reduce risk! It:
Controls blood cholesterol
Controls diabetes and obesity
Helps lower high blood pressure
37. Body Weight and CHD Mortality
5.8
4.6
3.1
1.4
11
0
1
2
3
4
5
6
19.0-21.9 22.0-24.9 25.0-26.9 27.0-28.9 29.0-31.9 32
BMI
Relative Risk
of CHD
Mortality
Compared to
BMI<19
P for trend < 0.001
Source: Adapted from Manson 1995
38. 1999
Obesity Trends* Among U.S. Adults
BRFSS, 1990, 1999, 2009
(*BMI 30, or about 30 lbs. overweight for 5’4” person)
2009
1990
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Source: Behavioral Risk Factor Surveillance System, CDC
39. Weight Maintenance/Reduction
Goals
• BMI between 18.5 and 24.9
• Waist circumference < 35 inches for women,
<40 inches for men
• Weight loss goals
10% of body weight over six months or 1-2
pounds
weight loss/week
Reduce calories by 500-1,000 per day
Source: Mosca 2004, ATP III 2002
40.
41.
42.
43.
44. How To Lower Heart Disease
Risk
• Begin today
• Be physically active—30 minutes of moderate-
intensity activity on most days of the week
• Follow a healthy eating plan
Low in saturated fat, trans fat, and cholesterol and
moderate in total fat
Limit salt
If you drink alcoholic beverages, have no more
than one a day
45. How To Lower Heart Disease
Risk
• Maintain a healthy weight
Balance calories taken in with those used
up in physical activity
• Stop smoking
• Get checked for high blood pressure
• Manage diabetes
• Take medication, if prescribed
46. How to Survive
• Call 9-1-1
• Emergency medical personnel will begin
treatment at once
• Don’t drive yourself to the hospital
• Uncertainty is normal—don’t be
embarrassed by a false alarm
• Learn the warning signs