Showing posts with label heart attacks. Show all posts
Showing posts with label heart attacks. Show all posts

Saturday, April 23, 2011

Does screening and treating high cholesterol save money? KevinMD.com

by Richard Young, MD

A commenter (I believe a physician) on one of my posts wrote the following: “I can prevent heart attacks and strokes (caused by atherosclerosis – “blockage”) in people (minimal cost) who have no symptoms. If I wait for their heart attack or stroke – it costs a whole lot more.”

The implication is that screening and treating high cholesterol saves money in the long run. Unfortunately, the truth is the opposite. This is an extremely common misconception among most people in healthcare, physicians included. Therefore the American people believe the same thing.

If I give a person a pneumonia shot and that person lives the rest of her life never catching pneumonia, then there is a fair chance I prevented a case of pneumonia. On the other hand, she may not have ever gotten pneumonia any way, therefore the shot was useless. There’s no way to sort that out, but classifying  a vaccine as preventing a disease is certainly fair.

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Thursday, March 10, 2011

What to Do During a Heart Attack | Heart Attack Information for Women

Heart Attack Action Plan

  • Call 9-1-1 for emergency medical care.

    Did you know?

    Women who call their own doctor before calling 9-1-1 take twice as long to get life-saving treatment.

    Calling 9-1-1 is the best and fastest way to get to the hospital. When you notice heart attack symptoms, call 9-1-1 immediately (within five minutes at most). If you call 9-1-1, emergency medical personnel can begin life-saving treatment right away, even before you get to the hospital. Don't drive yourself or have someone drive you unless you have no other choice.

    More about why 9-1-1 is the right call » 
    • Heart attack patients who arrive by ambulance tend to be treated faster once they get to the hospital, and every minute counts.
    • If you try to drive yourself, you could get stuck in traffic or pass out and cause an accident.
    • Calling your own doctor before calling 9-1-1 only causes delays.
    • Common problems soon after a heart attack include arrhythmia (a problem with the heart's rhythm that can be caused by damage during a heart attack) and cardiac arrest (when the heart suddenly and unexpectedly stops beating). Emergency medical personnel have the equipment and training to deal with these problems and make sure you get to the hospital safely.
  • Talk to the 9-1-1 operator and follow their instructions.

    Did you know?

    The ambulance can find you whether you call 9-1-1 from a land line or your cell phone. If they're equally close, use the land line.

    • Try not to panic. Take long, deep breaths, stay calm, and speak slowly and clearly. The dispatcher will ask for your name, where you are, and what is wrong. Say: "I think I am having a heart attack." Stay on the line until you are sure the operator has all the information they need.

    • The 9-1-1 operator may tell you to chew and swallow an aspirin if you are not allergic and don't have any other medical reason not to take it. Never delay calling 9-1-1 to take an aspirin.

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Monday, February 28, 2011

Coffee, sex, smog can all trigger heart attack, study finds, USAToday

A major analysis of data on potential triggers for heart attacks finds that many of the substances and activities Americans indulge in every day — coffee, alcohol, sex, even breathing — can all help spur an attack.

Because so many people are exposed to dirty air, air pollution while stuck in traffic topped the list of potential heart attack triggers, with the researchers pegging 7.4% of heart attacks to roadway smog.

But coffee was also linked to 5% of attacks, booze to another 5%, and pot smoking to just under 1%, the European researchers found.

Among everyday activities, exerting yourself physically was linked to 6.2% of heart attacks, indulging in a heavy meal was estimated to trigger 2.7%, and sex was linked to 2.2%.

The researchers stressed that the risk for heart attack from any one of these factors to a particular person at any given time is extremely small. But spread out over the population, they can add up

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Prevention.com - 28 Days to a Healthier Heart - Prevention

    Did you know that more than 41 million women in America have heart disease? And that more women than men will die from it? In fact, it’s the leading health problem that kills women (not cancer—a common myth).

    But the good news is that just five lifestyle guidelines—moderate alcohol, a healthy diet, daily exercise, normal body weight, and not smoking—can cut your heart attack risk by a whopping 92%, according to a Swedish study of more than 24,000 women. Incorporating just the first two into your routine cuts your risk by more than half.

    The 28 tips that follow are designed to help you get started. Try one a day for a month, and then stick with as many as you can for the long haul.

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Andrew Lopez, RN
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Wednesday, February 23, 2011

Myths About Heart Disease - Nursing Link

Anita Manning | USA TODAY

February 01, 2011

Imagine hearing news of a catastrophe causing the deaths of 2,200 Americans every day — an average of one every 39 seconds.

A plague? Nuclear fallout?

It’s heart disease, which includes diseases of the heart and circulatory system. The No. 1 killer stalking the world, cardiovascular diseases cause more deaths than all forms of cancer combined.

It’s an equal-opportunity destroyer, although it does have a preference for people of color and those over 65. But no age, race or economic class is immune.

“There’s a lack of awareness of what ideal cardiovascular health really is,” says Ralph Sacco, president of the American Heart Association. While 35% of people surveyed say they’re in good health, when quizzed about seven major health factors — diet, activity level, blood pressure, cholesterol, weight, blood sugar and smoking status — only about half of 1% hit all the targets for good health, he says. “People think they’re healthier than they are,” he says, making it less likely that they’ll take steps to reduce their heart risks.

Do Registered Nurses Need a BSN?

RegisteredNurseMost potential Registered Nurses always ponder the same age old question, "Do I need BSN or should I just get a ADN?"

Learn about degree programs here.

Sacco and other heart experts highlight 10 myths of heart disease:

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Tuesday, February 15, 2011

Obesity Alone Raises Risk of Fatal Heart Attack, Study Finds

Obese men face a dramatically higher risk of dying from a heart attack, regardless of whether or not they have other known risk factors for cardiovascular disease, a new study reveals.

The finding stems from an analysis involving roughly 6,000 middle-aged men, and it suggests that there is something about carrying around excess weight that contributes to heart disease independent of risk factors such as high blood pressure, diabetes, high cholesterol and arterial disease.

What exactly that something is, however, remains unclear, although the researchers suggest that the chronic inflammation that typically accompanies significant weight gain might be the driving force behind the increased risk.

"Obese, middle-aged men have a 60 percent increased risk of dying from a heart attack than non-obese middle-aged men, even after we cancel out any of the effects of cholesterol, blood pressure and other cardiovascular risk factors," noted study author Jennifer Logue, a clinical lecturer of metabolic medicine with the British Heart Foundation's Cardiovascular Research Centre at the University of Glasgow, in Scotland. "This means [that] obesity itself may be causing fatal heart attacks through a factor that we have not yet identified."

Logue and her colleagues report their observations in the Feb. 15 online issue of Heart.

To explore the subject, the authors spent nearly 15 years tracking 6,082 male patients who were diagnosed with high cholesterol but had no history of either heart disease or diabetes.

Over the study period, the research team noted 214 heart disease fatalities, along with another 1,027 heart attacks and/or strokes that did not result in death.

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Friday, February 4, 2011

New babies and heart attacks don't stop in a blizzard - themorningsun.com

Snowstorms don’t stop babies from being born, people from being hospitalized, and they don’t stop heart attacks.

That means that the maternity staff, hospital physicians, cardiologists and other doctors and nurses at MidMichigan Medical Center-Midland needed to plow through snow drifts or even put on skis to get to work.

Dr. Otto Leiti, an internal medicine special with MidMichigan Physicians Group, needed to get to the medical center in Midland to see his patients who were hospitalized, so he strapped on his skis and made a 40-minute ski trip to get in.

“It was fun. I had to be careful with cars, but cross country skis were designed for survival,” Leiti said. “I should do this every day.”

When maternity manager and registered nurse Tonia Van Wieren learned that the storm was coming, she decided that it would be better just to sleep over in the medical center. And when some staff could not get out to come to work, starting at 3 a.m., VanWieren was there to fill in with newly scheduled staff.

“There have been four babies delivered in the snowstorm, and eight (mothers) were in labor yesterday,” she said. “The medical center’s obstetric unit is full and overflowing on to another floor. We’re making it work.”

For some, even a snow day could not postpone the inevitable. Dr. Richard Bartling, an ral and maxillofacial surgeon who is on the Medical Center’s medical staff, was performing oral surgery at his practice in Mt. Pleasant as usual. No surgeries were cancelled and Bartling extracted teeth as usual.

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Wednesday, February 2, 2011

CDC Features - February is American Heart Month

About every 25 seconds, an American will have a coronary event.

Heart disease is the leading cause of death in the United States and is a major cause of disability. The most common heart disease in the United States is coronary heart disease, which often appears as a heart attack. In 2010, an estimated 785,000 Americans had a new coronary attack, and about 470,000 had a recurrent attack. About every 25 seconds, an American will have a coronary event, and about one every minute will die from one.1

The chance of developing coronary heart disease can be reduced by taking steps to prevent and control factors that put people at greater risk. Additionally, knowing the signs and symptoms of heart attack are crucial to the most positive outcomes after having a heart attack. People who have survived a heart attack can also work to reduce their risk of another heart attack or a stroke in the future. For more information on heart disease and stroke, visit CDC's Division for Heart Disease and Stroke Prevention.

Diseases and Conditions That Put Your Heart at Risk

Other conditions that affect your heart or increase your risk of death or disability include arrhythmia, heart failure, and peripheral artery disease (PAD). High cholesterol, high blood pressure, obesity, diabetes, tobacco use, unhealthy diet, physical inactivity, and secondhand smoke are also risk factors associated with heart disease. For a full list of diseases and conditions along with risk factors and other health information associated with heart disease, visit the American Heart AssociationExternal Web Site Icon.

Know Your Signs and Symptoms

Some heart attacks are sudden and intense; however, most heart attacks start slowly, with mild pain or discomfort. Often people affected aren't sure what's wrong and wait too long before getting help. Here are signs

Read the full article at cdc.gov

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Tuesday, February 1, 2011

CDC: U.S. Healthcare System Can Do Better in Treating CVD | All Sites Nursing News

The Centers for Disease Control and Prevention cites issues with the U.S. healthcare system as part of the reason for the extent of cardiovascular disease in the country.

In a report released Tuesday, the CDC said two-thirds of adults with high cholesterol and half with hypertension do not receive effective treatment.

"Although we're making some progress, the United States is failing to prevent the leading cause of death — cardiovascular disease — despite the existence of low-cost, highly effective treatments," said CDC Director Thomas Frieden, MD, MPH.

"We need to do a better job improving care and supporting patients to prevent avoidable illness, disability and death."

For many people, according to the CDC, merely having healthcare coverage is not sufficient.

Click on the news.nurse.com link for the complete article.

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Thursday, December 30, 2010

Shoveling Snow? How to Protect Your Back (and Your Heart) - Chronic Pain - Health.com

Snow and ice can make driving treacherous, of course, but snowfall—especially the wet, heavy kind—can be dangerous even if you never leave your driveway. Each year, shoveling piles of snow after a storm is believed to cause tens of thousands of back and shoulder injuries in the United States, not to mention several hundred heart attacks.

Overall, more than 70,000 people ended up with a shoveling-related injury bad enough to trigger a doctor’s visit in 2008, according to the Consumer Products Safety Commission. A quarter of those people visited an emergency room, and about 900 were admitted to a hospital.

The exertion, cold weather, and slippery surfaces snow shovelers face are a dangerous combination, especially if it’s an activity you’re not used to. Snow shoveling "is one of the most high-intensity exercises you can do," says Suzanne Steinbaum, DO, a preventive cardiologist at Lenox Hill Hospital, in New York City. "You’re using all your major muscle groups."

But there are steps you can take to shovel safely and ensure that you survive the winter in one piece.

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Sunday, December 26, 2010

Why the day after Christmas is hazardous to your heart - CNN.com

December 26 is historically one of the most dangerous days of the year for people vulnerable to cardiac problems, including heart attacks, arrhythmias, and heart failure.

And many of these so-called Merry Christmas coronaries will hit people who didn't even realize they were at risk when they unwrapped their gifts the day before.

But the holiday season isn't good for heart health to begin with. A 2004 study by researchers at the University of California, San Diego and Tufts University found that heart-related deaths increase by nearly 5% during the holidays, perhaps because patients delay seeking treatment for heart problems or because hospital staffing patterns change.

But anecdotally, doctors say that their ERs stay quiet on Christmas Day itself. Then, come December 26, they see a surge of cardiac traffic. A 2008 study found that daily visits to hospitals for heart failure increased by 33% during the four days after Christmas.

Health.com: 9 surprising heart attack risks

"This time of year is notorious for heart attacks, heart failures, and arrhythmias," says Samin Sharma, MD, director of interventional cardiology at Mount Sinai Medical Center in New York. Here's how to steer clear of the hospital.

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