Nursefriendly.com: cardiac risk factors

Showing posts with label cardiac risk factors. Show all posts

Saturday, June 4, 2011

When are stroke patients more likely to receive clot busting drugs?

by Todd Neale, MedPage Today Staff Writer
Patients suffering an acute ischemic stroke are about 20% more likely to receive clot-busting therapy with tissue plasminogen activator (tPA) if they arrive at the hospital on the weekend, a retrospective study showed.
However, there was no difference in rates of inhospital mortality based on the time of admission, Abby Kazley, PhD, of the Medical University of South Carolina in Charleston, and colleagues reported in the January issue of Archives of Neurology.

via kevinmd.com

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Sunday, March 20, 2011

Heart RN (ClevClinicHeart) on Twitter

Heart RN

@ClevClinicHeart Cleveland, Ohio

Cleveland Clinic Nurse providing heart, vascular, and thoracic news and information from the Cleveland Clinic Heart and Vascular Institute

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ClevClinicHeart Heart RN

Live web chat with MD: atrial fibrillation (#afib) and other abnormal #heart beats Mon. @ 12 noon EST: Start asking ?s now @ bit.ly/9Ei0Nj

3 hours ago Favorite Retweet Reply

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ClevClinicHeart Heart RN

March is National Nutrition Month - Eat heart healthy info from Cleveland Clinic @ http://bit.ly/dIpexD and the ADA: http://bit.ly/gawk5r

18 Mar Favorite Retweet Reply

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ClevClinicHeart Heart RN

Expand+Dronedarone for atrial fibrillation: How does it compare with amiodarone? CCJM: http://www.ccjm.org/content/78/3/179

18 Mar Favorite Retweet Reply

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ClevClinicHeart Heart RN

Monday 3/21 @ 12 noon EST - Ask doctor questions about atrial fibrillation (#afib) and other abnormal #heart beats. Register @ bit.ly/9Ei0Nj

17 Mar Favorite Retweet Reply

via twitter.com

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Wednesday, March 2, 2011

Sleep deprivation 'can cause strokes' | News | Nursing Times

Stroke or heart disease susceptibility is dependant on how much you sleep you get, a new study has suggested.

A Warwick Medical School study has discovered that prolonged sleep deprivation can have a seriously adverse effect on cardiac health.
The research team linked a lack of sleep to strokes, heart attacks and cardiovascular disorders which can often cause early death.
Professor Cappuccio and co-author Dr Michelle Miller examined evidence from more than 470,000 participants across eight countries, including Japan, the US, Sweden and the UK.
Professor Francesco Cappuccio said: “If you sleep less than six hours per night and have disturbed sleep you stand a 48% greater chance of developing or dying from heart disease and a 15% greater chance of developing or dying from a stroke.
“The trend for late nights and early mornings is actually a ticking time bomb for our health so you need to act now to reduce your risk of developing these life-threatening conditions.”
Dr Miller added chronic short sleep produces hormones and chemicals in the body, which increases the risk of developing heart disease and strokes, plus other conditions such as high blood pressure and cholesterol, diabetes and obesity.
Cappuccio F, et al. Sleep duration predicts cardiovascular outcomes: a systematic review and meta-analysis of prospective studies. European Heart Journal, Advance access.

via nursingtimes.net

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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

via yourlife.usatoday.com

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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.

via online.prevention.com

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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?

Most 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:

via nursinglink.monster.com

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Practice Guidelines: Managing Chronic Heart Failure - Mosby' s Nursing Suite

With the U.S. population aging, chronic heart failure is on the rise. Now healthcare professionals must diagnose and manage this complex, life-threatening syndrome more effectively than ever. To help, the American College of Cardiology and American Heart Association provide complete practice guidelines for the four stages of heart failure.
The American Heart Association has identified these four stages of heart failure (HF), which complement the NYHA classifications:
Stage A: At high risk for HF but no structural heart disease or HF symptoms
Stage B: Structural heart disease but no HF signs or symptoms
Stage C: Structural heart disease and prior or current HF symptoms
Stage D: Refractory HF that requires specialized interventions
According to the guidelines, possibly the most effective and least followed general measures are close attention and follow-up. These require regular assessment, patient teaching, monitoring of adherence to the plan of care, and evaluation of the patient’s response. To help you and your colleagues align your practice with current guidelines, the following list summarizes teaching for patients with Stage C heart failure.

via confidenceconnected.com

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Saturday, February 19, 2011

Cardiovascular Disease [NCCAM Health Information], National Institutes of Health

Cardiovascular Disease

Cardiovascular disease (also called heart disease) comes in many forms and is the number one cause of death in the United States. The most common cause of heart disease is coronary artery disease (the narrowing or blockage of the coronary arteries, the blood vessels that supply blood to the heart).
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Tuesday, February 15, 2011

Heart Advice from a Cardiologist - Prevention.com

By Arthur Agatston , Arthur Agatston, MD, is a preventive cardiologist and Prevention's "From the Heart Doc." He is also a member of Prevention's medical advisory board.

I'm 62 and, thankfully, have never been hospitalized, nor can I remember calling in sick. I still work 12-hour days, walk the golf course, hit the heavy bag, and, not too long ago, even played ice hockey. Other than some minor colds, flus, and heartburn, I have been very healthy, and I take no regular medications. How I've managed this isn't a secret. My philosophy is in my books. But for this special issue of Prevention, I want to summarize it for you--what I eat, how I exercise and beat stress, even my own advice that I struggle with. Here's my personal Rx--feel free to make it your own:

Eat three squares and a snack: I start most days with a three-egg omelet (one yolk and whites) and some green tea with a scoop of Benefiber (a natural fiber supplement). For lunch, I usually order baked salmon and grilled veggies from a nearby restaurant. I never eat fast food. And for dinner, my wife, Sari, typically makes fish or chicken with veggies. We eat little starch at home. If I get hungry during the day or when I'm traveling, I'll have a mozzarella stick, fruit, wasabi-coated soy nuts, other nuts, or a high-fiber bar.

via prevention.com

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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.

via health.yahoo.net

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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 Association.

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

via cdc.gov

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Thursday, January 13, 2011

Inactivity Is Harmful, Even With Trips to the Gym - NYTimes.com

Many of us sit in front of a computer for eight hours a day, and then go home and head for the couch to surf the Web or watch television, exchanging one seat and screen for another. Even if we try to squeeze in an hour at the gym, is it enough to counteract all that motionless sitting?

A mounting body of evidence suggests not.

Increasingly, research is focusing not on how much exercise people get, but how much of their time is spent in sedentary activity, and the harm that does.

The latest findings, published this week in The Journal of the American College of Cardiology, indicate that the amount of leisure time spent sitting in front of a screen can have such an overwhelming, seemingly irreparable impact on one’s health that physical activity doesn’t produce much benefit.

The study followed 4,512 middle-aged Scottish men for a little more than four years on average. It found that those who said they spent two or more leisure hours a day sitting in front of a screen were at double the risk of a heart attack or other cardiac event compared with those who watched less. Those who spent four or more hours of recreational time in front of a screen were 50 percent more likely to die of any cause. It didn’t matter whether the men were physically active for several hours a week — exercise didn’t mitigate the risk associated with the high amount of sedentary screen time.

via well.blogs.nytimes.com

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Monday, January 10, 2011

Preventing Heart Ailments at Their Roots - Childhood - NYTimes.com

Two studies published Monday suggest that the road to hypertension and heart disease starts in childhood and that prevention should start there, too.

Related

Health Guides: Heart Disease | High Blood Pressure

One analysis found that parental smoking increases the risk for high blood pressure in preschoolers, and the other that excessive sugar consumption in teenagers is associated with multiple factors known to increase the risk for cardiovascular disease. Both reports appear in the February issue of the journal Circulation.
The first study looked at 4,236 children in Germany, where 5-year-olds undergo a compulsory physical and cognitive assessment before starting school. During the period of the study, 2007-8, more than 28 percent had at least one parent who smoked. Even after correcting for body mass index and parental hypertension, having a smoker as a parent substantially increased the likelihood that a child would have blood pressure readings in the top 15 percent of the sample.
Parental smoking was not the only association, or even the strongest. Being overweight and having a parent with hypertension were also associated with high blood pressure in the children. But the lead author, Dr. Giacomo D. Simonetti, said smoking was probably the easiest risk to modify.

via nytimes.com

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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.

via cnn.com

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Sunday, December 12, 2010

PT Perspective: Heart Disease in Women - Overshadowed and Understated|putmebacktogether.com

It’s good to be informed. As PTs, I’d add that it’s our responsibility to inform ourselves then to pass on the information to patients. I’ve come across many women, patients, and co-workers who recognize the dangers of breast cancer and the necessity of research to cure it.

Clearly, breast cancer is serious business and the stats are grim. The lifetime prevalence: 1 in 8; number of deaths per year: 40,000.

But consider this. Lung cancer claims 70,000 women a year which is more than breast, ovarian and uterine cancers combined. Of those diagnosed with lung cancer, only 1 in 8 survives. The public consciousness seems misinformed on this.

Heart disease is another poorly understood killer. Every year, heart disease claims the lives of 500,000 women. That’s 1000% more deaths than breast cancer. People seem to think breast cancer is the biggest monster out there gobbling up women’s lives while the real boogey man disease lives in virtual anonymity.

Why does this happen? Why would such a big problem get such short shrift? Part of the problem is the stereotype that only type A men get heart attacks. The fact is heart disease doesn’t dabble in gender politics. Whether you’re from Venus or Mars, the odds are pretty even.

If you’re a woman, your sirens should be ringing (blaring stridently; in fact), particularly if you have a family history, like to wash down your corn-fed Angus cuts with a keg of beer, and exercise by walking from the couch to the kitchen during commercial breaks. If this describes you or your patients, beware, but don’t despair.

Giving up leads to paralysis and paralysis doesn’t help. What does help is information (keeping in mind that the step after information is informed action). Unlike breast cancer which is largely genetic and difficult to prevent (if such as word even applies), heart disease responds to the following life-saving changes:

Smoking cessation

A well-balanced diet, low in saturated and trans fat

Regular exercise

Weight loss

Stress reduction

Social support

Decreased alcohol consumption

Those who campaign against breast cancer do a wonderful job of raising awareness about a terrible disease. We should applaud these efforts and replicate them with heart disease, spreading the word the way rumors spread in the girl’s middle school bathrooms across America. First whispered conspiratorially, the message gets passed on via three very simple words: “Pass it on!”

via putmebacktogether.com

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Saturday, June 4, 2011

Sunday, March 20, 2011

Heart RN

Wednesday, March 2, 2011

Monday, February 28, 2011

Wednesday, February 23, 2011

Do Registered Nurses Need a BSN?

Saturday, February 19, 2011

Cardiovascular Disease

For Consumers

Research Spotlights

Ongoing Medical Studies

For Health Professionals

Clinical Practice Guidelines

Scientific Literature

Tuesday, February 15, 2011

Wednesday, February 2, 2011

Diseases and Conditions That Put Your Heart at Risk

Know Your Signs and Symptoms

Thursday, January 13, 2011

Monday, January 10, 2011

Related

Health Guides: Heart Disease | High Blood Pressure

Sunday, December 26, 2010

Sunday, December 12, 2010

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